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Optum Risk Adjustment Solutions
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Ryan Pretnik
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Risk Adjustment 2021: Which Vendors Deliver Best?
Risk Adjustment 2021:
Which Vendors Deliver Best?
November 2021
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Director

We are going to do an RFP to get competitive bids to replace this product. Optum has been having...

Aug 2021
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Director

If Optum were to ask me to be a referral for them, I would tell others to watch out for their data...

Aug 2021
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Director

Optum hasn't talked to us about interoperability.

Aug 2021
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Director

Our account manager is great, but they struggle to escalate things internally.

Aug 2021
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Manager

We are going to go ahead and let Optum go. We have contracted with another company to replace them....

Aug 2021
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Manager

All of Optum's data breakdowns are a huge reason that we are leaving them. Optum's data is so...

Aug 2021
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Manager

The challenge with Optum's training is that we don't get it. It is not offered unless we ask for it.

Aug 2021
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Manager

Optum has many different, siloed processes. They are a huge organization, so when any little thing...

Aug 2021
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Manager

Optum is fantastic on their retrospective claims, and they have the highest chart collection rates...

Aug 2021
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Manager

Optum's integration is difficult. It is okay, but I have seen better. Optum just isn't able to...

Aug 2021
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Manager

Optum's dashboards are pretty terrible. The lag delays are not intuitive. I really have a bad taste...

Aug 2021
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Director

We had a tough start with Optum because of the rigidness of the data and the format that they...

Aug 2021
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Director

Training has always been part of Optum’s packages. Optum has also been good about making refresher...

Aug 2021
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Director

The system is a standalone product that is pretty siloed in terms of functionality. The system is...

Aug 2021
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Director

The product delivers what we need and drives results for us, but I don't know whether the product...

Aug 2021
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Director

Optum is helping us forecast what the adjustments are expected to be with the data we provide. From...

Aug 2021
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Director

Whether Optum is in our long-term plans is 50/50 right now. From an analytics capability, we may...

Aug 2021
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Director

Optum’s UI is a little old. They are in the process of revamping, but they waited a little too long....

Aug 2021
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Director

Optum has been fantastic in terms of our relationship. However, there are some things that we have...

Aug 2021
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Manager

Optum is okay with support. We have a really good account manager, but past that person, things are...

Apr 2021
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Manager

We have to do things Optum's way or the highway. However, we have had a good, successful...

Apr 2021
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Manager

We are wholly dependent on Optum in a certain area, and that is not a good place to be because if...

Apr 2021
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Manager

The training for Optum's solution is harder than the training for other solutions, so it is...

Apr 2021
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Manager

Optum could do better with their data and reporting. They are trying to switch to a new server that...

Apr 2021
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Manager

Optum has a tendency to nickel-and-dime whenever they offer new technology. They roll out a new...

Apr 2021
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VP/Other Executive

The challenge with Optum is that they are not nimble. They are very hard to move, and they are very...

Apr 2021
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VP/Other Executive

Promises being kept with Optum can be a challenge at times. I don’t ever talk to Optum executives....

Apr 2021
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VP/Other Executive

What Optum brings to us is consistency. They are good about updates and providing us information. We...

Apr 2021
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VP/Other Executive

Optum is not as bad as other vendors. We have a good price with them, and that makes up for some of...

Apr 2021
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VP/Other Executive

I love this system. I used it before I came here, so I knew its value. We weren’t as advanced when I...

Mar 2021
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VP/Other Executive

In terms of working as promoted, the system is extremely good. It is the best in class and meeting...

Mar 2021
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Related Articles
Article
KLAS article icon
Options Expanding for Risk Adjustment
11 November 21    |   Ryan Pretnik and Jennifer Hickenlooper
A growing field of vendors offers risk adjustment technology and services. In our latest report, we set out to discover which vendors offer the widest breadth of capabilities. 



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