Category Archives: by Optum Analytics team

Sowing the seeds of change in value-based care

Any business leader will tell you that keeping up with market shifts is crucial for financial success. That is especially true in health care today. As the market moves from fee-for-service to fee-for-value reimbursement, organizations face huge challenges in transforming their operations, finances, physician relationships, culture and patient engagement — all while the industry moves […]
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The journey to value: Taking the first value-based steps with population health management-Part 2

In the previous Journey to Value post, we discussed the usefulness of population health management (PHM) as a bridge between the volume and value worlds. This final post in the Journey to Value series discusses another program necessity as organizations journey to value: comprehensive data and sophisticated analytics. The fuel for the value-based care is […]
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The risks and rewards of value-based contracting

In the new Optum white paper, “The speed of transformation: Preparing for the payment models of tomorrow,” we discuss the drivers that are pushing the move to value-based reimbursement. One area that will see some of the greatest — and fastest — changes is contracting with payers. Moving to fee-for-value creates significant financial risk for […]
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The journey to value: Taking the first value-based steps with population health management-Part 1

In our previous Journey to Value post, we suggested four elements that organizations should consider as they as they determine their roadmap for value-based care. With a roadmap that accounts for market needs, financial impacts, provider network strategies and aligned incentives, organizations are ready to program the milestones around which they will convert to value-based […]
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The future is where big data intersects small data says Weintraub

Everyone talks about big data, the aggregate information that can be studied, and, using predictive analytics, help patients in a variety of disease cohorts, said Michael Weintraub, President and CEO, Optum Analytics, in an interview conducted at the Forbes HealthCare Summit. Yet, he continued, small data is often overlooked. Small data is your personal data. […]
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Keeping up with the fast-moving changes of value-based health care

Any business leader will tell you that keeping up with market shifts is crucial for financial success. That is especially true in health care today. As the market moves from fee-for-service to fee-for-value reimbursement, organizations face huge challenges in transforming their operations, finances, physician relationships, culture and patient engagement — all while the industry moves […]
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The journey to value: Handling risk means understanding your patient population

In our last Journey to Value post, we discussed how having all key players in alignment allows a provider organization to better manage risk. There’s one element still to consider: the patient. To get a true handle on risk, health care providers must first understand the needs of the populations they’re serving. Here are four […]
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The journey to value: Preparing for change starts with improved revenue

Cash is king, whether health care organizations like it or not. Moving from volume- to value-based care puts revenue at risk when cash flow is critical. There are three specific areas where organizations can improve revenue: Denials management — Denied claims limit cash flow and negate work already completed. Plus, they add more work for […]
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Engaging the patient key to future data sharing says Weintraub

The payers, employers, providers, government as a payer, pharmaceutical firms, bio-tech firms, and other health care participants are at the heart of using the information provided by analytical software, said Michael Weintraub, President and CEO, Optum Analytics, in an interview conducted at the Forbes HealthCare Summit. The challenge, he said, is engaging the patient in […]
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The journey to value: From finances to patient access, get your house in order for fee-for-value

Health care is driven by the wants and needs of the market. Consumers want better transparency and value at the same time governments, payers and employers are trying to keep costs down and stimulate quality improvement. This means more pressure on providers to deliver efficient care while not passing on costs to patients. But, making […]
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