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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How to stay active while working from home

Working from home has become much more common, and it could very well turn out to be a new, permanent norm for many businesses. But helping employees adjust to this change can be challenging. If your employees find themselves struggling to develop a solid telecommuting routine, consider these strategies for keeping their physical and mental […]
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Keeping pace with need: Partnering with states to trace contacts and assist with access

As states issued stay-at-home orders, “Closed due to COVID-19” signs went up in many places, including some HHS offices. With their physical doors locked, state leaders realized they needed a way to keep their virtual doors open to provide access to health care and other life-saving benefits. States pivoted quickly, continuing to serve the people […]
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Avoid phishing lines before you get tangled in a scam

They look legit. They appear to come from a trustworthy company and often tell a story that deceives you into clicking a link or opening an attachment. They’re phishing scams that lure you into giving up personal information that can lead directly to your accounts and potentially identity theft. Phishing scams aren’t new, but they […]
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How to eat healthy while working from home

How to eat healthy while working from home As more people continue to adjust to a new life working from home, they’re also adjusting to a new meal routine. Without access to an office cafeteria or nearby restaurants and cafes, some employees may find their mind goes blank when lunchtime rolls around. Ensuring your team […]
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Innovations in payer tools help reduce incorrect claims

Innovation is abundant in health care today. From new technology to virtual visits to clinical trials, people across the medical spectrum are finding new and better ways to deliver care. The payer space is also seeing tremendous change. And innovations from Optum are helping drive more efficiencies and growth. “We’re taking a holistic approach to […]
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How to create a healthy and functional home office

Over the past several months, working from home has become the standard for many people across the country, which means more employees have to adjust to a new workspace on the fly. Although working from home has its perks, an abrupt change to a workspace routine can be challenging. As employees learn how to balance […]
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Perspectives from a pandemic: COVID-19 magnified challenges to data access and interoperability

The emergence of coronavirus disease 2019 (COVID-19) in the U.S. set off a race to “flatten the curve” — to slow the spread of the virus to give the health system time to prepare to meet a surge in patients requiring critical care — and thus save lives. Policymakers, health systems, communities and individuals continue […]
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COVID-19: The importance of preventive strategies in the workplace

As employers prepare for their employees to return to the worksite, it’s critical to focus on overall prevention and wellness as well as COVID-19 prevention measures. By following a long-term preventive strategy, employers can help their employees support their overall health and well-being. These strategies will not only help contain COVID-19, they will also help […]
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