Payers, avoid value leakage. Opt for the right comprehensive sourcing model.

Part 1 of a 2-part series Payers leave a lot of value on the table when they manage IT, process and medical costs separately. Our research shows that payers can achieve breakthrough cost savings improvements if they manage medical and operational costs together. This blog series offers a plan that enables payers to convert their […]
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Evolving technology and a move to all-digital hospitals

Some health systems and hospitals are embracing technology in a big way – building all digital, wired facilities. In April 2016, Modern Healthcare reported on Humber River Hospital in northwest Toronto, which has automated approximately 75% of its back-of-hospital functions. At Humber, the most notable changes have to do with efficiency and quality of care. […]
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Optum and Everest webinar: Achieve Breakthrough Cost Savings for Health Plans

Register now Research shows that health plans leave a lot of value on the table when they manage IT, process and medical costs separately. Join Optum and Everest as they discuss how health plan executives can achieve breakthrough cost savings by converting their entire spectrum of costs into a utility-based model that addresses both medical […]
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Uber inspired scheduling software reshaping the clinician experience

So who knew we needed a new taxi service? We were all used to calling for a taxi. Getting someone on the line telling us a driver would be dispatched shortly. Then the waiting came. Not sure who would show up or when. Uber saw an opportunity to use the latest mobile technology to transform […]
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High-tech guided meditation eases burn pain

Parkland Hospital in Dallas County, Texas, is one of America’s “most wired,” as recognized by Hospitals & Health Networks® Magazine. Its careful integration of user-friendly tech extends from handy kiosks in the lobby to patient rooms with an array of digital devices that help both patients and staff. While much of the technology is focused […]
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Discover how patients access care to understand need for new solutions

The need for better care coordination becomes clear when you see the results of surveys showing the number of patients taking multiple medications and visiting multiple doctors. In spring of 2016, the New York Times reported on a national survey, conducted by Harvard researchers, that found 39 percent of people over age 65 use five or more […]
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Medicare Advantage competitive positioning in 2018: Analyzing the market landscape and plan offerings

For the seventh year in a row, Medicare Advantage (MA) plan enrollment is projected to increase to a new, all-time high.1 In this growing market, in order to maintain favorable competitive position in the marketplace, MA plans need to compete on an increasingly complex array of product features and plan attributes including premiums, benefits, quality […]
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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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