Name
Advancing Quality Reporting Through A Data Partnership Between Umass And Optum
Track
HEDIS® / Digital Quality
Description

Health systems face increasing pressure to deliver accurate, timely, and comprehensive quality reporting across diverse value-based care programs. This session highlights how the University of Massachusetts (UMass) has partnered with Optum to build a pragmatic, scalable approach to quality initiatives that bridges claims, clinical, and payer data. Attendees will hear how UMass uses Optum’s OPA platform and Datamart as a foundational data source for quality measurement, while performing internal transformations to support standardized, auditable reporting for Medicare Advantage, Medicaid ACO, and MSSP populations. The presentation will explore how UMass combines Optum quality data with Epic clinical data and supplemental payer reports to create a more complete view of performance, validate results, and address common data gaps. Designed for quality, analytics, and population health leaders, gain practical insights into operationalizing enterprise data partnerships to support NCQA-aligned quality measurement, continuous improvement, and real world reporting needs.

Key Takeaway:

  • See how UMass uses Optum data as a foundational quality data source transforming it internally to support consistent, auditable quality reporting across value-based care programs.
  • Better understand how combining claims, EMR and supplemental data enables a more complete and reliable view of quality performance.
  • Learn how a flexible reporting model, using patient level validation and downstream BI tools, supports NCQA-aligned measurement and continuous improvement scale.
Shariff Baseer Tracey Wilkie Laura Burns