Author Archives: Optum

Spotlight on Caring: Crystal T.

Many Medicare Advantage members take several medications. Even though providers are careful to provide clear instructions, it can be confusing to take each one the right way at the right time. As a HouseCalls advanced practice clinician, Crystal takes time at each home visit to review a member’s medication to ensure the member is following […]
Read More »

How analytics can help create more competitive health care networks

Even before the COVID-19 pandemic, the health care market was shifting rapidly. Now health plans are in an even more complex and challenging space, and they must focus on modernizing their networks.  One of the key factors to that modernization is being able to dive deep into network analytics.  “Those who are in the position […]
Read More »

Timing is everything: CMS 2022 Advance Notice Part I and other guidance

The COVID-19 pandemic has had a significant impact on how Americans seek medical care. It has also impacted the delivery of care and operations of health care providers. During the ongoing pandemic, the Centers for Medicare & Medicaid Services (CMS) released several waivers and flexibilities. This is to support health care providers and health plans […]
Read More »

Keep your employees safe and healthy: Help them quit tobacco

Over the last few months, many of us have focused on maintaining and protecting our health and well-being. And while washing our hands, wearing a mask and practicing physical distancing are crucial,1 there are other choices we can make to feel more empowered and in control of our health. One of the most critical healthy […]
Read More »

The benefits of a health savings account

Maybe you’re fresh out of college and struggling to put pennies away for the future. Maybe your career is temporarily on hold so you can raise children, leaving no money left to save. Or on the flip side, maybe you’re a few years shy of turning 65 and you’re happily coasting to retirement. No matter […]
Read More »

Optum engineers on the State of Healthcare Technology

Technology in healthcare is no longer a trend — it’s a necessity for every organization and stakeholder across the healthcare landscape. Terms like artificial intelligence (AI), machine learning, deep learning and natural language processing (NLP) are now part of our vernacular because we realize what we can do for healthcare increases substantially when we embrace […]
Read More »

Health plans use analytics to elevate client reporting

Employers face constant pressure to strike a balance between building human capital and driving financial performance. This health care dilemma pulls organizations in two directions when it comes to reporting. They’re looking for ways to support employee health and wellness while remaining competitive in the market. Add to that the increasing challenges of an evolving […]
Read More »

Spotlight on Caring: Cassandara S.

HouseCalls advanced practice clinicians, like Cassandara in this example, are known for their astute assessment skills. Their systematic approach can uncover serious issues that members may have been ignoring or minimizing. As Cassandara demonstrated so well, it also takes thoughtful determination to identify how to best connect a member to the appropriate care team and […]
Read More »

Navigating the data deluge: How to evaluate real-world data

Life sciences and health care organizations are increasingly seeking to partner, exchange and license real-world data (RWD). Life sciences organizations use it for real-world studies to evaluate the effectiveness and safety of their products. Health systems use RWD for benchmarking, quality measurement and care pathway optimization. Payers can assess total cost of care and the […]
Read More »

Perspectives from a pandemic: A surprising catalyst for change

Throughout this “Perspectives from a pandemic” series of articles, we’ve sought to learn from the impact of COVID-19 on health care and other industries. We’ve examined areas where data, process and technologies, including artificial intelligence (AI) and predictive models fell short. And we have identified opportunities to bolster our capabilities to support better decision making […]
Read More »