Tag Archives: data

Enabling success: The importance of IT infrastructure

By: Zahoor Elahi, Senior Vice President, Strategic Product Management, Optum This is the 3rd blog of our eight part series “Bending the Cost Curve with Comprehensive Sourcing.” What are payer stakeholders focusing on to achieve significant cost savings? The Everest research identified several imperatives, which likely resonate with your executive leadership team: Focus on cost […]
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Beyond the back office: Why medical cost is so often overlooked

By: Eric Peterson, Vice President of Health Care Operations Marketing, Optum This is the 2nd blog of our eight part series “Bending the Cost Curve with Comprehensive Sourcing.” When you think of effective sourcing, likely the focus is reducing administrative costs. From claims administration to customer service to IT support, specific cost reduction efforts have […]
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A case for thinking big: Driving breakthrough cost savings

By: John Reynolds, Senior Vice President, Optum This is the 1st blog of our eight part series “Bending the Cost Curve with Comprehensive Sourcing.” As a payer seeking sustainable growth, you need to lower your total costs to fund your future. But here’s a simple, if uncomfortable truth: You likely need to think bigger, broader […]
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MACRA requires knowledge of qualities of “good” data

Medicare is allowing physicians and group practices to set their own course toward compliance with the Medicare Access and CHIP Reauthorization Act, or MACRA. But regardless of the path chosen, accurate measurement is key. That’s because the most basic level of participation requires physicians to submit data on one quality measure and one improvement activity […]
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A way to save real dollars on each business transaction

As providers work to meet the demands of value-based care and population health management, they are discovering the importance of data and the ability to share that data. Often the focus is on the shareability of clinical data. But data sharing can also provide opportunities for efficiencies and cost savings in claims submissions and patient payments — […]
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Is a provider-led health plan a good fit? Evaluate 6 areas to find out

To drive down costs and improve care through value-based models, one must have a deep understanding of the population they serve. Health care providers have this knowledge. Their familiarity with the demographics, economics and general needs of their communities means some are well-positioned to launch their own provider-sponsored health plans (PSHP) and have a sense […]
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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 […]
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Care transitions can feel like changing the tires while driving

While providers may now see population health programs as key to value-based care success, many are struggling with implementing change in a way that affects outcomes. “It’s like the proverbial changing of the tires while driving down the road at 90 mph,” says Steve Griffiths, senior vice president of Health Care Analytics Consulting at Optum. […]
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MACRA is big for doctors. What about hospitals?

With the Medicare Access and CHIP Reauthorization Act replacing the sustainable growth rate, changes are coming for physicians. But will MACRA impact facility providers? Consultants at Optum say yes. Specifically they say hospitals and health systems should prepare for changes to referral patterns and readmission rates. Jay Hazelrigs, vice president and lead actuary at Optum, […]
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In healthcare, real time isn’t always soon enough

Analytics platforms that provide insights immediately after data is collected can help physicians and care managers make the most of their time with patients. Real-time data integration allows care teams to engage patients closer to the point of care and make decisions on next steps. But in some cases even data accessible in real time […]
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