Impact Pro for Underwriting

Set Competitive Premium Rates

Optum Impact Pro is an episode-based predictive modeling solution that helps underwriters use clinically-based risk and administrative profile information to set appropriate premium rates based on the health risk of each individual member in a group. User-friendly and web-based, this powerful tool easily integrates into current processes for seamless underwriting.

Using Impact Pro, Underwriters Can:

• Forecast future risks and associated costs for current employer groups and individuals
• Determine future costs of new employer groups and individuals
• Discover future risks and costs that are complementary to current practices

Population Analysis

Impact Pro assigns current and new member populations to risk groupings to provide quick evaluation of future risk based on a range of factors: condition, disease, age, gender, or even supplemental information such as line of business.

Accuracy and Flexibility

Developed using experience from one of the largest health care claims databases; Impact Pro is one of the industry’s most accurate and flexible predictive models. Impact Pro draws from available information sources—enrollment, medical and pharmacy claims, and lab data—to predict risk. Impact Pro can also leverage pharmacy data, often the only data available for new and prospective members.

Unique Features

• Solid foundation—Built upon industry-leading Optum Symmetry Episode Treatment Groups™ technology
• Multiple deployment options—Whether hosted by OptumInsight or deployed completely at your site, OptumInsight offers the deployment options that best meet the needs of your organization
• Ease of use—Web-based interface may be configured for use by different users within the organization and easily integrates with existing systems and processes

The Impact Suite

Impact Pro is part of the Impact Suite of products supporting underwriting and care management, provider network management and engagement, and clinical and financial trend analysis. The suite includes Impact Intelligence, a decision support solution for provider network management and medical and financial analytics and Impact Provider, a provider connectivity solution for delivering clinical analytics information to providers.