Each year at the International Society of Pharmacoeconomics and Outcomes Research (ISPOR) Annual International Meeting, the Optum Life Sciences group hosts an educational symposium before the attending global researchers and thought leaders. At this year’s 18th ISPOR gathering, I’m pleased to moderate an important educational symposium to be held tomorrow titled, “Analyze This! Getting the Right Data for Research and Evidence Generation.” Participating with me are Lewis G. Sandy, MD, FACP, Senior Vice President, Clinical Advancement, United HealthGroup and Linus Jönsson, MD, MSc, PhD, Executive Vice President and Senior Scientist, Optum Life Sciences. They’ll be joined by Kevin Haynes, PharmD, MSCE, Senior Research Investigator and Adjunct Scholar and Adjunct Assistant Professor of Epidemiology at The Center of Clinical Epidemiology and Biostatistics at the University of Pennsylvania Perelman School of Medicine.

Through this panel, our goal is to focus on the challenge of assembling the right data for the research question or evidence generation agenda in the current information technology, policy and regulatory environment. Panelists will explore different aspects of this topic, knowing that the practical ability to assemble the data required to address research hypotheses remains complex and sometimes elusive.

First, Dr. Sandy will discuss the interaction between health plans, research capabilities and external customers. He presents truly fascinating insight into how different groups have disparate perspectives and to get the best data for appropriate analysis, these groups must come together to promote high-value innovation in health care.

Second, Dr. Haynes will discuss distributed research networks and applications in safety and outcomes research, bringing his insight to the group from collaboration on Mini-Sentinel, a pilot project sponsored by the U.S. Food and Drug Administration (FDA) to create an active surveillance system – the Sentinel System – to monitor the safety of FDA-regulated medical products. Mini-Sentinel uses pre-existing electronic healthcare data from multiple sources.

And finally, Dr. Jönsson will discuss assembling data in non-US markets, as seldom are studies U.S.-only or European-only in their focus.

If you have any thoughts on this panel, we welcome your conversation at info@optum.com. We look forward to a rewarding and productive panel. For a full schedule of Optum’s contributions at the ISPOR meeting visit Optum.com

–Aylin Altan Riedel

William H. Crown, PhDFor the past 17 years, attendance at the International Society of Pharmacoeconomics and Outcomes Research (ISPOR) Annual International Meeting has grown from under 500 in attendance at the first conference held in 1996 to an expected turnout of more than 3,000 during the May 18-22, 2013 meeting in New Orleans.
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In April, Optum kicked off an 18-month effort to provide practical steps health care organizations can take to make their journey to ICD-10-CM/PCS successful, regardless how much—or how little—progress they’ve made toward implementing the new standard.

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In my last post, I discussed how participants in the Medicare Shared Savings Program (MSSP) and Pioneer Accountable Care Organization (ACO) program are clamoring for access to the “right data” on their members for the purposes of population health management. In this post, I’ll discuss how critical it is that the right data be delivered at the right time and presented in the right format.
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Early reflections are starting to roll in from our clients participating in CMS Medicare Shared Savings pilots and Pioneer Accountable Care Organization (ACO) programs. Based on their feedback, one thing seems certain: providers are quickly turning their focus to data as the means to achieve scalable, sustainable success in these programs.
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Eighteen months is a lifetime. What do you remember about October 2011? Google reminded me that, among other things, the movie Moneyball was in theaters and, speaking of baseball, the Saint Louis Cardinals won the World Series that month.
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Small, everyday decisions can lead to big improvements in the cost and quality of health care. Calling it “DIY Health Care Reform,” Optum’s Bill Snyder provides advice everyone can follow to ensure they receive the best quality of care, while reducing costs.

Read his contribution to the Sioux Falls Argus Leader.

In most every aspect of our lives, it pays to be on time. This is especially true for pharmaceutical companies under pressure to complete clinical trials quickly and effectively so they can bring new drugs to market sooner.

Unfortunately, clinical trials often are subject to costly delays, caused by the challenges inherent in finding the right trial investigators and recruiting the right patients. The good news is, innovative use of de-identified health care claims data is helping to address these problems.
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Industry experts agree that most employees aren’t saving enough in their company-sponsored retirement plans and their health savings accounts (HSAs) to meet their retirement goals. It’s also likely that some are shutting their eyes to the long-term cost implications of their health conditions and lifestyle.
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A big surprise for many new accountable care organizations (ACOs) is that the majority of their patients receive a large percentage of their health care from providers outside their network. This out-of-network utilization (sometimes called “leakage”) creates challenges for ACOs because it impacts their ability to manage care and costs effectively, and limits their ability to achieve the “triple aim” for enhancing the health system: improved population health, improved patient care experience and lower costs.
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