Five tips to help keep employees at the heart of your business

The heart is the symbol of Valentine’s Day. So it’s fitting that the American Heart Association deemed February American Heart Month. The focus of Valentine’s Day is the heart as a metaphor for romantic love. But we want to talk about the heart health of your employees’ real hearts. This amazing fist-sized powerhouse pumps blood […]
Read More »

3 ways Optum is working to end the opioid epidemic

Opioid medications can be an essential part of treatment for those with short-term medical conditions and serious chronic or long-term conditions. Yet opioids can come with a high risk of addiction, overdose and fatality. Every 13 minutes, someone in the United States dies from an opioid overdose.1 More than 68 percent of the 72,000 drug […]
Read More »

Top outpatient surgery center trends in health care

Health plans are focusing on ambulatory surgery centers (ASCs) as a source of cost savings. The same procedure performed in an ASC may be less than it is in other outpatient ambulatory settings. Acute care facility inpatient admissions will gradually decrease as most health plans are moving services to the outpatient service facilities such as […]
Read More »

How the right HSA provider can support your employees’ health and security

Medical bills: trying to understand them may be nearly as painful as the injury or illness that generated them. This is an exaggeration, of course. But for many consumers, those bills can represent big problems, such as how to pay for their health care, how to plan for future care and how to achieve financial […]
Read More »

Next AI ‘wave’ will be a sea change for health care

The artificial intelligence (AI) journey from theory to mainstream has evolved in waves. While health care may see AI as an abstract concept, I believe that technology capabilities have already entered their second wave of evolution. The roots of artificial intelligence (AI) technologies go back to 1950, when Alan Turing suggested that machines could be […]
Read More »

Are your employees getting enough sleep?

The occasional night without sleep can leave anyone irritated and grouchy. But it might not cause much harm to long-term health and business productivity. Chronic poor sleep is defined as several consecutive nights of insufficient sleep. That may have mental health effects that can become much more serious, affecting concentration and decision-making. These issues can […]
Read More »

Pathways to Success: Five key areas participants should evaluate based off of the CMS Final Rule

The Centers for Medicare and Medicaid Services (CMS) delivered sweeping changes on December 21, 2018. Yet they should come as no surprise given the clear indications of the new direction throughout 2018. CMS has set the foundation for “Pathways to Success.” The most apparent change in the Final Rule is to reduce participants’ time in […]
Read More »

What will you do differently this HEDIS® season?

Speaking from experience With limited resources during the short HEDIS season, health plans must make quick decisions to prioritize the number of medical records to retrieve, abstract and over read to meet their goals. One year when I was at a health plan, we were at the end of the HEDIS season. We were two […]
Read More »

The people side of “analytics”

For HHS agencies, the focus is on improving lives To slightly misquote Benjamin Disraeli, there are lies, damn lies, and analytics. Okay, let me say it another way.  It’s not that “analytics” are actually lies, but – like “statistics” in Disraeli’s time – they can be misleading and, if not used and interpreted properly, can […]
Read More »

After nearly 50 years, it’s time to retire traditional MMIS procurements

There are only 51 of them in the entire country, but their reach affects millions and their impact is profound. Cumulatively through the years, these systems have cost states billions of dollars and consumed thousands of hours of productivity. They’ve caused headaches, heartburn and sleepless nights for agency IT experts, financial executives and policy analysts […]
Read More »