Ask the expert: Key steps to optimize an existing post-payment strategy

By: Erin Schmuker, Vice President, Product Solutions – Payment Integrity, Optum This is the 1st blog of our 2 part series “Maximizing post-payment recovery, preparing for pre-payment success” There is an increasing focus on pre-payment. However, your organization may not be able to fully commit to a comprehensive payment integrity approach. Even the most robust […]
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Optum Performance Analytics and NYUPN: Unifying data for better care and cost outcomes

Dynamic health care market forces, fueled by delivery and payment reform, have posed many new and difficult challenges for clinical and financial leaders within payer and provider organizations. How do you deliver high-quality, cost-effective care to patients, while strengthening your care delivery network at the same time? We at Optum have felt these challenges alongside […]
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Ask the expert: What makes Optum the right comprehensive payment integrity partner?

By: Rob Mayer, Vice President, Product Strategy – Payment Integrity, Optum This is the final blog of our 3 part series “Uncover hidden funds with comprehensive payment integrity“ There are many talented payment integrity vendors. There are also many niche vendors that provide consultative, software-based or service-based solutions focusing on specific aspects of payment integrity. […]
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Ask the experts: How can we transition to comprehensive payment integrity?

By: Rob Mayer, Vice President, Product Strategy – Payment Integrity, Optum This is the 2nd blog of our 3 part series “Uncover hidden funds with comprehensive payment integrity“ If you want to maximize your ability to recover inappropriate claim payments and overpayments and reduce administrative costs, a comprehensive payment integrity strategy will help you achieve […]
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Pre-emptive transplants may save lives, time and money

Treating chronic kidney disease is expensive. A commercial health plan with 200,000 members may have about $16 million in costs. That averages out to about $260,000 per member.1 Along with inpatient admissions, the other main cost driver is dialysis. Many kidney patients never see a nephrologist before starting dialysis. Some don’t have symptoms in early […]
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Special Topic: Optum Forum 2017 Day 2

Optum Forum 2017 started its second day with an early morning 5k run and an energetic mini-workout with Angela Davis, an international fitness evangelist, motivational coach and former member of the USA Track and Field Team. Optum executives shared key insights centered on collaboration in health care, the role of data and analytics, as well […]
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Special Topic: Optum Forum 2017 Update

Optum Forum 2017 officially kicked off its fourth year on Monday afternoon at the Gaylord National Harbor Convention Center in Washington, D.C. with an insightful health care policy panel and the presentation of the first ”Inspiration in Health Care” awards given to companies tackling the biggest issues in health care today. The Health Care and […]
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Learn how providers are addressing social determinants of health at 2017 AHA Leadership Summit

Social determinants of health (SDOH) is a concept that is gaining more traction in the boardrooms of hospitals and health systems. The concept—that the provision of health care directly influences only a small percentage of overall health outcomes—has been studied and promoted for years by organizations such as the Robert Wood Johnson Foundation, the Kaiser […]
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Ask the expert: Why consider comprehensive payment integrity?

By: Steve Yurjevich, Vice President and General Manager, Payment Integrity, Optum This is the 1st blog of our 3 part series “Uncover hidden funds with comprehensive payment integrity“ Where do you find the resources to fuel your strategic objectives? What if a more holistic approach to payment integrity could reduce your medical spend, reduce administrative […]
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Data access is key to closing care gaps

Advanced analytics can uncover gaps in care but unless that information is available to front line health care professionals the gaps will remain. Teamwork and the right technology can ensure data can be accessed and utilized in a timely manner. This approach is working for both providers and payers. For example Premier Medical Associates, a […]
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