Tag Archives: claims data

Provide customized care options patients can embrace

With the high costs and risks to patients’ health associated with chronic disease it makes sense to prioritize actions aimed at managing or improving the condition. But what if a patient isn’t inclined to accept the recommendations? Can you still work to improve care and financial outcomes? With predictive analytics you can. By combining not […]
Read More »

Optum Forum Review: “Accelerating the move toward data as a service”

Each year at Optum Forum we present the latest advancements in services and solutions aimed at how well gets done. This year’s event included the launch of OptumIQ™ and Optum Performance Analytics. Now we’re learning what attendees think about these initiatives. Massachusetts-based International Data Corporation (IDC) reviewed Optum Forum 2017 and the initiatives unveiled there. […]
Read More »

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 […]
Read More »

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 […]
Read More »

3 categories of non-clinical factors lead to readmissions

Failure to follow up with a physician or follow a medication regimen can cause a recently released patient to end up right back in the hospital. But there are other, non-clinical factors that also lead to readmissions. The causes can be grouped into three main categories: Patients’ medical literacy According to the National Network of Libraries […]
Read More »

Expanding the scope of healthcare data

With data and analytics accepted as valuable tools in population health management, questions are now focused on what kinds of data to include and how to best use it. Health care leaders quickly learned that the most accessible data – claims data – is important but not enough. It’s not particularly timely and it’s often […]
Read More »

Interest in predictive models tied to value-based care

There is a link between the transition to value-based care and an increased interest in analytics-based models that can successfully predict patient outcomes. As providers move to payment models that reward results over total number of procedures performed, they are accepting more financial liability. To meet that responsibility, providers must understand more about how their […]
Read More »

Analytics are becoming a habit of highly effective ACOs

Even the most practiced at population health management may struggle with one factor deemed by many to be crucial for success as an accountable care organization or ACO. The challenge? Implementing a health IT infrastructure and data analytics strategy. Health IT Analytics lists analytics as a defining capability of successful ACOs. It reports that a robust […]
Read More »

3 key elements of any effective analytics strategy

An effective analytics strategy can help provider organizations control costs and identify risks and opportunities – key techniques to succeeding in a world of payments based on outcomes rather than volume. Any effective analytical strategy needs three elements. 1. Highly accurate data Analytics tools that provide the most usable insights generally draw data from a […]
Read More »

Peer into patients’ and populations’ futures with predictive analytics

Predicting the future. It’s the stuff of fantasy and metaphysics—seeing clearly what will happen and making bold decisions based on that future vision. But prediction is also part of our day-to-day lives. We rely on weather reports to predict temperature, precipitation and other environmental conditions. We count on credit card companies to predict how we […]
Read More »