Category Archives: Optum360

Unlocking insights and value within health care data through NLP

I recently called natural language processing (NLP) artificial intelligence (AI) with an ROI — and yes, it’s a catchy phrase, but it’s also true. NLP is an essential asset in today’s health care landscape. Let me tell you a story. Bill and Ted work at the same company – Excellent Adventures, Ltd. – but they […]
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Artificial intelligence unlocks buried data

Did you know that more than half of the information contained in electronic medical records is unusable to health care organizations? Mark Morsch, Optum360 Vice President of Technology, says studies show 60 to 80 percent of EMR content is unstructured. That means some data that could potentially be used to create a more complete picture […]
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Learn to speak the same health care language

Take a trip around the world and you’ll hear a lot of different languages, including some you probably won’t understand without a translator. Data is the language of today’s health care system. But a patient’s journey through that system collects data from a variety of sources in many different formats. It’s hard for anyone to […]
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Roadmap to partnership: Keys to identifying the best revenue cycle partner for you

After careful scrutiny of productivity, processes and technology costs, many CFOs see the value in partnering with an external company that can take over day-to-day revenue cycle operations. Such a partner is built for revenue cycle management (RCM) and can likely do it better than most hospitals or health systems. For CFOs, it may make […]
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Roadmap to partnership: Assessing your current revenue cycle operations

Fee-for-service reimbursement is pretty cut-and-dried for revenue cycle managers. Profits revolve around billing, collecting from insurers and resolving patient claims on an individual basis. That’s not the case under fee-for-value models, where insurers capitate reimbursement for certain populations — a scenario that has revenue cycle management (RCM) leaders scrambling for ways to handle changes in […]
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Value-based reimbursement leads providers to externalize revenue cycle management

As value-based reimbursement becomes the norm, consumers demand better-quality care, and federal agencies put new regulations in place, provider executives are feeling the impact. And perhaps no leader feels the effects of these changes more so than the chief financial officer. Significant pressure is on CFOs to find new ways to manage their organizations’ revenue […]
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