Building a framework to support value-based care

Help operationalize your prospective risk, quality and value-based care

Expectations for risk and quality performance are rising, driven by increasing regulatory scrutiny and the need for documentation accuracy. As a result, the need to act earlier in the care journey is urgent.

With Optum, integrating prospective approaches and more accurate risk and quality capture into your organization is possible, driving overall operational efficiency. From enabling AI and analytics to drive scale to strengthening payer-provider alignment, balancing early action with rising technologies can help drive your organization toward overall success.

Some benefits of prospective enablement include:

• Pre-visit insights 
• Risk and quality gaps surfacing at the point of care 
• Integrated workflows 
• Increased accuracy

This executive summary serves as a step-by-step guide for integrating prospective approaches into your risk and quality programs. It touches on key success points for driving earlier intervention, more integrated workflows, standardized guidelines and more to help promote effective value-based care at your organization.