Finding the win-win solutions to health care challenges

There isn’t a single cure to address all of the challenges facing our health system, but there is a common goal. We all want a health system that treats patients compassionately, allocates resources efficiently, and provides quality care to those who need it — all without bankrupting ourselves or future generations. Too often we pursue one of these goals to the detriment of another: higher quality care comes with unsustainable costs, or efforts to increase patient satisfaction cause the administrative burden on staff to swell.

When you deploy solutions backed by health care intelligence, though, the world is no longer a zero-sum game.

So, how would you feel if you:

  • Were a leader in a community health network that improved care and cut costs by $6 million?
  • Were a CFO for a regional health system that boosted revenue by $1.3 million while cutting coding backlog by 80%?
  • Were a physician in a group practice that increased patient engagement by 65% and identified incremental revenue opportunities?
  • Were an administrator at CMS that helped taxpayers avoid the consequences of fraud, waste and abuse across our health system?

Those are just some of the results included in a new collection of case studies and success stories.

We’re showcasing the work of a number of our customers — including hospitals, health systems, chronic care management organizations and government agencies — who have achieved and even surpassed lofty goals.

The case studies demonstrate how our health care intelligence — built on the unique combination of data, analytics and health care expertise — can be applied by all stakeholders across the industry. Each study highlights challenges faced, and the results.

One of the case studies tells the story of a regional health system that needed to develop a value-based care contracting strategy to maximize returns on population health management platform investments.

Using solutions infused with OptumIQ, the system realized an estimated cost savings of $4 million a year across members with four different chronic conditions and saved even more by modernizing risk adjustment practices and commercial payer contracts.

You can explore the 14 case studies and stories of success by clicking here.

 

About the Author:

Steve Griffiths Headshot

Steve Griffiths, SVP and Chief Operating Officer, Optum Enterprise Analytics, Optum

Steve Griffiths has more than 20 years’ experience in health analytics management, and currently heads up the Optum Enterprise Analytics organization. His main focus is to drive growth and innovation through Optum products and services. Steve has a master’s degree in biostatistics from the University of Washington, and a PhD in health services research, policy and administration from the University of Minnesota.

One thought on “Finding the win-win solutions to health care challenges

  1. This outlook is focused on making developments that benefit ourselves now, as well as future generations in health care, and I believe that should be the focus of cost cutting discussions. Although this will be a gradual change, it is important that we have these discussions now and as frequently as possible so we as professionals are able to build this type of regional system that has the ability to improve this value-based care.

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