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 our payer and provider clients, and have experienced the seismic shifts in the industry growing in intensity over the last few years as the needs of patients, providers and payers have begun to move and realign. We have been watching the health care landscape evolve and have been listening closely, but we have also been doing something that no one else has done: we have been collecting and analyzing health care data to uncover new information, new methods and new insights that will help our clients not only navigate the challenges ahead, but also succeed and be market leaders. We call this OptumIQ™. OptumIQ powers intelligence across the health care system and is infused into all our products and services. By combining, refining, validating and continually enriching billions of data points from across the system, OptumIQ provides a comprehensive view while delivering dynamic and multi-dimensional insights that get smarter every day.
Recently at Optum Forum 2017, we unveiled Optum Performance Analytics, a first-of-its-kind healthcare data and analytics platform with OptumIQ built-in that unifies clinical- and claims-based analytics to give payers and providers an enriched clinical and financial view of patients, physicians, facilities, and health networks. Optum Performance Analytics represents over a decade of work to integrate and curate a rich, extensive research-ready health care data base, containing more than 95 million patient journeys, billions of individual physician decisions and hundreds of millions of measured outcomes. The new platform is built with our clients in mind, leaning on our team of 17,500 technologists, data scientists, actuaries and clinician experts to design a solution that will help them tackle the real world healthcare problems they face every day.
The best insight and feedback we got along the way was directly from our clients. A great example of this was NYUPN Clinically Integrated Network, one of our most collaborative and innovative partners. It was, in part, their vision for what would be possible in a unified data and analytics landscape that inspired Optum Performance Analytics. Located throughout the five boroughs of New York City, Long Island, and Westchester, NYUPN Clinically Integrated Network brings together over 2,600 physicians to collaborate in managing over 250,000 attributed lives.
Hear from Matt Penziner, Executive Director of NYUPN Clinically Integrated Network, on how he and his team are using Optum Performance Analytics to address their top priority, improving outcomes while controlling costs:
By bringing together clinical and claims data, alongside socio-economic data and patient-reported outcomes, Optum Performance Analytics is helping NYUPN to deliver the best possible quality and cost outcomes. Disparate data sources are brought together to create comprehensive patient profiles and identify high-risk patients so providers can intervene with the right treatment at the right time. NYUPN is able assimilate the data to close care gaps and keep patients within the health care system, helping to deliver the best possible care. Further, NYUPN has the flexibility through Optum Performance Analytics to create custom reports to surface additional data points and provide real-world answers to other questions that may arise
Optum Performance Analytics empowers providers and payers to improve patient outcomes and care quality, enhance clinical and financial performance, increase operational efficiency, and build strong care delivery networks —all while customizing for distinct and evolving markets and adapting to a mixture of fee-for-service and value-based models. The solution gives administrators and clinicians a shared and comprehensive understanding of their patient population and resource utilization and helps predict future clinical and financial risk. With Optum and Performance Analytics, payers and providers have a powerful, differentiating capability to lead in an ever-changing health care environment.
About the author
Sarah London is the Chief Product Officer for Optum Analytics. She is responsible for driving strategy and commercialization of Optum’s integrated analytics solutions serving both the provider and payer markets.