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Optum Risk Adjustment Solutions Commentary
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Paul Hess
Research Director
KLAS Research Director - Paul Hess
 
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User Commentary

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Director

Value

When it comes to charging, Optum seems to hit us for everything. They also don’t offer a whole lot...

Apr 2025
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Director

Relationship

We escalate our issues quite a bit with Optum, and we have a lot of help from them. However, whether...

Apr 2025
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VP/Other Executive

Product, Value

The product helps ensure that we are capturing the diagnosis codes that didn't get onto a claim and...

Feb 2025
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VP/Other Executive

Operations

Implementation is my main concern with Optum. That could be improved. Optum takes way too long to...

Feb 2025
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VP/Other Executive

Product

Some of the reporting could be improved. There are disconnects between reports. When we are doing...

Feb 2025
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VP/Other Executive

Relationship

What really stands out about Optum is their size and the relationships and electronic access they...

Feb 2025
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Director

Loyalty, Relationship, Product

The in-office program is a strength. It drives in-office encounters for us, and it is still probably...

Oct 2024
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Director

Culture, Relationship

Optum’s customer service is great. If I call them and need something, they call me right back. Their...

Oct 2024
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Director

Loyalty, Product

We are able to use the solution's analytics function. We are doing a lot of our analytics in-house,...

Oct 2024
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Director

Product

In the Optum program, there may or may not be personnel. There are paper forms, and there might be...

Oct 2024
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Director

Loyalty, Value

We are using Optum Risk Adjustment Solutions less for retrospective work because of the vendor's...

Oct 2024
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Director

Product

There can be issues with the transfer and cleanup of the data and the flexibility there. It would be...

Jul 2024
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Director

Product, Value

Optum Risk Adjustment Solutions is helping improve accuracy on risk coding and completion filling or...

Jul 2024
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Director

Relationship

We can’t really get too much done through the phone or web support teams for the services that we...

Jul 2024
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Director

Relationship

The less size an organization has, the harder it is to get involvement from the Optum executives,...

Jul 2024
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Director

Loyalty

We are in a situation right now where we are not functional with Optum Risk Adjustment Solutions...

Jul 2024
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