Starting small with SDOH data can lead to big outcomes

Jeff was a homeless, unemployed Medicaid recipient living in Arizona.* He suffered from chronic kidney disease, depression and a serious foot injury, and had frequent ER visits, hospital admissions and inpatient stays. His average monthly cost of care? $20,400. He is one person out of a population of millions — at first glance, you may […]
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Spotlight on Caring: Lisa T.

Member education is a vital part of each HouseCalls visit. We are deeply committed to enabling members to be more engaged with their health care providers and health care choices. That is why our clinicians are well equipped with educational resources, and encouraged to take the time needed to answer member questions. This is exactly […]
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Emerging trends and complexities of genetic testing reimbursement

Complexities of genetic testing reimbursement Genetic testing has become an increasingly important and effective tool in identifying and treating disease. Genetic testing can confirm or rule out suspected genetic conditions as well as determine whether a person can pass those conditions onto their offspring. This can help clinicians focus on the correct treatment as quickly […]
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Is financially preparing for a chronic condition possible?

Sixty percent of Americans (150 million) are living with at least one chronic condition such as heart disease, COPD or HIV/AIDS.1 Diagnosis of a chronic condition is a time of great upheaval as an individual and their family members come to terms with it. As a result, they experience many emotional, physical and financial struggles. […]
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IT procurement cycle stuck on spin? Here are 3 ways to get it sorted.

No matter the size of the state nor the type of system being developed, large government technology projects seem to share the same time frame: long, convoluted and often very different from the end users’ initial goals. To learn why, we studied a number of Medicaid Managed Information System (MMIS) development projects from across the […]
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How we uncover barriers to health

Ethan M. Berke, MD, MPH, and Brian Solow, MD, FAAFP, discuss new ways to use nontraditional sources of data about a person’s health to improve care delivery. When doctors and other health providers engage patients in conversations and build a trusting relationship, they can uncover social needs that impact health and access to care. Information […]
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Workplace resilience: A path to perseverance and performance

In his book, Spartan Up!, Spartan Race founder Joe De Sena discusses resiliency. He writes, “In ancient times, the concept of learning how to ‘fail well’ encouraged young Spartans to develop critical skills of resiliency and self-determinantion.”1 This reflects Spartan’s organizational spirit as the global leader in obstacle course races — offering challenges for everyone […]
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Special topic: An Optum Forum 2019 preview

More than 1,500 clients, partners, industry analysts and health care leaders will attend Optum Forum 2019 in Las Vegas next week. The annual health care event will feature thought-provoking content delivered by industry-leading speakers, interactive experiences, and extensive opportunities for our guests to connect and share. Moving health FORWARD The Optum Forum theme – FORWARD […]
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Not 100% on board with risk? Best practice moves to help you move into risk confidently

A Q&A with value-based care expert, Jeremiah Reuter Almost 10 years into the Affordable Care Act (ACA), value-based care has undoubtedly hit its stride. From commercial to federal payers, nearly every organization and provider has started engaging in risk-based contracts. And while some have embraced the change, many still have more work to do before […]
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Spotlight on Caring: Richard H.

Often we hear specific feedback from our valued members about our clinicians. These notes of gratitude underscore the impact that each Optum HouseCalls employee has in achieving our mission to help members live healthier lives and make the system work better for them. One important way our clinicians do that every day is by recognizing […]
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