Crimson AI

JSON twin: https://www.healthaidb.com/software/crimson-ai.json

Company Name

Optum

Product URL

https://www.optum.com/en/about-us/news/page.hub5.crimson-ai.html

Company URL

https://www.optum.com

Categories

• clinical Care
• administrative Operations
• diagnostic Support
• surgical Care
• health Data Analytics
• ai Clinical Documentation Integrity
• workforce Management
• financial Analytics
• clinical Workflow Optimization
• Clinical
• Administrative
• Diagnostic
• Surgical
• Analytics
• Ai-enabled
• Performance Management
• Cost Optimization
• Workflow Efficiency
• Benchmarking

Summary

Crimson AI is an AI-driven analytics platform by Optum that enhances surgical operations by optimizing scheduling, reducing supply waste, and improving overall efficiency in healthcare settings.

Description

Crimson AI is a modular data analytics and business intelligence platform developed by Optum to assist healthcare organizations in evaluating clinical, financial, and operational outcomes. It integrates data from electronic health records (EHRs), claims, and other systems to support provider performance measurement, care variation analysis, and population health management. The platform is utilized for physician alignment, quality reporting, and value-based care initiatives, delivering actionable insights through dashboards and benchmarking tools. Key modules include Quality and Utilization, Provider Review, Surgical Cost, and Surgical Capacity, each offering AI-enabled features tailored to specific operational needs. Crimson AI is designed to be customizable, integrating seamlessly with existing healthcare environments and EHR systems to enhance workflow efficiency and benchmarking capabilities. It employs proprietary risk adjustment modeling and robust benchmarking to inform product evaluations and value analyses, aiming to reduce care variation, improve quality of care, and lower the total cost of care. The platform has demonstrated significant impact, with clients reporting an average 13:1 return on investment, a 96% reduction in time spent on reviews, and substantial cost savings related to hospital quality initiatives and care variation reduction. Crimson AI is HIPAA-compliant, ensuring data security and privacy. It is primarily targeted at health systems, physician groups, and accountable care organizations (ACOs) focused on improving outcomes and financial performance. The platform is available in the United States and supports English language users. Pricing details are not publicly disclosed; interested parties are encouraged to contact Optum directly for more information. The company was founded in 2011 and has a global presence with offices in multiple countries.

Api Available

unknown

Certifications

• HITRUST Certified
• SOC 2

Company Founding

2011

Company Offices

• United States
• United Kingdom
• India
• Philippines
• China
• Singapore
• Australia
• Canada
• Mexico
• Brazil

Compliance

• HIPAA
• HITECH
• SOC 2

Customers

• OptumCare
• Optum Advisory Services
• Optum Interactive Platform
• Optum Financial HSA
• Optum Provider Data Solutions

Data Residency

United States

Data Standards

• FHIR
• HL7 v2
• DICOM
• SMART on FHIR
• OAuth2
• OpenID Connect
• X12

Deployment Model

• SaaS
• cloud

Features

• AI-enabled smart opportunities
• Flexible reporting
• Unmatched customizability
• AI enablement and smart opportunities
• Embedded consultation
• EHR integration
• Risk adjustment
• Benchmarking
• Care variation reduction
• AI-powered preference cards
• Spend analytics
• Outcomes-driven value analysis
• Performance initiatives and action item tracking
• Category spend analysis and contract compliance monitoring
• Risk-adjusted quality insights across specialties and settings

Id

SW1181

Integration Partners

• OptumCare
• Optum Advisory Services
• Optum Interactive Platform
• Optum Financial HSA
• Optum Provider Data Solutions

Integrations

• EHR integration
• Optum Provider Portal
• Optum customer portals

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Crimson AI Surgical Capacity
• Crimson AI Provider Review
• Hospital Quality and Utilization

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

enterprise_quote

Privacy Features

• BAA (business associate agreement) implied/available

Product Code

SW1181

Product Name

Crimson AI

Ratings

• 3.4 out of 5 stars on G2
• 3.3 out of 5 stars on G2
• 3.9 out of 5 stars on G2
• 4.5 out of 5 stars on G2
• 3.8 out of 5 stars on G2

Regions Available

• United States

Related Urls

• https://elion.health/categories/ai-products/products
• https://elion.health/products/crimson-ai

Release Year

2020

Security Features

• Encryption at rest and in transit (TLS)
• Role-based access control (RBAC)
• SSO / SAML / OAuth2 support
• Audit logging and monitoring
• Multi-factor authentication (MFA/2FA)

Specialties

• Surgery
• Orthopedics
• Cardiology
• Neurology
• Oncology
• Pediatrics
• Gastroenterology
• Urology
• Obstetrics
• Gynecology
• Pulmonology
• Dermatology
• Rheumatology
• Endocrinology
• Hematology
• Infectious Diseases
• Psychiatry
• Anesthesiology
• Emergency Medicine
• Radiology

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• admins
• payors
• healthcare organizations
• physician groups
• accountable care organizations (ACOs)

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• I am closely associated with someone who has been using OptumRx for managing their prescription benefits, and overall, their experience has been positive. The convenience of their online platform for ordering refills and tracking shipments has made the prescription process more efficient.

Version

1.0

Alternatives

See related products

Canonical JSON

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  "company_name": "Optum",
  "product_url": "https://www.optum.com/en/about-us/news/page.hub5.crimson-ai.html",
  "company_url": "https://www.optum.com",
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  "product_code": "SW1181",
  "summary": "Crimson AI is an AI-driven analytics platform by Optum that enhances surgical operations by optimizing scheduling, reducing supply waste, and improving overall efficiency in healthcare settings.",
  "description": "Crimson AI is a modular data analytics and business intelligence platform developed by Optum to assist healthcare organizations in evaluating clinical, financial, and operational outcomes. It integrates data from electronic health records (EHRs), claims, and other systems to support provider performance measurement, care variation analysis, and population health management. The platform is utilized for physician alignment, quality reporting, and value-based care initiatives, delivering actionable insights through dashboards and benchmarking tools. Key modules include Quality and Utilization, Provider Review, Surgical Cost, and Surgical Capacity, each offering AI-enabled features tailored to specific operational needs. Crimson AI is designed to be customizable, integrating seamlessly with existing healthcare environments and EHR systems to enhance workflow efficiency and benchmarking capabilities. It employs proprietary risk adjustment modeling and robust benchmarking to inform product evaluations and value analyses, aiming to reduce care variation, improve quality of care, and lower the total cost of care. The platform has demonstrated significant impact, with clients reporting an average 13:1 return on investment, a 96% reduction in time spent on reviews, and substantial cost savings related to hospital quality initiatives and care variation reduction. Crimson AI is HIPAA-compliant, ensuring data security and privacy. It is primarily targeted at health systems, physician groups, and accountable care organizations (ACOs) focused on improving outcomes and financial performance. The platform is available in the United States and supports English language users. Pricing details are not publicly disclosed; interested parties are encouraged to contact Optum directly for more information. The company was founded in 2011 and has a global presence with offices in multiple countries.",
  "categories": [
    "clinical Care",
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    "workforce Management",
    "financial Analytics",
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  "specialties": [
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    "Orthopedics",
    "Cardiology",
    "Neurology",
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    "Urology",
    "Obstetrics",
    "Gynecology",
    "Pulmonology",
    "Dermatology",
    "Rheumatology",
    "Endocrinology",
    "Hematology",
    "Infectious Diseases",
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  "regions_available": [
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  "languages_supported": [
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  "pricing_model": "enterprise_quote",
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  "license": "commercial",
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    "United Kingdom",
    "India",
    "Philippines",
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    "Australia",
    "Canada",
    "Mexico",
    "Brazil"
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  "company_founding": "2011",
  "deployment_model": [
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    "cloud"
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  "os_platforms": [
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  "features": [
    "AI-enabled smart opportunities",
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    "AI enablement and smart opportunities",
    "Embedded consultation",
    "EHR integration",
    "Risk adjustment",
    "Benchmarking",
    "Care variation reduction",
    "AI-powered preference cards",
    "Spend analytics",
    "Outcomes-driven value analysis",
    "Performance initiatives and action item tracking",
    "Category spend analysis and contract compliance monitoring",
    "Risk-adjusted quality insights across specialties and settings"
  ],
  "optional_modules": [
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    "Crimson AI Provider Review",
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  "integrations": [
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    "Optum customer portals"
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  "data_standards": [
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    "HL7 v2",
    "DICOM",
    "SMART on FHIR",
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  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
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    "HITECH",
    "SOC 2"
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  "certifications": [
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    "SOC 2"
  ],
  "security_features": [
    "Encryption at rest and in transit (TLS)",
    "Role-based access control (RBAC)",
    "SSO / SAML / OAuth2 support",
    "Audit logging and monitoring",
    "Multi-factor authentication (MFA/2FA)"
  ],
  "privacy_features": [
    "BAA (business associate agreement) implied/available"
  ],
  "data_residency": "United States",
  "customers": [
    "OptumCare",
    "Optum Advisory Services",
    "Optum Interactive Platform",
    "Optum Financial HSA",
    "Optum Provider Data Solutions"
  ],
  "user_reviews": [
    "I am closely associated with someone who has been using OptumRx for managing their prescription benefits, and overall, their experience has been positive. The convenience of their online platform for ordering refills and tracking shipments has made the prescription process more efficient."
  ],
  "ratings": [
    "3.4 out of 5 stars on G2",
    "3.3 out of 5 stars on G2",
    "3.9 out of 5 stars on G2",
    "4.5 out of 5 stars on G2",
    "3.8 out of 5 stars on G2"
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  "integration_partners": [
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    "Optum Advisory Services",
    "Optum Interactive Platform",
    "Optum Financial HSA",
    "Optum Provider Data Solutions"
  ],
  "id": "SW1181",
  "slug": "crimson-ai",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
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  }
}