Optum and HealthBI have announced a unique partnership that aims to assist healthcare providers in better managing the risk-based contracts, starting with Medicare Advantage plans. The new platform is designed to provide clinicians with patient data in order to earn all incentives from the risk-based contracts.
HealthBI software grants healthcare providers the much needed ability of identifying high-risk patients and documenting all their efforts to close gaps in care along with other measures that are needed to earn incentives from the risk-based contracts.
The partnership has also provided healthcare providers with a user-friendly online portal that would effectively end the chart chasing of medical documents by healthcare insurers at the end of every year. The announcement of the mentioned portal was made by HealthBI President and former Cleveland Clinic Population Health President Steve McFarland. Chart chasing actually means the tedious process of faxing medical documents. It is a very time-consuming and expensive process.
Optum’s risk quality and network services group also strengthens healthcare providers with a quality health technology platform and further provides them with tools at the call center in order to ensure that the medical practices are able to easily use the new workflow capabilities featured by the new online portal.
HealthBI intelligent software timely extracts electronic medical record data to perfectly document that the patient was seen and his pharmacy prescription was refilled per requirements, and other medical information was orderly placed in the reporting system.
McFarland said, “What’s happening in the space, there’s more and more risk at the provider level. Providers don’t have the tools to manage the workflow around value and quality-based metrics.”
Thanks to the advancement of technology, clinicians are now being provided with real time and actionable view of patient’s health status during critical transitions, along with the ability to share medical data with other providers and a single access point for multi-payer reporting.
It was further revealed during that announcement that two of the largest health plans in the United States of America namely UnitedHealthcare and Aetna are using the HealthBI system. The announcement was made by McFarland. In total. HealthBI is being utilized by 63,000 medical practices and this number is expected to increase under the new Optum partnership.
