Medicaid Risk Adjustment

Report more accurate health status

States differ in their individual Medicaid risk adjustment regulations, reimbursements and penalties. It can be a challenge for health plans to stay current with the ongoing changes.

Our dedicated informatics and actuarial experts support the most common state Medicaid risk adjustment models. We take a holistic approach to work across your managed Medicaid markets. We identify opportunities to help:

• Maximize the potential of your risk adjustment strategy
• Engage providers and members
• Report a more accurate and complete picture of your Medicaid member health status

Get a real-time cost-benefit analysis

Through our advanced analytics, Optum can model a real-time cost-benefit analysis as part of our initial conversation with you. That means you’ll understand the value we can deliver for your health plan before you sign the contract.

Request a cost-benefit analysis today