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Features and Benefits

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Advance Health Management Oversight

Our experts assess your market position to understand best ways to advance your financial and care strategies. We leverage insights from the nation’s largest patient database*, and manage risks end-to-end with predictive modeling, oversight tools and care pathways.

*Source:  IDC Insights, 2015, Marketplace U.S. Healthcare Payer Analytics Assessment

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Improve Risk Adjustment Accuracy

Work with our risk adjustment experts to quantify your opportunity for risk adjustment factor (RAF) improvement using Optum’s regional benchmarks. Our program strategies help to ensure you receive accurate and complete payments for your members.

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Drive Quality

Our tools provide end-to-end access to clinical information, making it easier to create quality interactions across systems and services. We'll help you advance quality care pathways more quickly so you can drive progress with HEDIS measures.

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Optimize Networks

Work with us to ensure that your risk-bearing partnerships align with business objectives. Our experts can help you mitigate financial risks and align your care strategies, payment models, contracts and incentives.

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