What story can you tell about your employee benefits?

The measures and metrics that resonate with an executive are not the same as those that will resonate with other stakeholders and employees of an organization. For example, value on investment may not provide employees and their families a reason to engage with their health, but it’s crucial information for a CFO. The information employee […]
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Shifting Star cut points and how health plans can avoid surprises

Are you confident of what  your plan’s rating will be when the Star Ratings are released this year? For the 2018 Star Ratings, 76 contracts missed a 4-star rating due to the shift in cut points. Some plans might have been prepared for the potential of coming up short. But for many plans, this was […]
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Pacing and prioritizing health plan renovation

This is the final blog in our three-part series, “The CIOs Role in Digital Transformation”  An interview with David Chennisi, Senior Vice President of Optum Advisory Services As health care shifts from volume to value, CIOs are challenged to harmonize stakeholder needs, advance infrastructure to “free the data,” and build better digital experiences throughout the health […]
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AI with an ROI: Innovation that can improve care, cut costs

The funny thing about the future is that we always expect it to materialize in front of us in dramatic fashion. But it doesn’t work like that. Instead, tomorrow sneaks up on us, already under our noses when we finally see it. Case in point: Artificial Intelligence (AI) in the form of natural language processing […]
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Aligning the C-suite by defining the use case

This is the 2nd blog of a 3-part series “The CIO’s Role in Digital Transformation” An interview with David Chennisi, Senior Vice President of Optum Advisory Services In the second of a three-part series, “The CIO’s role in digital transformation,” Optum Advisory Services Senior Vice President David Chennisi draws on 30 years’ experience in health IT […]
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Building health plans for the new consumer

This is the 1st blog of a 3-part series “The CIO’s Role in Digital Transformation” An interview with John Santelli, Chief Information Officer, UnitedHealth Group and Executive Vice President, Optum Technology As costs shift to consumers, the demand for retail-like convenience, price transparency and digital tools grows. Today’s health care CIOs have a powerful opportunity […]
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Viewpoint: Part 1 of the 2019 CMS Advance Notice

By: Rich Gamret, FSA, MAAA, Director, Actuarial Consulting, Optum CMS recently released Part 1 of the 2019 Advance Notice of Methodological changes for Medicare Advantage. This was a first for the industry — this information has historically been released in February. As required by the 21st Century Cures Act, CMS is focused on improving the […]
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HEDIS® season preparation: Map your glide path to success

With HEDIS Medical Record Review (MRR) season right around the corner, there are still things you can do to help create a successful season. In this post, we’ll focus on a few key activities that can be done in January to assist the upcoming HEDIS MRR season. A best practice to support a sucessful HEDIS […]
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Optum wins “Triple Crown”: Recognized “Leader” in three Everest Group PEAK Matrix™ Reports

By John Reynolds, Senior VP, Optum In what we’re calling “The Triple Crown,” Optum has been named Leader in three categories measured by Everest Group’s 2017 PEAK Matrix™ reports: Healthcare Provider Information Technology Services Healthcare Payer Information Technology Services Healthcare Consulting Services Everest Group’s PEAK Matrix assesses service providers’ capabilities and categorizes them as Leaders, […]
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Take action by better understanding the patient experience

Health care industry stakeholders – health plans, care providers, employers, and government and life sciences organizations – need to understand how to identify quality care providers, services and products, track outcomes and measure engagement as they support the movement toward value-based care. But a key input for determining these factors has been largely missing from […]
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