Clinical performance and compliance

Optimize performance and improve health outcomes

As the health care environment evolves, managed care organizations are challenged to not only improve the quality of care, but to enhance and encourage cost-efficient methods of delivering that care. New compliance regulations dictate rigid guidelines for clinical assessment, performance measurement, and care management.

OptumInsight builds strategies for customers that improve the quality of care and reduce the costs of delivering it while helping organizations meet the guidelines and requirements from CMS, HEDIS®, RAF/EDPS, and Stars. Our data analytic tools provide comprehensive views into individual and population health and care management, helping your organization reduce medical costs and improve health care quality.

Optum’s solutions for clinical performance and compliance include:

• Care Coordination and Management
• Clinical Quality and Stars
• Government Program Management and Compliance
• Risk Adjustment