Risk adjustment software to help increase accuracy
Our risk adjustment software can help increase the accuracy of provider documentation, coding and billing. Optum Risk View can also help increase provider engagement and improve your reimbursements.
Key benefits
Learn about the full range of solutions included with Optum Risk View.
Risk adjustment software and strategy tools
Our risk adjustment software will help drive complete and accurate reporting of risk adjustment data which helps ensure payment accuracy.
Targeted advanced risk analytics
Our proprietary predictive risk modeling software generates risk adjustment analytics and related socioeconomic data.
Risk adjustment activity management
Leverage our experienced account management team, including a dedicated program manager, to optimize your risk adjustment activities.
Comprehensive reports to inform strategic planning
Get an overall view of your end-of-year and end-of-project risk adjustment plan profile. Our program flexibility allows us to identify both retrospective and prospective intervention activities at different cost levels. This planning solution includes our advanced models, which use artificial intelligence, big data, and intelligent chart selection to target the most appropriate members.
Insight to comply with requirements and regulations
Get ahead of CMS with our financial insights. Optum Risk View risk can help you track and forecast CMS payments. We deploy source data analysis and forecasting to compare accepted vs. actual CMS calculated scores.
Related healthcare insights
White paper
Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.
Guide
Explore Medicaid best practices for health plans and learn three actions to take and when to take them.
Article
Learn how Optum uses AI, state-specific logic and robust workflows to help with proactive dual eligible Medicaid renewals.