Tag Archives: accountable care

Accelerating the progression toward an integrated clinical model

As we sit post-ACA, it has become apparent that we have entered one of the most dynamic times in all of health care. Risk for all stakeholders has been on an accelerated course since 2010, but managing risk looks different depending where you are in the health care space. Providers — whether hospitals or physician […]
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Client perspective: The Optum analytics partnership

In health care’s steady march toward value-based care, health care organizations need solutions to help them tip the odds in their favor. One such solution is an analytics platform, which helps providers gain a deeper understanding of their population risk and better know where and how to devote clinical and financial resources. When choosing an […]
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After promising results, Medicare will likely continue expanding risk-based contracting efforts

In our last blog post, we shared a few reasons why risk-based contracting in health care is here to stay. In this post, we’ll share some data points that point to current and future impacts on the industry, and a few suggestions to help you jump on the value-based train. The value-based train has left […]
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Health plans expanding risk-based contracting efforts

Are risk-based contracting arrangements between health insurers and providers here to stay? The answer can be summed up in three words: “Follow the money.” Health plans are investing in and paying for an increasing amount of care covered by risk-based contracts. And these contracts aren’t just with the obvious accountable care organizations (ACO) and patient-centered […]
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Providers use analytics to better manage their populations and reduce costs

Health care in the United States today is on an unsustainable financial path. Estimates of waste are staggering: Each year, The New York Times reports, $55 billion dollars is thrown away on missed prevention opportunities; $130 billion dollars is lost on inefficient service delivery; and $210 billion dollars goes to the delivery of unnecessary care. […]
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Using technology to drive business transformation

The challenges of today’s evolving health care climate will not be resolved with yesterday’s technology. For a payer organization to effectively compete and thrive in the current environment, it must replace outdated legacy platforms, aging ancillary systems and expensive, error-prone manual processes. Payers need next-generation, business-transforming technology that radically innovates and efficiently addresses business imperatives. […]
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Five common areas where provider-based risk can falter

There is no single path to success for provider organizations who want to learn how to take on patient risk. Hospital/physician gainsharing, patient-centered medical homes, bundled payments, shared savings models and global payments all vary in the level of risk managed by the provider, as well as in their ability to bend the cost curve. […]
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Make a game plan to better manage patient populations

Providing better care at a lower cost requires a strategic plan to identify at-risk patients who are the most likely to benefit from early interventions. But to do that, health care organizations need the most comprehensive insights and expert-level predictions possible. Analytics let organizations segment their population by clinical risk or by utilization. This makes […]
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Manage clinical and financial risks with analytics

Until now, managing risk in health care has largely been an exercise that was left to the payers. Provider organizations haven’t needed to accurately calculate the clinical and financial risks associated with caring for patients, because they didn’t bear the liability. But the rise of value-based care and big data is changing the face of […]
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Turn health care risk into opportunity with analytics

Managing clinical and financial risk in today’s ever-changing health care environment is a complex proposition. But with a good of understanding of patients’ potential risk for costly health complications, organizations can turn the risk of value-based reimbursement into opportunity to provide higher quality, more cost-efficient care. Advanced analytics can give health care providers the understanding […]
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