Author Archives: Optum

“Do I need to cleanse my gut?” and other thoughts about bacteria

If you’ve seen commercials on TV or scanned the dairy aisle at your local grocery store, you may have noticed the recent trend encouraging people to try supplements, yogurts and other products intended to help people improve their health by cleansing their gastrointestinal (GI) tract. As a dietitian, I get many questions from my clients […]
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Consumer-centric wellness solutions for health plans

When individuals are able to proactively manage their health and wellness — whether they have multiple chronic conditions or are relatively healthy — they’re able to live their best lives. And as health risks are reduced, so are costs. Optum offers NCQA-accredited wellness solutions tailored to the needs of each population’s needs. These services are […]
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Do bundled payments encourage more procedures? New study offers answer

New research aims to determine whether a claim that bundled payments may actually increase costs rather than control them holds any weight. Becker’s Hospital Review and McKnight’s reported on the study from the Centers for Medicare and Medicaid Services and the Altarum Institute. At issue was whether bundled payments — also known as episode-based payments […]
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MACRA requires knowledge of qualities of “good” data

Medicare is allowing physicians and group practices to set their own course toward compliance with the Medicare Access and CHIP Reauthorization Act, or MACRA. But regardless of the path chosen, accurate measurement is key. That’s because the most basic level of participation requires physicians to submit data on one quality measure and one improvement activity […]
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Sit-Stand Adjustable Desks: Should you invest now?

By now it’s common knowledge that prolonged sitting is harmful to our health. Headlines such as “Is Sitting is the New Smoking” and “Is Sitting Killing Me” have alerted the general public to the negative effects of sitting all day – from to weight gain and fatigue to muscle tension and low back pain.   […]
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Ease a transition to new tech by communicating with your whole staff.

Digital technology is revolutionizing health care — but everybody who adopts it knows that it presents challenges in a clinical setting. There are learning curves with hardware and software, new habits to develop, glitches to deal with, and a whole lot more — while you’re taking care of patients under time constraints. According to Judy […]
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Health plans: Consider new metrics for assessing organ transplant programs

Organ transplants save lives, and the number of transplants is rising. That’s why it’s important for health plans to reassess the metrics they use to measure the value of organ transplant programs. Our white paper,“Reassessing how payers determine the value of organ transplant programs,” explores the Transplant Value Initiative. This Optum initiative looks at how […]
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A way to save real dollars on each business transaction

As providers work to meet the demands of value-based care and population health management, they are discovering the importance of data and the ability to share that data. Often the focus is on the shareability of clinical data. But data sharing can also provide opportunities for efficiencies and cost savings in claims submissions and patient payments — […]
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New rules govern how health care providers partner with payers

Since the Patient Protection and Affordable Care Act was signed in 2010 there has continued to be some uncertainty about how healthcare reform will evolve. However, most  large health care organizations agree that value-based care is here to stay. They invested in robust technologies and began implementing population health management strategies. The market’s smaller players […]
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Blinkers on: It’s time to move into the value-based care fast lane

Providers and payers are converging and seeing new opportunities to collaborate to improve care quality and control costs under new value-based care models.  Increasingly, providers are evolving to take more accountability for cost of care and patient outcomes—issues historically laid at payers’ feet. However, providers must continue to operate in a fee-for-service environment while transitioning […]
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