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Payer-provider interoperability to enhance prospective risk management

Payers and providers are using advanced technology in healthcare to create efficient processes that capture chronic conditions and deliver better health outcomes.

Laying the groundwork for value-based care

On average, a provider will have 24 different payer contracts and 18 risk-based contracts.1 The journey to value-based care includes risk adjustment, which may include challenges that can be overcome with advanced technology, strategy and payer-provider collaboration.

See how Renown Medical Group partnered with Optum to develop a technology-driven risk adjustment process that engages payers and providers to improve outcomes.

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1. Frost & Sullivan. The Impact of Health Plan Risk Adjustment and Quality Programs on Healthcare Providers. Presented to Optum Dec. 17, 2024.