Optum engineers on the State of Healthcare Technology

Technology in healthcare is no longer a trend — it’s a necessity for every organization and stakeholder across the healthcare landscape. Terms like artificial intelligence (AI), machine learning, deep learning and natural language processing (NLP) are now part of our vernacular because we realize what we can do for healthcare increases substantially when we embrace […]
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Health plans use analytics to elevate client reporting

Employers face constant pressure to strike a balance between building human capital and driving financial performance. This health care dilemma pulls organizations in two directions when it comes to reporting. They’re looking for ways to support employee health and wellness while remaining competitive in the market. Add to that the increasing challenges of an evolving […]
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Spotlight on Caring: Cassandara S.

HouseCalls advanced practice clinicians, like Cassandara in this example, are known for their astute assessment skills. Their systematic approach can uncover serious issues that members may have been ignoring or minimizing. As Cassandara demonstrated so well, it also takes thoughtful determination to identify how to best connect a member to the appropriate care team and […]
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Navigating the data deluge: How to evaluate real-world data

Life sciences and health care organizations are increasingly seeking to partner, exchange and license real-world data (RWD). Life sciences organizations use it for real-world studies to evaluate the effectiveness and safety of their products. Health systems use RWD for benchmarking, quality measurement and care pathway optimization. Payers can assess total cost of care and the […]
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Perspectives from a pandemic: A surprising catalyst for change

Throughout this “Perspectives from a pandemic” series of articles, we’ve sought to learn from the impact of COVID-19 on health care and other industries. We’ve examined areas where data, process and technologies, including artificial intelligence (AI) and predictive models fell short. And we have identified opportunities to bolster our capabilities to support better decision making […]
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Why you should invest to stay ahead

You know you should save for retirement, and you know that you’ll likely spend more in medical expenses as you age. But in these uncertain times brought on by the COVID-19 pandemic, a growing number of questions arise: How much do you need for unexpected expenses? Will you have enough? How can you save more […]
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Perspectives from the pandemic: Information gaps, hidden variables can stymie predictive models

Despite having some of the most advanced tools and technologies, our health care ecosystem lags when it comes to using and sharing data to improve outcomes and experience. Many factors are to blame, including policy and data collection challenges that become even more vexing when faced with major disruptions like the current COVID-19 pandemic. In […]
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How to be more resilient at work

Resilience is the ability to recover quickly when challenges or struggles happen. People usually demonstrate resilience when they’re able to bounce back from stresses or challenges. For many employees the recent work from home directive may have created a new and additional stress that they have not faced before. Not only adjusting to a new […]
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AI-enabled risk adjustment: Move from volume to precision targeting of charts

Millions of Medicare Advantage medical charts are retrieved and reviewed manually each year to improve accuracy and completeness of member health status. Traditional retrospective risk adjustment processes lack the technology and tools to predict and prioritize charts likely to support unreported diagnosis codes. The result has been a less efficient process, which can disrupt providers […]
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Spotlight on caring: HouseCalls COVID-19 response

Across the health care system, COVID-19 has demanded fast, thoughtful transformation to deliver care. Recognizing that members still needed support even when in-person visits weren’t possible, Optum® HouseCalls created a highly flexible, responsive solution. Learn how Optum HouseCalls was able to use telehealth to continue “visiting” members and support other front-line teams. Continuing member care […]
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