Category Archives: Providers

Not science fiction: AI is creating value in surprising places

You might think of artificial intelligence (AI) in health care as science fiction — something that’s a future possibility. But the truth is, the future is here now. AI is a collection of methods and technologies for performing tasks we often associate with the human mind, such as learning and reasoning. AI approaches already have […]
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Navigating your alternative payment model journey: implementing, scaling and evolving your program

David Mauzey, General Manager, Optum Payment Innovation, was a guest speaker at the Scottsdale Institute on September 26. He shared how bundled payments can help accomplish business strategies. Part II of this two-part blog concludes with suggested best practices to consider when implementing, maintaining, scaling and evolving your alternative payment model. Implementing your program Here […]
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Navigating your advanced payment journey: Creating a focused strategy and rollout

Key influencers pointing toward evaluating your value-based contracts Regulators are demanding that providers implement advanced payment programs to drive better health care outcomes. Many employer groups with a high population of specific surgical procedures and chronic conditions want bundled payment programs. Many providers use home-grown tools that aren’t maximizing the potential of their current value-based […]
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Expanded Optum Advisory Services receives accolades from Everest Group, Modern Healthcare and KLAS

In late 2017, the consulting division of the Advisory Board Company became part of Optum Advisory Services. Combining our capabilities has proven powerful. I credit our success to the talented people, powerful analytics and our sole focus on health care. Over the course of the last year, our combined organization has received recognition and honorable […]
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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 […]
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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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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 — […]
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How bundle payments fit into your future reimbursement strategy

While it is true that tools are often as good as the user who uses them, in the case of health care, reimbursement tools become critical. In my last blog post, I discussed how bundle payments have evolved to meet the needs of the current reimbursement environment. In this post, I’ll discuss how bundles are […]
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The evolution of bundle payments

In health care reimbursement terms, bundle payments are old. The concept of receiving a lump-sum payment for a single episode of care — rather than multiple payments submitted and paid throughout the episode — has been part of the reimbursement environment for the past three decades. But while the environment is drastically different today—bundle payments […]
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A real-life application for artificial intelligence in health care

Artificial intelligence (AI) is everywhere. It’s in our shopping experiences, our search engines, our dining and entertainment recommendations. We’ve seen AI-based medicine on TV for decades, and we can make that a reality — if we go deeper. I’m more excited than ever about the possibilities of AI in health care, but we need to […]
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