By: Donna Holmes, Senior Vice President, Optum Advisory Services This is the 5th blog of our eight part series “Bending the Cost Curve with Comprehensive Sourcing.” Reducing total cost of ownership requires a keen understanding of the health plan’s cost structure and the ability to identify the value drivers that can be improved. Are you […]
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The challenges of today’s evolving health care climate will not be resolved with yesterday’s technology. For a payer organization to effectively compete and thrive in the current environment, it must replace outdated legacy platforms, aging ancillary systems and expensive, error-prone manual processes. Payers need next-generation, business-transforming technology that radically innovates and efficiently addresses business imperatives. […]
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Health plans transforming their business models to accommodate new markets and new lines of business may experience a strain on their payment integrity programs resulting from fluctuations in membership, business complexities and regulatory mandates across all areas of claims processing. Without a vigorous payment integrity program in place, these pressures can create competing or misaligned […]
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