Category Archives: Uncategorized

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.

Focusing on Consumers: A Key to Better Outcomes

Individuals can play a critical role in controlling medical risk. But for this to happen successfully, we have to ensure that health management programs feel relevant to the people who use them. Traditional models have centered around the programs, not the people. The program supplier dictates not just the program content, such as diabetes management, but […]
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Customer Relationship Management: A New Frontier for Providers

Health care and market reforms are creating new dynamics that require hospitals and providers to think more strategically about how they manage and engage consumers and patients. New public and private reimbursement, care and business models require providers to take on more clinical and financial risk. Integrated within all the Medicare payment reform strategies – […]
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