Insights will change health care
Watch the video to see how the right experts can transform data from a connected system into cutting-edge solutions that tackle health care's biggest challenges.
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Strengthen your strategic planning decisions with data
Jena Folger, Vice President of Network Strategy, Growth and Business Development, Wake Forest Baptist Health
Data and analytics are extremely important with strategic Planning and health system planning in an organization. It's one thing to hypothesize about an opportunity, but you need to have the case study and the analytics behind what you're doing and then you needed to be able to track the efforts and plan as you're going forward, especially to see if you need to tweak or what's working well.
Dedicated resources to enhance results
The reason we chose Optum was because the offering of the dedicated advisor, for us that was a value added benefit; having someone who was going to learn our system, who was going to partner with us, figure out what made Wake Forest Baptist who we are, and they really learned our system. They learned us as a team. They identify things that even we didn't know about ourselves. So it's woven into every aspect of planning that goes into our system, whether it's for acquisitions, looking at leakage for our network or our non-network. Our executive leadership team believes in it and it's been an extremely value added resource for us.
Comprehensive support to inform critical moves
We're in the middle of an acquisition right now and we'll be bringing in another hospital into our network in the next month and we are using Optum to help us look for the best opportunities, as we bring that hospital in, to grow and get it in the black as fast as possible.
Hear Wake Forest Baptist Health explain the importance of data and analytics in health system planning.
Collaborate with a patient-centric approach - Benevera Health
Ali Demma, RN Care Manager:
What we do is so important to close that link between the patient and all of their providers. Not everybody can find nursing, social work, pharmacy all in one location like with Benevera Health.
I’m an RN care manager and we get people set up with different kinds of doctors, we get them set up with transportation, any kind of community resources. Recently I was working with a patient – he first came across my registry because he was an inpatient hospital stay. Our registries that are produced every week come from Optum. He had been hospitalized for some cardiac issues, he was diabetic, his blood pressure was really not controlled. He had some urinary issues and ended up getting discharged with a Foley catheter.
I went to his home and helped him with the process of checking his blood sugars, got him set up with home health care which provided him the tools to take care of his catheter at home. I got him involved with a cardiologist through the hospital that he had been at. Now he’s to the point that he is well-regulated: checking his blood sugars, he gives himself insulin twice a day, his blood pressure is now stable, he’s maintaining the catheter at home by himself.
A few weeks into me working with him it came up that he had recent guardianship over his 15 year old grandson, so that’s when I got Amy involved.
Amy Brandreth, Social Worker:
He was living in a place which he couldn’t afford, it also wasn’t conducive to an elderly gentleman and he really did need to move to elderly housing. So we just worked to make sure he was able to get an exception so his grandson could stay with him. One of the other things that we helped him with was his grandson had no insurance so we helped him with the application process to get his grandson covered by Medicaid. Ali used Optum to refer the patient to me. It does help with the collaboration because we can go in to a patient’s chart and see exactly what’s been going on with the patient, what the other parties have been working on, before we do any initial outreach which is really helpful.
Ali Demma, RN Care Manager:
We would set goals by week, like to lower his A1C, maintain the patency of his catheter, or having his blood sugars between a certain range. All of our goals are all set through Optum, so we got him pretty stable to the point that he’s taking care of everything by himself now.
Without Optum, we wouldn’t be able to do what we do. We can see the whole picture with the patient, from demographic information, to medications, to their other care teams outside of Benevera Health so it really helps us to care coordinate everything with that patient.
See how Benevera Health is managing patient care to help reduce ER admission rates.
Optum-Merck Learning Lab Transcript
Curt Medeiros: The health care landscape is changing dramatically. Payers are continuously working to drive improvements in health outcomes, as well as lower costs.
Susan Shiff: Moving to value-based models for pharmaceutical companies allows us to look at the real-world outcomes of patients, as it relates to our medicines and vaccines.
Curt: Value-based contracts provide a new opportunity to align payment with the actual performance of that drug for each and every individual person.
Susan: It allows us to price our products based on the innovation that we bring to society.
Curt: It takes a ton of resources, data and time to analyze whether a health plan is getting the benefit for the target population.
Susan: We’re working to find win-win solutions with our collaborative partner, Optum.
Susan: In doing so, we’ve created a Learning Lab to explore value-based and pay-for-performance contracts.
Curt: The primary purpose of the Learning Lab is to study data, analytics, market conditions; to understand the potential performance of value-based contracts in different payer settings.
Susan: We used Optum’s clinical, claims and integrated data to measure real-world outcomes.
Susan: These data assets, along with Merck’s understanding of the marketplace and how patients use medications, allowed us to really understand value-based contracts and how we can use them in the marketplace.
Curt: One insight we’ve discovered in the partnership is that these should be more than just financial agreements. They should really be a bridge to bring together pharmaceutical manufacturers and payers, working towards one common goal: improved patient outcomes at sustainable affordability.
Susan: What excited me the most about the Learning Lab was having a safe environment, or a sandbox, to explore new ideas, new models, new designs; and opened up a dialogue that we had never had before.
Curt: Merck and Optum came together, combining their unique capabilities.
Susan: To think about the complexity of the data that would be necessary in value-based contracts, and to both work toward one goal: improving the lives of patients.
Curt: The partnership between Merck and Optum has achieved more than we could imagine.
Susan: To bring medicines to patients that really need them, and to truly invent for life.
Pharmaceutical value-based contracting
Learn about the Optum and Merck collaboration to align value and improve patient outcomes.