Author Archives: Optum

This September, help your employees fall back into fitness

In a recently published National Health Statistics Reports survey1, nearly 31 percent of adults indicated they were obese last year. Yet only 23 percent of adults reported meeting the U.S. Office of Disease Prevention and Health Promotion guidelines2 for both aerobic and muscle-strengthening activities. Did you know that the state where you reside may indicate […]
Read More »

Blockchain enables powerful connections and better care

There is a lot of hype around blockchain — a new type of digital ledger, where transactions are chronologically recorded and tamper-resistant. Blockchain ledgers are decentralized, so all members see and own the information cooperatively, with no middleman. Many experts believe blockchain will be as big a disrupter as the internet. This view is supported […]
Read More »

Data: The first step to meaningful change

People often assume that the biggest database is the best. Size is important, yes, but equally important are “data types,” “data velocity,” and “data integration and accessibility.” Although William Cowper certainly wasn’t thinking of databases in 1785 when he wrote “variety’s the very spice of life that gives it all its flavour [sic],” he was […]
Read More »

Let’s get started: Guidance for building a blockchain alliance

This is the 3rd blog in our series “A Reality Check on Blockchain for Payers” An interview with Lorraine Frias, senior director of strategic initiatives, Optum Blockchain works when organizations come together to share and audit information and automate common processes. But how do payers work together without risking their competitive positions? Lorraine Frias is […]
Read More »

Stay ahead of HEDIS updates to maximize your quality improvement efforts

Insights from Quality Advisory Services within Optum Advisory Services Managing a Healthcare Effectiveness Data and Information Set (HEDIS®) program is not a one-time exercise. With yearly updates coming from the National Committee for Quality Assurance (NCQA), it requires your HEDIS management program to evolve and morph; you continue to use what works and refine and […]
Read More »

Implementing a wellness champion strategy: Easy, evidence-based and effective

As the employee well-being space evolves and matures, we are seeing more employers try to capitalize on the intrinsic motivations of health influencers by creating wellness champion networks. These networks are largely comprised of volunteer employees who have a passion for health and well-being and want to support their employer in a culture of wellness. […]
Read More »

Resist the romanticism of artificial intelligence

Artificial intelligence (AI) and machine learning processes have the potential to improve health care. The industry is responding to that potential and is expected to increase its investment in AI by 44 percent between 2017 and 2020. To leverage the full potential of AI, we cannot be swayed by a romantic vision of AI as […]
Read More »

Let’s be practical: Consider “here and now” uses for blockchain

This is the 2nd blog in our series “A Reality Check on Blockchain for Payers” An interview with Lorraine Frias, senior director of strategic initiatives, Optum, and Mike Jacobs, senior distinguished engineer for product engineering and data solutions, Optum. The reality is health care is an industry plagued by data silos. Until blockchain, no technology […]
Read More »

AI helps health care professionals focus on the work that matters

Artificial intelligence (AI) in health care can have a high return on investment — not by taking the place of humans, but by enabling them to work at their highest level of certification. It can allow doctors to focus on patients, auditors to focus on assessing finances, and medical coders to focus on accurately reflecting […]
Read More »

To succeed with bundled payments, think win-win-win

The business arrangements that last are those in which everyone wins. Customers frequent stores where they find excellent value and service. Businesses work with other businesses when they trust each other and when there is mutual benefit. Even in the adversarial world of health care contracting, the most successful agreements happen when all parties — […]
Read More »