Category Archives: Health Plans

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 […]
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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 […]
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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 […]
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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 […]
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Let’s cut through the noise: Understand near-term and long-range uses for blockchain

This is the 1st 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. As blockchain rapidly grows up, many speculate it will solve a lot of the data problems in […]
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An expert viewpoint: Calendar for HEDIS success

Blog #2 in a 2-Part Series In part 1 of this blog series, I made the case for taking a year-round approach to improve HEDIS season efficiency. Here, I offer the framework for a tool to jumpstart your success. Maintain momentum quarter after quarter with a HEDIS calendar Create your calendar by documenting events and […]
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An expert viewpoint: Why HEDIS is a marathon, not a sprint

Blog #1 in a 2-Part Series You may think of HEDIS season as a point-in-time push where you focus significant resources on getting the documentation you need to show that members received their necessary treatments, screenings and more. Likely that effort consumes your priorities, starting with the January prep through the June submissions. But your […]
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Cloud enables storage and powerful analytics across the enterprise and populations

This is the 4th blog in our series “From data diffusion to insights with enterprise-wide data strategy” An interview with Francois Charette, Senior Vice President of Product Engineering, Optum Health plan organizations have a short window of opportunity to become true orchestrators of care by capitalizing on the data locked in their systems. Francois Charette is […]
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An expert viewpoint: Discover HEDIS improvements beyond standard workstreams

There are excellent strategies to improve your HEDIS performance by reflecting on the past year and making course corrections. But there are even more transformational considerations that can yield exponentially higher benefits.  Ask yourself and your team: How siloed is the HEDIS effort within your organization? If the focus starts and stops with the Quality […]
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Business use cases for the enterprise data platform and big-data analytics

This is the 3rd blog in our series “From data diffusion to insights with enterprise-wide data strategy” An interview with Sameer Siraj, Strategic Product Management, Health Care Technology as a Service, Optum In the third of our four-part series, Sameer Siraj describes how an enterprise data platform combined with machine learning and analytics supports contextualization. Contextualization […]
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