Tag Archives: physician

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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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 […]
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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 […]
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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 […]
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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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Learn about business pros who can make risk less risky

When the Centers for Medicare and Medicaid Services (CMS) called on health plans to apply for a value-based insurance test project, it stipulated that interested organizations must include financial projections and that those projections must be “actuarially certified.” While that term wouldn’t stump health plans and traditional payers – for whom the use of actuaries […]
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Timing a transition to value-based care

Once providers decide they will transition to value-based care, the next question is when should they make their move. Providers can do more than pick an arbitrary date. There are tools to help organizations make informed decisions on transition timing. Providers can conduct a financial impact assessment. Doing so allows groups to model several factors […]
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Identify six focus areas to manage business model changes

Providers can better manage enterprise-wide care transitions by addressing six key focus areas. As provider organizations map their strategy for transitioning into a value-based care organization, they may find they need to redefine their whole business model. It’s a big undertaking. Providers can make it more manageable by breaking the work into six categories. Physician […]
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In provider networks bigger not necessarily better … or worse

As the health care industry adapts to the Affordable Care Act and value-based care, provider networks and their size are making news. Insurers are ditching large preferred provider organizations in favor of narrower networks. The appeal is easy to see. In a Huffington Post blog, President and CEO of the New York State Health Foundation James […]
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COPD offers chance for population health success.

Health care systems know that their patients are suffering from chronic obstructive pulmonary disease, or COPD. They also know the expense of treating it. They may not know that COPD offers an opportunity to make an immediate impact in patients’ lives and drive down costs while learning population health management skills. Statistics surrounding COPD are […]
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