Author Archives: Optum

HEDIS® season preparation: Map your glide path to success

With HEDIS Medical Record Review (MRR) season right around the corner, there are still things you can do to help create a successful season. In this post, we’ll focus on a few key activities that can be done in January to assist the upcoming HEDIS MRR season. A best practice to support a sucessful HEDIS […]
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Optum wins “Triple Crown”: Recognized “Leader” in three Everest Group PEAK Matrix™ Reports

By John Reynolds, Senior VP, Optum In what we’re calling “The Triple Crown,” Optum has been named Leader in three categories measured by Everest Group’s 2017 PEAK Matrix™ reports: Healthcare Provider Information Technology Services Healthcare Payer Information Technology Services Healthcare Consulting Services Everest Group’s PEAK Matrix assesses service providers’ capabilities and categorizes them as Leaders, […]
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Take action by better understanding the patient experience

Health care industry stakeholders – health plans, care providers, employers, and government and life sciences organizations – need to understand how to identify quality care providers, services and products, track outcomes and measure engagement as they support the movement toward value-based care. But a key input for determining these factors has been largely missing from […]
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HEDIS season preparation: Are you confident in your HEDIS retrieval chase logic?

HEDIS Medical Record Review season is right around the corner. Once a production chase file is dropped, it can be difficult to make changes. Every active field day matters, so in this post we’ll discuss maximizing your time in the field via proactively addressing your chase file. Here are some steps to consider taking. Execute […]
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Keeping patients in your care delivery network — with analytics

When patients obtain care outside of the primary care delivery system or physician network to which they are attributed, this out-of-network utilization can have tremendous impacts on the financial health of a provider organization — especially when that patient is part of a value-based contract. Receiving care out of network contributes to the costliness of […]
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These boots were made for walking — on a treadmill!

Many people struggle with finding time to fit exercise into their daily routine. The American College of Sports Medicine recommends that adults should exercise for 30–60 minutes at moderate intensity, five days a week.1 People unable to meet these recommendations can still benefit from some activity. Enter the latest trend in worksite ergonomics: the treadmill […]
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Uncovering fresh insights to address health care challenges through collaboration

Data can do more than help you spot emerging trends or measure outcomes. It can uncover the cause of an emerging trend or determine whether a measurement is aimed at the right metric — one that truly affects outcomes and costs. This next-level data usage requires more than access to a lot of data. It […]
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A whole-person view reveals individual needs

For many people, the health care system is disjointed and confusing. It’s easy to get overwhelmed and frustrated, which leads to disengagement. This is literally bad for one’s health. To make matters even worse for consumers, they are assuming more of the financial risk than ever before to manage their health. This comes also at […]
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Provide customized care options patients can embrace

With the high costs and risks to patients’ health associated with chronic disease it makes sense to prioritize actions aimed at managing or improving the condition. But what if a patient isn’t inclined to accept the recommendations? Can you still work to improve care and financial outcomes? With predictive analytics you can. By combining not […]
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5 ways to transform workplace wellness initiatives

Employers today offer a plethora of wellness programs. In fact, large employers offer an average of 10, according to our “Annual Wellness in the Workplace Study.” But robust consumer engagement in these programs remains elusive for many employers. To stay viable, we need to continue evolving our health and well-being services to a consumer-first model. […]
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