Medicare Advantage competitive positioning in 2018: Analyzing the market landscape and plan offerings

For the seventh year in a row, Medicare Advantage (MA) plan enrollment is projected to increase to a new, all-time high.1 In this growing market, in order to maintain favorable competitive position in the marketplace, MA plans need to compete on an increasingly complex array of product features and plan attributes including premiums, benefits, quality […]
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Analytics provides “one report card” for physicians

In today’s health care, there are a lot of players – and a lot of payers, each with their own standards for evaluating physicians and the care they provide. As Greg Kile, CEO of the analytics firm Populytics, explains in an Optum® video, his company’s top 10 payers have 176 different metrics. Being washed over […]
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Data sharing: Putting an end to communication breakdowns

One of the buzzwords in health care reform is “interoperability.” But what’s behind the buzz? Interoperability is the ability to share data across systems and analyze and use the data. But it’s not just about sharing for sharing’s sake. The goal is to use information to create bigger, more complete data sets that can power […]
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Prepare for bundled payments by focusing on these six areas

As one year ends and another begins, we sometimes take stock of what’s changed or developed in the last 12 months. The online news site HealthPayerIntelligence.com did just that for the health insurance market by defining the top trends of 2016. Bundled payment models made the list.  Take 5 minutes to explore bundled payments in […]
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Integrated data driving decisions in life sciences companies

Data drives decisions. The quality of the data you use — and how you use it — determines the success of those decisions. But what makes some data more valuable than others? In life sciences, the value is in how well the data can help you identify, understand and address the priorities of patients and […]
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What health care execs can learn from Billy Beane

“We are in the midst of a generational business model transformation. It takes a strong man or woman to stand up in front of an organization and say we are going in a different direction.” Health care consultant Ted Schwab, formerly of Oliver Wyman, is quoted in the Optum eBook Moneyball, emphasizing the importance of […]
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A global discussion on health care policy and innovation

Health care systems across the globe are as dynamic and complex as the populations they serve. Yet as varied as they are, they encounter common challenges as they strive toward the same goal — establishing and maintaining effective, affordable health care for their constituents. Last month, global experts and stakeholders convened to address some of […]
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Extreme fitness: Inspiring or intimidating?

Lately it seems as though everywhere you turn, extreme fitness shows are popping up. NBC’s American Ninja Warrior® just started its eighth season and has a faithful following. Spartan Races® recently debuted on primetime TV as well, targeting fitness buffs and couch potatoes alike. Flip through Facebook and you’re likely to see a number of […]
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3 reasons to consider managed services in your analytics strategy

Big changes are happening in health care. With providers increasingly being reimbursed under fee-for-value models, data and analytics are playing an ever-increasing role in an organization’s success. It’s become clear that analytics technology investments are key, but they are only an initial step in the transition to value Leaders in many provider organizations are looking […]
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Is a provider-led health plan a good fit? Evaluate 6 areas to find out

To drive down costs and improve care through value-based models, one must have a deep understanding of the population they serve. Health care providers have this knowledge. Their familiarity with the demographics, economics and general needs of their communities means some are well-positioned to launch their own provider-sponsored health plans (PSHP) and have a sense […]
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