Tag Archives: Optum

Collaborative Care Coordination is Crucial

We’re always looking for ways to make the health care system work better for everyone, and enabling collaborative care coordination is one way to do that. When the power to coordinate care fits in the palm of your hand, it’s exciting. With the Optum approach to care coordination, users are able to leverage Optum data, […]
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Finding the win-win solutions to health care challenges

There isn’t a single cure to address all of the challenges facing our health system, but there is a common goal. We all want a health system that treats patients compassionately, allocates resources efficiently, and provides quality care to those who need it — all without bankrupting ourselves or future generations. Too often we pursue […]
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AI with an ROI: Innovation that can improve care, cut costs

The funny thing about the future is that we always expect it to materialize in front of us in dramatic fashion. But it doesn’t work like that. Instead, tomorrow sneaks up on us, already under our noses when we finally see it. Case in point: Artificial Intelligence (AI) in the form of natural language processing […]
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Kidney Resource Services: Earnestine’s story

Chronic kidney disease (CKD) is a complex and costly condition. One in seven adults has CKD. Earnestine was one of them. Fortunately, through Optum® Kidney Resource Services, she was able to work with Carolyn, a nurse case manager, to help her follow the strict diet recommended by her doctor, take her medications and understand her […]
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Three steps: Get ready for risk-based, fee-for-value health care

Ready or not, here it comes — risk-based, fee-for-value health care is here or coming to a market near you! Health care providers are no longer asking whether they should get ready. They are asking: How fast should we make the transition? They know it may not be pretty. “Organizations need to set a goal […]
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Becky’s Story: A Total Game Changer

Clinical research studies are vital in the health care industry to find out what is working and what isn’t. In some instances, they also create the potential to save a life. That was the case for a woman named Becky Fowler. She signed up for a research study on cholesterol with PMG Research and Wilmington […]
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Redefine acute care to combine fee-for-service (FFS) with care management.

Badly broken bones, appendicitis, hemorrhages and head injuries mean there will be a need for acute care hospitals no matter how the healthcare industry changes. But we need to change how we think about acute care in relation to the rest of healthcare. A traditional definition says acute care is the opposite of chronic or long-term care. […]
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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 […]
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Use data to prepare for payer/provider risk contract negotiations

In my experience negotiating risk contracts with providers on behalf of payers, I saw some significant differences in the way provider organizations approached these negotiations. Some providers came to the negotiating table with data, analytics and a clear strategy to support their position. Others would accept proposed terms without fully evaluating and analyzing the cost […]
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Weintraub believes data usage needs next wave of evolution

When you take a look at all the data systems that the health care industry as a whole has in place, Michael Weintraub, President and CEO, Optum Analytics, said in an interview conducted at the Forbes HealthCare Summit, the challenge is that there are hundreds if not thousands of disparate enterprise software systems that need […]
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