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Risk management and quality performance

We go beyond risk adjustment to drive better outcomes.


Explore our solutions

Retrospective Solutions

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

Prospective Solutions

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

Quality measurement and reporting

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

Medicaid Risk Adjustment

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