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Optum Quality Solutions

Healthier happens together.

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Overview

Optum, a part of UnitedHealth Group, is a massive health services and innovation company. Their quality solutions encompass a wide range of products and services for both payers and providers. These include data analytics for quality measurement (HEDIS, Stars), population health management platforms, risk adjustment tools, and consulting services to help organizations navigate the complexities of value-based care and quality reporting.

✨ Key Features

  • Quality Reporting and Analytics (HEDIS, Stars)
  • Population Health Management
  • Risk Adjustment and Analytics
  • Care Delivery Services
  • Pharmacy Care Services
  • Advisory and Consulting Services

🎯 Key Differentiators

  • Unparalleled access to data from UnitedHealth Group
  • Breadth of services spanning analytics, technology, and direct care delivery
  • Deep integration into the healthcare ecosystem

Unique Value: Offers an unmatched combination of data, analytics, technology, and services to address virtually any challenge in healthcare.

🎯 Use Cases (5)

Improving quality scores for health plans and providers Managing at-risk populations Optimizing risk adjustment accuracy Streamlining care delivery and coordination Developing and managing value-based care programs

✅ Best For

  • Driving significant improvements in Medicare Star Ratings
  • Managing complex patient populations through integrated care models
  • Providing end-to-end support for value-based care initiatives

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Small organizations seeking a simple, standalone software tool
  • Companies looking for a vendor-neutral solution (due to UHG affiliation)

🏆 Alternatives

Cotiviti Health Catalyst Innovaccer Accenture Deloitte

Provides a much broader and more integrated set of capabilities than point-solution vendors, often acting as a strategic partner rather than just a software provider.

💻 Platforms

Web API Managed Services

🔌 Integrations

Extensive integration with UnitedHealth Group data EHR Systems Claims Systems Various third-party data sources

🛟 Support Options

  • ✓ Email Support
  • ✓ Live Chat
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ GDPR ✓ ISO 27001 ✓ SSO ✓ HITRUST CSF Certified ✓ SOC 2 Type II ✓ NCQA Certified ✓ URAC Accredited

💰 Pricing

Contact for pricing
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