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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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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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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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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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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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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How people have behaved in the past can tell us a lot about how they will act in the future. This statement holds true in medicine. As scores of data — from medical, behavioral, socioeconomic and even psychographic sources — can attest, medical histories can say a lot about how someone will react to a […]
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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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We’re always looking for ways to make the health care system work better for everyone, and enabling collaborative care coordination is one way to do that. When the power to coordinate care fits in the palm of your hand, it’s exciting. With the Optum approach to care coordination, users are able to leverage Optum data, […]
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With health care providers treating hundreds of thousands of people each year, the amount of data generated by those interactions is complex and overwhelming. Yet it is this very data that answers the questions central to health care management and achieving the Triple Aim. The challenge for health care providers is to develop strategies that […]
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