Tag Archives: health plans

Five best collaboration strategies to improve HEDIS rates

There are many ways to measurably improve HEDIS rates and the quality of care of members. The true challenge is navigating the various barriers that can delay your journey to get there. Without a doubt, collaboration is the difference between higher and lower HEDIS rates. The more effective the collaboration — and integration — the […]
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Client-focused solution tracks and educational sessions take center stage at Optum Forum.

Maximizing investments and elevating organizational performance was the focus at Optum Forum Thursday as provider and health plan clients engaged with Optum experts and industry peers in solution focused tracks and educational sessions. Several sessions were led by clients who have implemented Optum solutions to better manage processes within their own organizations. Case studies, demos […]
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Inspiring change and transforming care around consumer needs resounding message from day two of Optum Forum

Two influential leaders visibly moved a packed audience of nearly 1,200 executives and professionals from organizations across the health care industry with their keynote addresses. After sharing personal stories of his background and professional experiences, General Colin L. Powell, USA (Ret.) talked about the power we have to transform not only ourselves but where we […]
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Debate and discovery drives first day of Optum Forum.

The first day of Optum Forum is in the books, but the dialogue it generated will certainly continue. In his opening remarks at the Executive Forum, Bill Miller, CEO of OptumInsight, emphasized that this week is about engagement and the opportunity to learn from each other. In its third year, Optum Forum continues to provide […]
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Transforming health care together: The 2015 Optum Forum starts today

Addressing the health care system’s most pressing challenges is the focus of the third annual Optum Forum, which begins today at the Gaylord National Resort and Convention Center in National Harbor, Maryland, on the banks of the Potomac River across from Washington, D.C. This innovative event merges two conferences, the Optum Executive Forum and the […]
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Positioning for continued growth in public exchanges

Most payers competing in federally facilitated marketplaces or state-based exchanges are past the initial stages of implementation. Now is the time for payers to think about taking their plans to a new level, with greater consumer-oriented offerings and engagement approaches — supported by efficient operations, sophisticated data analytics and risk modeling. What are some areas […]
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A look back at AHIP Institute 2015

Participants from across Optum™ and more than 100 health plan organizations gathered in Nashville June 3–5 for the 2015 America’s Health Insurance Plans (AHIP) Institute. Recognized as the premier trade event for payer organizations, more than 4,000 attendees representing health plans and affiliated businesses attend AHIP annually. The event traditionally attracts mid-to-senior level executives, providing […]
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Countdown to ICD-10 compliance: Why KPIs and provider relations matter

It seems like we’ve been talking about ICD-10 for a long time now and in fact, we have. There are just a few months separating payers, providers — and even patients — from the changes that will arrive with the October 1, 2015, compliance deadline. The limitations of decades old coding will finally give way […]
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Providers and advocates express concerns about narrow networks, but what do patients say?

As the use of narrow provider networks expands, political attacks and provider push-back has also started to grow. While the current emergence of narrow networks has not incited widespread consumer backlash, these network models have started to become a political hot button. Some providers have expressed concerns about narrow networks hurting physicians who won’t accept […]
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Today’s narrow networks: Repeat of history, or new and improved?

Health Maintenance Organizations (HMOs) and the narrow provider networks they used spurred plenty of controversy in the 1980s and 1990s. But in a time of continuously rising health care costs, narrow provider networks are making a comeback. Will they last? Recent numbers suggest they might, due to their popularity with both employers and those who […]
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