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Group Risk Analytics

We help health plans leverage cutting-edge technology and advanced analytics to assess risk and optimize their portfolios.

Get ahead of risk

Optum® Group Risk Analytics (GRA) predicts future risk in minutes, enabling a premium rate strategy aligned to the risk profile of your new business groups. Group Risk Analytics uses de-identified, third-party medical and specialty pharmacy data, and proprietary risk scoring, to enable payers to better assess the risk of prospective employer group customers.

Our goal is to help you win the right business at the right price.

Key benefits

We are committed to providing underwriters with the quickest, most intuitive and accurate new business risk assessment solutions.

Results returned in minutes

We know that underwriters can't wait around during the busy new business season — 97% of all cases are returned in less than 5 minutes.

Unparalleled data syndicate

Nationwide coverage of medical and pharmacy claim data allow for the detection of high-cost conditions and specialty pharmacy costs that others might miss.

Sleek and intuitive software

Built on the Optum StepWise platform, GRA is easy to use and integrates seamlessly with your existing underwriting workflows.

Outstanding customer experience

Our highly responsive and dedicated support team is here for you.

Available on the Optum AI Marketplace

Predictive modeling for risk analysis

Group Risk Analytics applies real-world datasets and advanced risk modeling to identify patterns in emergency department utilization. It surfaces drivers between high-frequency visits and provides outputs that can be integrated into pricing models or care management workflows.

Related healthcare insights

Article

Insights for improved decision-making

Learn how Medicaid agencies can use consulting, analytics and stakeholder engagement to improve outcomes and inform decisions.

Case study

Inside a 1,600 provider go-live — and the Optum playbook behind it

Read the case study to see how a provider organization launched a new EHR across 1,600 providers while protecting access and productivity.

White paper

3 imperatives to transform your margin performance

A practical look at improving margins through access, documentation and denials transformation.

Product information and resources

  • PDF

     

    Fact sheet

    A prospective group risk assessment tool

    GRA is a simple and secure prospective risk assessment tool that enables payers to better assess the risk of prospective employer group customers in minutes.

    Download fact sheet
  • PDF

     

    Fact sheet

    Portfolio optimization (PO)

    Achieve greater profitability and retained membership through the balancing of both market share and margin goals with Optum® Portfolio Optimization.

    Download fact sheet
  • PDF

     

    Fact Sheet

    Group Risk Analytics for Stop Loss

    Optum® Group Risk Analytics (GRA) for Stop Loss delivers early insight into loss exposure above key attachment points so payers can price and structure with confidence.

    Download fact sheet

Learn how to partner with Optum

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