Optum is transforming itself into a healthcare cloud platform. APIs and identity management are enabling this transformation by allowing Optum to expose healthcare data and services, enable developers, and provide identity and access management for applications. Originally, Optum's identity management focused on its own applications, but now it must provide services for commercial customers on its cloud platform at scale. Optum built an identity management system using best of breed technologies to support millions of users, rapid growth of applications, and the needs of its new commercial customers.