Report more accurate health status
States differ in their individual Medicaid risk adjustment regulations, reimbursements and penalties. It can be a challenge for health plans to stay current with the ongoing changes.
Our dedicated informatics and actuarial experts support the most common state Medicaid risk adjustment models. We take a holistic approach to work across your managed Medicaid markets. We identify opportunities to help:
- Maximize the potential of your risk adjustment strategy
- Engage providers and members
- Report a more accurate and complete picture of your Medicaid member health status
Get a real-time cost-benefit analysis
Through our advanced analytics, Optum can model a real-time cost-benefit analysis as part of our initial conversation with you. That means you’ll understand the value we can deliver for your health plan before you sign the contract.