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Report

The state of risk adjustment, quality programs and value-based care

Optum partnered with Frost & Sullivan on a benchmarking survey for payers and providers.

Risk and quality collaboration: Is it working for value-based care?

This research report provides real-world insights into the challenges and opportunities for today's risk adjustment and quality environment and compares the results to research conducted in 2020. Gain critical insights into payer and provider perceptions about administrative requirements for these programs, their progress towards value-based care and how it has evolved.

You’ll learn how payers and providers differ in their perceptions of collaboration. While providers feel it has improved, payers report a decline.

Get additional insights such as:

  • 93% of providers participated in healthcare risk adjustment and quality programs in 2024.
  • 68% of payers rely exclusively on internal staff, while 25% are adopting hybrid approaches.
  • Staff capacity remains a significant challenge for both payers (68%) and providers (76%).

Download the full report for comprehensive insights that will help you optimize your healthcare risk adjustment and quality programs, improve collaboration and succeed in value-based care.

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