Optum

Recording: Leveraging HEDIS and Quality Data for Improved Care Delivery
This presentation will explore the strategic use of Healthcare Effectiveness Data and Information Set (HEDIS) to enhance clinical performance and close care gaps by empowering providers with real-time data for informed decision-making. Additionally, we will discuss upcoming CMS changes in HEDIS and quality measurement and strategies for transitioning from hybrid to fully electronic data sets.

Presentation: Leveraging HEDIS and Quality Data for Improved Care Delivery
Join Optum Advisory as they explore the strategic use of Healthcare Effectiveness Data and Information Set (HEDIS) to enhance clinical performance and close care gaps by empowering providers with real-time data for informed decision-making. Additionally, we will discuss upcoming CMS changes in HEDIS and quality measurement and strategies for transitioning from hybrid to fully electronic data sets.

Recording: Growth and Retention: Knowing what you don't know about future members
Virtually all payers are focused on growing and retaining their membership. Those strategies have worked in some cases, and in others, the results have been less than favorable. Understanding the holistic and clinical differences between continuing, new, and terminating members is critical to success. From an operational and financial perspective, high-level holistic, social determinates of health and clinical views of new members can be compared to existing and terminating members, without any claims data, to understand any potential directional impact on operations and financial projections. From a strategic growth perspective, new and existing markets can be evaluated to assess whether the payers current strategies will be effective in new geographies based on the proportions of similar populations. A winning system can be deployed by better understanding the membership and even supporting the introduction of new products and services to drive fiscal performance.

Presentation: Growth and Retention: Knowing what you don't know about future members
Virtually all payers are focused on growing and retaining their membership. Those strategies have worked in some cases, and in others, the results have been less than favorable. Understanding the holistic and clinical differences between continuing, new, and terminating members is critical to success. From an operational and financial perspective, high-level holistic, social determinates of health and clinical views of new members can be compared to existing and terminating members, without any claims data, to understand any potential directional impact on operations and financial projections. From a strategic growth perspective, new and existing markets can be evaluated to assess whether the payers current strategies will be effective in new geographies based on the proportions of similar populations. A winning system can be deployed by better understanding the membership and even supporting the introduction of new products and services to drive fiscal performance.

Presentation: Clinical Excellence and Member Experience
Optum presented at the Clinical Excellence and Member Experience Value Visit on September 26, 2023, in Chicago, IL.

Presentation: How will the doctor see you now? Healthcare delivery evolution in the face of access challenges, pressures for omnichannel delivery, and new regulatory mandates
Ken Leonczyk engages Alliance members in an exploration of the most pressing challenges health care delivery systems must overcome, and the evolution they must complete, if they are to survive the rapidly changing healthcare landscape. This was shared at the Spring Leadership Forum 2023 in Austin, TX.