Tag Archives: payers

Barriers to best-in-class: The case for articulating your full value

By:  Michael Wentzien, Vice President, Optum Advisory Services and Robert Adams, Vice President, Optum Advisory Services This is the 6th blog of our eight part series “Bending the Cost Curve with Comprehensive Sourcing.” Ever feel like the cost calculators many purchasers use aren’t capturing the full value you deliver? That’s the situation many payers face […]
Read More »

Reducing Total Cost of Ownership: Business intelligence is the differentiator

By:  Donna Holmes, Senior Vice President, Optum Advisory Services This is the 5th blog of our eight part series “Bending the Cost Curve with Comprehensive Sourcing.” Reducing total cost of ownership requires a keen understanding of the health plan’s cost structure and the ability to identify the value drivers that can be improved. Are you […]
Read More »

Beyond BPO: The next evolution to yield greater cost savings

By:  Liz Farrell, Director, Strategic Product Management, Optum and Belur Manjappa Chittaranjan, Vice President, Strategic Product Management, Optum This is the 4th blog of our eight part series “Bending the Cost Curve with Comprehensive Sourcing.” Business Process Outsourcing (BPO) is a recognized approach to reduce costs. Across industries, organizations have seen the value of having […]
Read More »

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 […]
Read More »

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 […]
Read More »

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 […]
Read More »

Who should make up the team that directs your move to accountable care?

As the U.S. health care system moves away from reimbursement models that reward volume and toward those that reward care coordination – traditional industry roles are blurring. • New #5in5 video: Fee for value requires revised relationships As this integration accelerates, organizations must build new governance structures that can provide strategic direction and accountability. That […]
Read More »

Health systems: Do you see payers as partners or adversaries?

“It’s not the fact that we did that, it’s how we did it.” That’s what Jeff James, chief executive officer for Wilmington Health says is the headline from his group’s decision to team with Blue Cross/Blue Shield of North Carolina to create that state’s first commercial accountable care organization (ACO).  Watch Jeff James answer 5 […]
Read More »

Learn about new impacts to health plans with OnTrend.

“What’s next?” That’s a difficult question to answer given how quickly the health care industry changes. And meeting the demands of the day doesn’t leave much time to stay on top of the key issues impacting our industry during this period of unprecedented change. That’s why we started OnTrend. This bimonthly bite-sized report provides a […]
Read More »

Developing a consumer journey map? Don’t miss these 10 components.

Health plans have learned from the retail industry that providing a first-class consumer experience requires time, money and energy. It also requires an understanding of the existing consumer experience, as seen through the eyes of the consumer. That’s why it’s important for health plans to have a consumer journey map to capture the interactions between […]
Read More »