CPX Data: How It Works

Imposing a very low burden on your IT department, Optum will extract your EHR and billing data (adjudicated claims from two payers and outbound claims) and will map, normalize, and validate these data, allowing for “apples to apples” comparisons.

The Optum platform is not required for participation in AMGA’s Collaborative for Performance ExcellenceSM; however, participants who are also Optum clients will be able to further leverage the collaborative insights by creating ad hoc custom reports within the Optum platform.

With a first-of-its-kind integrated longitudinal data warehouse, Optum provides the unique ability to find deeper correlations and more patterns among patient populations. Their ability to merge clinical data from a diverse set of EHR systems and combine it with claims data and other sources into a single, validated, analytics-ready dataset gives AMGA a more complete view of participants’ data to then conduct its analytics. The Optum data integration process is designed to leverage interfaces like HL7s and 837s, which are native to your EHRs, and combine these data with standard formats for integrating adjudicated claims. Once the data is aggregated, Optum applies proprietary rules and algorithms to the 360-degree view of the populations.


Optum, AMGA’s Distinguished Data and Analytics Collaborator