Category Archives: Uncategorized

Drive employee engagement with next generation incentive designs

Employers offer incentives to help drive employee engagement, create a culture of health and decrease the financial burden of a high-deductible or premiums. When used strategically, incentives can be very powerful; however, when used tactically, they can fail to deliver a meaningful return on investment. An Optum® study, “Ten Years of Health and Well-being at […]
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Uncovering fresh insights to address health care challenges through collaboration

Data can do more than help you spot emerging trends or measure outcomes. It can uncover the cause of an emerging trend or determine whether a measurement is aimed at the right metric — one that truly affects outcomes and costs. This next-level data usage requires more than access to a lot of data. It […]
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Confirm patients’ medical memories to develop complete health histories

Can you remember what you wore to work last Thursday? How about what you had for lunch yesterday? We humans aren’t particularly great at recalling details. Study after study shows it. Colonoscopy patients don’t remember details of their procedures when more than a year has passed, according to a report in Healio. How about hip […]
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Let’s start talking

Optum® wants to know: What confuses you about analytics and big data? What value-based health care strategies work for your organization? What are your questions about population health strategies? To explore these topics and many more related to the changing health care industry, Optum is offering the blog Health Care Conversation. Leaders from inside Optum […]
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The hospital of tomorrow will focus on population health

The rate of change in health care seems to be accelerating each year, and provider organizations such as Aurora Health Care are challenged to keep pace with the change. Aurora’s Sylvia Meltzer, MD and Laura Spurr MS will be discussing at the U.S. News Hospital of Tomorrow Forum how their organization is using big data to transform for […]
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How value-based provider-payer partnerships can work

As the health care market changes, we are starting to see new partnership models that strive to improve costs, health outcomes and patient satisfaction. These new partnerships are between unlikely bedfellows: physicians and payers; physicians, hospitals and payers; and hospitals and payers. Increasing numbers of these new partnerships are leading the way in reimbursement and […]
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Looking for Proof That ACOs Will Work? It Already Exists.

The rap on accountable care organizations (ACOs) is that there is no evidence to demonstrate they will control costs. I’d say the evidence is right under our noses – right in an analysis by the Congressional Budget Office (CBO). Earlier this year the CBO published an assessment of the Centers for Medicare & Medicaid Services […]
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Commercializing the Fee-For-Value Investment – Part II: How to do it

In my previous post, I talked about the need for providers to commercialize their investments in the new fee-for-value model. The new model requires significant investment in population health management solutions, analytical and technology infrastructure and network management capabilities. Providers need to think about growth in their market share to reduce the per member per […]
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Commercializing the Fee-For-Value Investment – Part I: Why it matters

As the market shifts to value-based reimbursement models, physicians and hospitals are expected to manage more financial and clinical risk. This requires significant investments in new capabilities – all while reimbursement is deteriorating from both the private and public sectors.

The Key to Care Management: Understanding Your Population

As providers take on more risk, they will need to build robust population health management capabilities – prevention, wellness, disease management and care management – to achieve performance and shared savings goals. To do this successfully, providers must craft population health management solutions that meet the needs of their specific population mix.