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Risk management and quality performance

We go beyond risk adjustment to drive better outcomes.

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Explore our solutions

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Retrospective Solutions

Our diverse and deep experience paired with the largest MA database in the industry powers analytics to improve accuracy and completeness.

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Prospective Solutions

We support providers by standardizing processes on behalf of multiple payers to allow more time caring for patients.

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Quality measurement and reporting

Improve quality with a comprehensive, innovative approach to manage HEDIS® performance.

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Medicaid Risk Adjustment

Optum has the expertise, breadth and scale to help optimize and support your Medicaid risk and quality programs.