Aetna Grabbing Data to Integrate Patient-Focused Healthcare

DaffyDoc (United States of America)
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words only definitions & notes
  1. beta blocker
    any of various drugs used in treating hypertension or arrhythmia; decreases force and rate of heart contractions by blocking beta-adrenergic receptors of the autonomic nervous system
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  2. iterative
    marked by repetition
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  3. return on investment
    (corporate finance) the amount, expressed as a percentage, that is earned on a company's total capital calculated by dividing the total capital into earnings before interest, taxes, or dividends are paid
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  4. algorithm
    a precise rule specifying how to solve some problem
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  5. guideline
    a rule that provides direction for appropriate behavior
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  6. medical record
    the case history of a medical patient as recalled by the patient
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  7. wellness
    a healthy state of wellbeing free from disease
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  8. optimize
    make optimal; get the most out of; use best
    The challenge ahead, however, is how to get everyone to optimize their healthy behaviors all the time.
  9. limited liability
    the liability of a firm's owners for no more than the capital they have invested in the firm
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  10. blocker
    a football player whose responsibility is to block players attempting to stop an offensive play
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  11. clinically
    in a clinical manner
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  12. payer
    a person who pays money for something
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  13. cost-effective
    productive relative to the cost
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  14. beta
    the second letter of the Greek alphabet
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  15. connectivity
    the property of being connected or the degree to which something has connections
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  16. incremental
    increasing gradually by regular degrees or additions
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  17. ROI
    (corporate finance) the amount, expressed as a percentage, that is earned on a company's total capital calculated by dividing the total capital into earnings before interest, taxes, or dividends are paid
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  18. real-time
    of or relating to computer systems that update information at the same rate they receive information
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  19. big bang
    (cosmology) the cosmic explosion that is hypothesized to have marked the origin of the universe
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  20. capability
    the quality of being able to do something
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  21. restructure
    construct or form anew or provide with a new structure
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  22. pull in
    get or bring together
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  23. granular
    made up of or resembling a collection of small particles
    “The way you improve member care is by understanding them at a very granular level,” he said.
  24. medical center
    the part of a city where medical facilities are centered
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  25. data
    a collection of facts from which conclusions may be drawn
    Aetna
    that there’s great value in the integration of data,” he said.
  26. take note
    observe with care or pay close attention to
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  27. behavioral
    of or relating to behavior
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  28. integrate
    make into a whole or make part of a whole
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  29. eligibility
    the state of being qualified for something
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  30. input
    signal going into an electronic system
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  31. integration
    the act of combining into a whole
    Aetna
    that there’s great value in the integration of data,” he said.
  32. compliance
    the act of submitting, usually surrendering power to another
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  33. Kelly
    United States film actress who retired when she married into the royal family of Monaco (1928-1982)
    “Data suggests good ROI in this type of program,” Kelly said.
  34. deploy
    place troops or weapons in battle formation
    Major training was deployed across all departments, including customer service.
  35. documented
    furnished with or supported by written information
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  36. clinical
    relating to or based on direct observation of patients
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  37. healthcare
    the preservation of mental and physical health by preventing or treating illness through services offered by the health profession
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  38. enormity
    the quality of extreme wickedness
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  39. member
    anything that belongs to a set or class
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  40. electronic
    relating to or operating by a controlled current
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  41. evidenced
    supported by evidence
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  42. pharmaceutical
    relating to preparing and dispensing drugs and medicines
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  43. bring on
    cause to arise
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  44. disability
    a condition that prevents one from performing some task
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  45. integrated
    formed or united into a whole
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  46. medical
    relating to the study or practice of medicine
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  47. improve
    to make better
    “The way you improve member care is by understanding them at a very granular level,” he said.
  48. entity
    that which is perceived to have its own distinct existence
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  49. relevant
    having a bearing on or connection with the subject at issue
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  50. heart attack
    a sudden severe instance of abnormal heart function
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  51. implement
    a piece of equipment or a tool used for a specific purpose
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  52. complexity
    the quality of being intricate and compounded
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  53. insight
    clear or deep perception of a situation
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  54. outcome
    something that results
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  55. warehouse
    a storehouse for goods and merchandise
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  56. trademark
    a registered symbol identifying a product's manufacturer
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  57. incentive
    a positive motivational influence
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  58. customer
    someone who pays for goods or services
    Major training was deployed across all departments, including customer service.
  59. translate
    restate from one language into another language
    Over time, Kelly said, compliance will translate into reduced medical cost and better clinical outcomes.
  60. context
    the set of facts or circumstances that surround a situation
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  61. liability
    the state of being legally obliged and responsible
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  62. appropriate
    suitable for a particular person, place, or situation
    “Members are getting more appropriate care.
  63. core
    the center of an object
    “This is core to our mission and journey—how we use secondary data to be directly relevant to the individual member to improve their health and wellness,” he said.
  64. base
    lowest support of a structure
    Aetna has a competitive advantage in that it has been developing its evidence-based algorithms for the last 10 years.
  65. specifically
    in distinction from others
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  66. bang
    the swift release of a store of affective force
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  67. Delaware
    a Mid-Atlantic state; one of the original 13 colonies
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  68. look into
    examine so as to determine accuracy, quality, or condition
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  69. management
    the act of controlling something
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  70. reduce
    make smaller
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  71. explore
    travel to or penetrate into
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  72. health
    the general condition of body and mind
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  73. academic
    associated with an educational institution
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  74. determine
    find out or learn with certainty, as by making an inquiry
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  75. care
    providing treatment for or attending to someone or something
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  76. health care
    the preservation of mental and physical health by preventing or treating illness through services offered by the health profession
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  77. partnership
    a cooperative relationship between people or groups
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  78. network
    an open fabric woven together at regular intervals
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  79. focused
    brought into sharp clarity
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  80. competitive
    involving rivalry over something
    Aetna has a competitive advantage in that it has been developing its evidence-based algorithms for the last 10 years.
  81. magnitude
    the property of relative size or extent
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  82. initiative
    readiness to embark on bold new ventures
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  83. deliver
    bring to a destination
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  84. sponsor
    an advocate who presents a person
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  85. consideration
    the process of giving careful thought to something
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  86. based
    having a base
    Aetna has a competitive advantage in that it has been developing its evidence-based algorithms for the last 10 years.
  87. program
    a series of steps to be carried out
    “Data suggests good ROI in this type of program,” Kelly said.
  88. regional
    characteristic of a particular area
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  89. improving
    getting higher or more vigorous
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  90. investment
    laying out money or capital in an enterprise
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  91. technology
    the practical application of science to commerce or industry
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  92. ensure
    make certain of
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  93. Best
    Canadian physiologist (born in the United States) who assisted F. G. Banting in research leading to the discovery of insulin (1899-1978)
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  94. secondary
    being of second rank or importance or value
    “This is core to our mission and journey—how we use secondary data to be directly relevant to the individual member to improve their health and wellness,” he said.
  95. savings
    a fund of money put aside as a reserve
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  96. information
    knowledge acquired through study or experience
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  97. oppose
    be against
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  98. reduced
    made less in size or amount or degree
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  99. make sure
    make a point of doing something
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  100. alert
    warn or arouse to a sense of danger
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  101. behavior
    the way a person acts toward other people
    The challenge ahead, however, is how to get everyone to optimize their healthy behaviors all the time.
  102. engage
    consume all of one's attention or time
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  103. require
    have need of
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  104. delivery
    voluntary transfer of something from one party to another
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  105. developing
    of societies with low levels of industrial capability
    Aetna has a competitive advantage in that it has been developing its evidence-based algorithms for the last 10 years.
  106. accurate
    characterized by perfect conformity to fact or truth
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  107. impact
    the striking of one body against another
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  108. mission
    an operation that is assigned by a higher headquarters
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  109. design
    the act of working out the form of something
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  110. cost
    be priced at
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  111. document
    a representation of a person's thinking with symbolic marks
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  112. refer
    make a remark that calls attention to
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  113. focus
    the concentration of attention or energy on something
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  114. communications
    the discipline that studies transmitting information
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  115. service
    an act of help or assistance
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  116. specific
    stated explicitly or in detail
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  117. saving
    recovery or preservation from loss or danger
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  118. decision
    a position or opinion reached after consideration
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  119. develop
    progress or evolve through a process of natural growth
    Aetna has a competitive advantage in that it has been developing its evidence-based algorithms for the last 10 years.
  120. center
    an area that is in the middle of some larger region
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  121. improvement
    the act of making something better
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  122. enable
    provide the means to perform some task
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  123. limit
    as far as something can go
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  124. physician
    a licensed medical practitioner
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  125. process
    a particular course of action intended to achieve a result
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  126. healthy
    free from infirmity or disease
    The challenge ahead, however, is how to get everyone to optimize their healthy behaviors all the time.
  127. rolling
    propelling something on wheels
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  128. global
    involving the entire earth
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  129. reserved
    set aside for the use of a particular person or party
    All rights reserved.
  130. challenge
    a call to engage in a contest or fight
    The challenge ahead, however, is how to get everyone to optimize their healthy behaviors all the time.
  131. needed
    necessary for relief or supply
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  132. representative
    serving to typify
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  133. platform
    a raised horizontal surface
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  134. all the time
    without respite
    The challenge ahead, however, is how to get everyone to optimize their healthy behaviors all the time.
  135. need
    require or want
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  136. apply
    employ for a particular purpose
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  137. suggest
    make a proposal; declare a plan for something
    “Data suggests good ROI in this type of program,” Kelly said.
  138. communication
    the activity of conveying information
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  139. more and more
    advancing in amount or intensity
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  140. use
    put into service
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  141. effective
    producing or capable of producing an intended result
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  142. rates
    a local tax on property (usually used in the plural)
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  143. reserve
    hold back or set aside, especially for future use
    All rights reserved.
  144. evidence
    knowledge on which to base belief
    Aetna has a competitive advantage in that it has been developing its evidence-based algorithms for the last 10 years.
  145. ways
    structure consisting of a sloping way down to the water from the place where ships are built or repaired
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  146. positive
    characterized by or displaying affirmation or acceptance
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  147. Major
    British statesman who was prime minister from 1990 until 1997 (born in 1943)
    Major training was deployed across all departments, including customer service.
  148. medicine
    the profession devoted to alleviating diseases and injuries
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  149. opposed
    being resistant to
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  150. enormous
    extraordinarily large in size or extent or degree
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  151. include
    have as a part; be made up out of
    Major training was deployed across all departments, including customer service.
  152. check
    examine to determine accuracy or quality
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  153. smooth
    having a surface free from roughness or irregularities
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  154. nurse
    one skilled in caring for young children or the sick
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  155. pull
    apply force so as to cause motion towards the source of the motion
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  156. value
    the quality that renders something desirable
    Aetna
    that there’s great value in the integration of data,” he said.
  157. available
    obtainable or accessible and ready for use or service
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  158. additional
    further or extra
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  159. More
    English statesman who opposed Henry VIII's divorce from Catherine of Aragon and was imprisoned and beheaded; recalled for his concept of Utopia, the ideal state
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  160. benefit
    something that aids or promotes well-being
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  161. plan
    a series of steps to be carried out or goals to be achieved
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  162. say
    utter aloud
    Aetna
    that there’s great value in the integration of data,” he said.
  163. limited
    subject to restrictions or constraints
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  164. organization
    a methodical and orderly manner or approach
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  165. provide
    give something useful or necessary to
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  166. independent
    free from external control and constraint
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  167. looking at
    the act of directing the eyes toward something and perceiving it visually
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  168. training
    activity leading to skilled behavior
    Major training was deployed across all departments, including customer service.
  169. separate
    standing apart; not attached to or supported by anything
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  170. getting
    the act of acquiring something
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  171. understanding
    the condition of someone who knows and comprehends
    “The way you improve member care is by understanding them at a very granular level,” he said.
  172. exchange
    the act of changing one thing for another thing
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  173. closely
    in a close relation or position in time or space
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  174. becoming
    displaying or setting off to best advantage
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  175. company
    an institution created to conduct business
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  176. legal
    established by or founded upon law or official rules
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  177. major
    greater in scope or effect
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  178. disease
    an impairment of health
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  179. clean
    free from dirt or impurities
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  180. approach
    move towards
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  181. quality
    an essential and distinguishing attribute of something
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  182. type
    a subdivision of a particular kind of thing
    “Data suggests good ROI in this type of program,” Kelly said.
  183. using
    an act that exploits or victimizes someone
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  184. understand
    know and comprehend the nature or meaning of
    “The way you improve member care is by understanding them at a very granular level,” he said.
  185. needs
    in such a manner as could not be otherwise
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  186. directly
    without turning aside from your course
    “This is core to our mission and journey—how we use secondary data to be directly relevant to the individual member to improve their health and wellness,” he said.
  187. level
    a relative position or degree of value in a graded group
    “The way you improve member care is by understanding them at a very granular level,” he said.
  188. entire
    constituting the full quantity or extent; complete
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  189. firm
    not soft or yielding to pressure
    “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US).
  190. across
    to the opposite side
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  191. advantage
    the quality of having a superior or more favorable position
    Aetna has a competitive advantage in that it has been developing its evidence-based algorithms for the last 10 years.
  192. services
    performance of duties or provision of space and equipment helpful to others
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  193. practice
    a customary way of operation or behavior
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  194. conduct
    the way a person behaves toward other people
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  195. ahead
    at or in the front
    The challenge ahead, however, is how to get everyone to optimize their healthy behaviors all the time.
  196. department
    a specialized division of a large organization
    Major training was deployed across all departments, including customer service.
  197. serve
    devote one's life or efforts to, as of countries or ideas
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  198. allow
    make it possible for something to happen
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  199. individual
    being or characteristic of a single thing or person
    “This is core to our mission and journey—how we use secondary data to be directly relevant to the individual member to improve their health and wellness,” he said.
  200. record
    anything providing permanent evidence about past events
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  201. amount
    how much there is of something that you can quantify
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  202. understood
    implied by or inferred from actions or statements
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  203. required
    necessary by rule
    The mission of delivering integrated, member-focused healthcare required restructuring across the entire company.
  204. population
    the people who inhabit a territory or state
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  205. get
    come into the possession of something concrete or abstract
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  206. daily
    of or belonging to or occurring every day
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  207. train
    educate for a future role or function
    Major training was deployed across all departments, including customer service.
  208. journey
    the act of traveling from one place to another
    “This is core to our mission and journey—how we use secondary data to be directly relevant to the individual member to improve their health and wellness,” he said.
  209. return
    go or come back to place, condition, or activity where one has been before
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  210. receive
    get something; come into possession of
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  211. opportunity
    a possibility from a favorable combination of circumstances
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  212. regard
    the condition of being honored or respected
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  213. look at
    look at carefully; study mentally
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  214. spent
    depleted of energy, force, or strength
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  215. attack
    an offensive against an enemy
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  216. higher
    advanced in complexity or elaboration
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  217. support
    the act of bearing the weight of or strengthening
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  218. rate
    a quantity considered as a proportion of another quantity
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  219. condition
    a mode of being or form of existence of a person or thing
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  220. way
    how something is done or how it happens
    “The way you improve member care is by understanding them at a very granular level,” he said.
  221. study
    applying the mind to learning and understanding a subject
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  222. work
    activity directed toward making or doing something
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  223. follow
    travel behind, go after, or come after
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  224. works
    performance of moral or religious acts
    To ensure a smooth process, Aetna works closely with its plan sponsors regarding plan design, incentives, communications, and its services and programs.
  225. result
    something that follows as a consequence
    The result has been greater compliance with EBM guidelines.
  226. greater
    greater in size or importance or degree
    The result has been greater compliance with EBM guidelines.
  227. kind of
    to some (great or small) extent
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  228. also
    in addition
    Whereas many payers use their data warehouses for population health management, Aetna is getting additional value by also using the data to serve members’ specific care needs.
  229. save
    bring into safety
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  230. note
    a brief written record
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  231. action
    something done (usually as opposed to something said)
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  232. more
    greater in size or amount or extent or degree
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  233. better
    superior to another in excellence or quality or desirability
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  234. system
    a group of independent elements comprising a unified whole
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  235. said
    being the one previously mentioned or spoken of
    Aetna
    that there’s great value in the integration of data,” he said.
  236. make
    perform or carry out
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  237. have
    possess, either in a concrete or an abstract sense
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  238. look
    perceive with attention; direct one's gaze towards
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  239. further
    to or at a greater extent or degree or a more advanced stage
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  240. change
    become different in some particular way
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  241. common
    having no special distinction or quality
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  242. in that
    (formal) in or into that thing or place
    Aetna has a competitive advantage in that it has been developing its evidence-based algorithms for the last 10 years.
  243. time
    the continuum of experience in which events pass to the past
    Over time, Kelly said, compliance will translate into reduced medical cost and better clinical outcomes.
  244. good
    having desirable or positive qualities
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  245. bring
    take something or somebody with oneself somewhere
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  246. run
    move fast by using one's feet
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  247. real
    being or occurring in fact or actuality
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  248. able
    having the necessary means or skill to do something
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  249. different
    unlike in nature, quality, form, or degree
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  250. looking
    appearing to be as specified
    We are also looking at ways to improve the delivery of care considerations and have worked with a major academic medical center in which a nurse receives care considerations daily and inputs them into the medical center’s electronic medical record system.”
  251. big
    above average in size or number or quantity
    Because of the complexity and enormity of the initiative, Aetna made incremental changes and followed an iterative process to bring on the different capabilities, as opposed to implementing a Big Bang approach.
  252. number
    a concept of quantity involving zero and units
    Return on investment: Better clinical outcomes, reduced medical cost
    Aetna has conducted a number of studies to determine return on investment (ROI) and magnitude of savings.
  253. take
    get into one's hands
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
  254. form
    a perceptual structure
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  255. become
    come into existence
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  256. really
    in actual fact
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  257. sure
    having or feeling no doubt or uncertainty
    Best practices: It’s all about the data
    Aetna understood that it needed quality data and spent an enormous amount of time to make sure that its data was clean and accurate.
  258. help
    give assistance; be of service
    Aetna’s technology now helps members and physicians apply evidenced-based medicine to a member’s health care and wellness decisions based on their medical information, and engage members in ways that make a positive impact on their condition.
  259. kind
    having a tender and considerate and helpful nature
    The healthcare benefits company also had to determine what kind of data was needed to be able to design algorithms that would provide clinically relevant insight, Kelly said.
  260. high
    being at or having a relatively great or specific elevation
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  261. in this
    (formal) in or into that thing or place
    “Data suggests good ROI in this type of program,” Kelly said.
  262. great
    a person who has achieved distinction in some field
    Aetna
    that there’s great value in the integration of data,” he said.
  263. and then
    subsequently or soon afterward
    “By having a common platform that allows us to pull in behavioral health, pharmaceutical, medical, disease management and disability information, and then use that data to run our algorithms, we get more and more insight into our members and what they really need, and where there are opportunities for improvement.”
  264. however
    in whatever way or manner
    The challenge ahead, however, is how to get everyone to optimize their healthy behaviors all the time.
  265. far
    at or to or from a great distance in space
    More data, more integration
    With more data becoming available in electronic form through EMRs, health information exchanges and regional health information organizations, Aetna is exploring how it can work with these technologies and improving electronic connectivity to further its real-time decision support capability to deliver care in the most cost-effective way, Kelly said.
  266. heart
    the hollow muscular organ located behind the sternum
    It has documented ROI on its care management capabilities, specifically in higher rates of compliance with EBM guidelines such as the use of beta blockers after a heart attack.
  267. can
    airtight sealed metal container for food or drink, etc.
    The Company is rolling out a program that enables customer service representatives, when checking eligibility for a member, to take note of a care consideration and alert the member that they have one so that the member can look into it and take appropriate action.
Created on 六月 7, 2012 (updated 六月 8, 2014)

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