How technology enables the data sharing essential to high-performing health plans

This is the 2nd blog of a 3-part series “The Power of Three, a New Model for Quality and Risk Adjustment Provider Engagement” In today’s health care environment, members are demanding better outcomes at a lower cost. It’s that simple. But it hasn’t been so simple for health plans to achieve. Taking preventative action hinges […]
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Discover the what, why and how of natural language processing

Stale jokes about doctors’ bad handwriting aside, mounds of health care data are actually stored in difficult-to-read physicians’ notes and text fields. That makes natural language processing (NLP) particularly relevant to health care. What is NLP? It’s a branch of artificial intelligence (AI) technology focused on allowing computers to understand and interpret human language. Why […]
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Anticipating MACRA and Medicare Advantage impacts

MACRA continues to evolve and while its impacts may have been somewhat softened over the last several months, MACRA’s intent is still to have an impact on care costs and quality over short and long term. While many providers are concerned and strategizing about the financial and administrative implications of MACRA, payers should also consider […]
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The Power of Three: A New Model for Quality and Risk Adjustment Provider Engagement

Experienced quality and risk adjustment experts help improve member outcomes By Sam Diederich, Vice President of Strategy and Business Integration, Optum When payers manage quality and risk adjustment for government-sponsored membership, it creates a significant burden for care providers. Consider the situation from the provider’s point of view. Each payer sends data and asks for information […]
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HfS Winner’s Circle Recognition for Optum Health Care Business Operations Services

An interview with Brian Murray, Senior Vice President, Optum HfS Research is a global research and advisory firm. They recently published their Healthcare Business Operations Services Blueprint. It provides an analysis of the business process services and outsourcing market for health care business operations. HfS placed Optum in the HfS Winner’s Circle for its data- […]
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Data can turn frustrated consumers into loyal ones

As health care becomes more complex, the consumer experience is getting more fragmented, which makes it all too easy for people to feel overwhelmed and frustrated. This is not good. For one thing the industry is trying to improve health, not make it worse by leaving a trail of exasperated consumers. What’s more, health care […]
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Finding the win-win solutions to health care challenges

There isn’t a single cure to address all of the challenges facing our health system, but there is a common goal. We all want a health system that treats patients compassionately, allocates resources efficiently, and provides quality care to those who need it — all without bankrupting ourselves or future generations. Too often we pursue […]
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Artificial intelligence unlocks buried data

Did you know that more than half of the information contained in electronic medical records is unusable to health care organizations? Mark Morsch, Optum360 Vice President of Technology, says studies show 60 to 80 percent of EMR content is unstructured. That means some data that could potentially be used to create a more complete picture […]
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Celebrating Registered Dietitian Nutritionist Day: Nutrition facts for better health

In 2016, the Food and Drug Administration (FDA) announced that it would revise the “Nutrition Facts” food label that’s on all packaged foods. The new design is intended to make it easier for consumers to make healthier, more informed food choices. It was going to be implemented this year. As a registered dietitian nutritionist (RDN), […]
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Learn to speak the same health care language

Take a trip around the world and you’ll hear a lot of different languages, including some you probably won’t understand without a translator. Data is the language of today’s health care system. But a patient’s journey through that system collects data from a variety of sources in many different formats. It’s hard for anyone to […]
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