Skip to main content

Guide

Trends for health plan quality performance

Learn how health plans can stay ahead of the curve and prepare for key trends likely to impact their quality programs in 2025 and beyond.

As quality program requirements continue to change for health plans, so must your approach. With regular adjustments and updates from organizations like the Centers for Medicare & Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA), health plans must continuously re-evaluate their technology, digital capabilities and member programs.

Related healthcare insights

Helping People Navigate Care in an AI‑Driven Ecosystem

Article

Helping people navigate care in a connected, AI‑driven ecosystem

In an increasingly complex system with many providers and platforms, health plans have an opportunity to simplify experiences and reduce friction.

Succeeding under CMS TEAM: an AI‑enabled performance playbook

On-demand webinar

Succeeding under CMS TEAM: an AI‑enabled performance playbook

Hear from Optum experts on how hospitals can successfully manage cost and quality across 5 episodes of care under the new CMS model, TEAM.

Coding Modernization: Leveraging the Power of AI 

Article

Coding modernization: Leveraging the power of AI

Learn how Optum takes an innovative approach to smarter, more accurate healthcare coding.