We go beyond risk adjustment to drive better outcomes
Diverse experience and expertise enable innovation. Data from the largest Medicare Advantage database in the industry drive risk and quality programs.
- [Narrator] A physician's goal is clear, provide the best care possible. The shift to value-based care was meant to help them do just that, but there were unintended consequences. Health plans developed programs and pushed out data and analytics in an effort to help providers but the administrative burden can be overwhelming. Many physicians are drowning in differing mandates from a multitude of health plans, with no process to guide them. And more than half say they're at risk for burnout. For too long, health plans have treated risk adjustment, quality measurement and disease management as disconnected initiatives, each with its own goals and processes. And provider organizations have struggled as a result. To realize the promise of value-based care, we need a new approach. One that brings separate programs together. Where risk and quality data are combined and harnessed to actually help physicians improve outcomes. Where each provider's unique populations and workflows are taken into account. While standardized processes across multiple payers help to simplify administration. Where data and analytics drive improvements in documentation, coding and care. So health plans get the right information, while providers get to focus on patients. Optum sits at the center of health care, connecting health plans and providers with the expertise, analytics and technology to make sure the right programs are in place at the right time. So physicians can do what they do best, and the entire system can benefit from healthier people.