Category Archives: Providers

Analytics provides “one report card” for physicians

In today’s health care, there are a lot of players – and a lot of payers, each with their own standards for evaluating physicians and the care they provide. As Greg Kile, CEO of the analytics firm Populytics, explains in an Optum® video, his company’s top 10 payers have 176 different metrics. Being washed over […]
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Data sharing: Putting an end to communication breakdowns

One of the buzzwords in health care reform is “interoperability.” But what’s behind the buzz? Interoperability is the ability to share data across systems and analyze and use the data. But it’s not just about sharing for sharing’s sake. The goal is to use information to create bigger, more complete data sets that can power […]
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Prepare for bundled payments by focusing on these six areas

As one year ends and another begins, we sometimes take stock of what’s changed or developed in the last 12 months. The online news site HealthPayerIntelligence.com did just that for the health insurance market by defining the top trends of 2016. Bundled payment models made the list.  Take 5 minutes to explore bundled payments in […]
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What health care execs can learn from Billy Beane

“We are in the midst of a generational business model transformation. It takes a strong man or woman to stand up in front of an organization and say we are going in a different direction.” Health care consultant Ted Schwab, formerly of Oliver Wyman, is quoted in the Optum eBook Moneyball, emphasizing the importance of […]
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3 reasons to consider managed services in your analytics strategy

Big changes are happening in health care. With providers increasingly being reimbursed under fee-for-value models, data and analytics are playing an ever-increasing role in an organization’s success. It’s become clear that analytics technology investments are key, but they are only an initial step in the transition to value Leaders in many provider organizations are looking […]
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Is a provider-led health plan a good fit? Evaluate 6 areas to find out

To drive down costs and improve care through value-based models, one must have a deep understanding of the population they serve. Health care providers have this knowledge. Their familiarity with the demographics, economics and general needs of their communities means some are well-positioned to launch their own provider-sponsored health plans (PSHP) and have a sense […]
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Interactive patient technologies changing provider, patient perspectives

Hospitals and health systems are discovering that improving patient experiences not only makes for happy patients, but also increased profits. A recent Accenture study suggests U.S. hospitals that delivered “superior” customer experience achieve net margins 50 percent higher than those rated “average.” Cutting staff is a more traditional way health systems save money. But the […]
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3 categories of non-clinical factors lead to readmissions

Failure to follow up with a physician or follow a medication regimen can cause a recently released patient to end up right back in the hospital. But there are other, non-clinical factors that also lead to readmissions. The causes can be grouped into three main categories: Patients’ medical literacy According to the National Network of Libraries […]
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Responding to physician reactions to MACRA

Hospitals need to understand that physicians are facing a significant disruptive force and they will react. That force is the Medicare Access and CHIP Reauthorization Act, or MACRA. What’s important is how hospitals position themselves to respond to physicians’ reactions. Leaders at hospitals and health systems should ask themselves about their ability to partner with […]
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Care transitions can feel like changing the tires while driving

While providers may now see population health programs as key to value-based care success, many are struggling with implementing change in a way that affects outcomes. “It’s like the proverbial changing of the tires while driving down the road at 90 mph,” says Steve Griffiths, senior vice president of Health Care Analytics Consulting at Optum. […]
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