OptumInsight Data Description

OptumInsight Data Description

NIH Collaboratory Distributed Research Network

​Years of data available ​January 2008-March 2017
Total enrollees in research database: All years 65 million (commercially insured members with medical or pharmacy coverage, January 2008-March 2017)
​Target enrollees in research database: Most current year 21 million (commercially insured members with medical or pharmacy coverage, January 2017-March 2017)
​Age distribution (%): Most recent year
​0-18 years ​20
​19-44 years ​43
​45-64 years ​28
​65+ ​  9
​Data models available ​​Sentinel Common Data Model (CDM)
​Health plan/health system description A health services and innovation company, Optum collaborates with partners across the health system to leverage leading data, analytics and expertise to directly improve clinical care.

Optum’s core administrative claims data include enrollment information; medical (facility, physician) and pharmacy claims, from more than 180 million people captured since 1993. The data derive from commercial health plans and Medicare Advantage programs. Optum’s other data assets include a patient-level clinical database that integrates electronic health record (EHR) data with claims, prescription, and practice management data. The database includes relevant clinical data on over 85 million lives from both ambulatory and inpatient medical records (e.g., weight, body mass index, blood pressure, smoking status), laboratory results, and drug prescriptions, as recorded during routine clinical practice. Optum’s EHR database also contains information from physician, pathology and radiology notes, as well as other clinical notes, which supplement the data collected in structured fields of the electronic medical records used by contributing providers. These data can be linked to: diagnostic laboratory testing results; socioeconomic status data; mortality data; medical chart data; patient and physician survey responses; inpatient detail-level data; benefit design information; long-term and short-term disability records; disease-specific registries (e.g., oncology); and/or health risk assessments.

Currently, the Optum data within the NIH Collaboratory Distributed Research Network is comprised of enrollment, and medical and pharmacy claims data on commercially insured members with medical or pharmacy coverage from 2008 onward.

​Collaboration requirements and additional information ​Requests for research collaboration are accepted and may be subject to IRB and Privacy Board review, contractual and data sharing agreements, and/or other internal reviews, dependent on the specific project.

The Optum Epidemiology group coordinates the Sentinel and related initiatives within Optum. Please send research inquiries to: Nancy Lin, Nancy.Lin@optum.com.

​Research capabilities ​Optum offers a broad range of research services, including:

  • Clinical and pharmacoepidemiology research
  • Safety profile and effectiveness evaluations
  • Risk assessment and analysis
  • Health economics and outcomes research
  • Patient reported outcomes
  • Comparative effectiveness research
  • Population health surveillance and management
  • Natural language processing
  • Data analytics
  • Disease and product registries/non-interventional studies
  • Pragmatic trials
  • Trial location services
  • Product value strategy


NIH Collaboratory Distributed Research Network (DRN): OptumInsight Data Description. In: Rethinking Clinical Trials: A Living Textbook of Pragmatic Clinical Trials. Bethesda, MD: NIH Health Care Systems Research Collaboratory. Available at: https://rethinkingclinicaltrials.org/nih-collaboratory-drn/optuminsight/. Updated April 3, 2018.