Emerging Technology Tecnología Emergente€¦ · Tecnología Emergente Patrick Keran Used by...
Transcript of Emerging Technology Tecnología Emergente€¦ · Tecnología Emergente Patrick Keran Used by...
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Emerging Technology
Tecnología Emergente
Patrick Keran
Used by Healthcare Insurers
Utilizado por las aseguradoras de
atención médicaVice President, Innovation
Research & Development
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We help people live healthier lives and help make the health system work
better for everyone.
Mission
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Clinical Insight
F O U N D A T I O N A L C O M P E T E N C I E S
Data & InformationTechnology
Complementary but
Distinct Business
PlatformsHEALTH BENEFITS HEALTH SERVICES
Business Model
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Who we serve
260,000Workforce (40% Millennials)
30,000Physicians and Nurses
Consumers
+139MPlan Sponsors
+190K 1MPhysicians & Other
Health Care
Professionalssupported by:
24,000IT Professionals
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Consumer
ClinicalEmployer & Individual
Focus is on…
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Evolving Consumer…Between 2020-2025
Will own a
smartphone80%
Millennials + Gen Z make
up the workforce75%
Caregivers117,000,000
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Emerging Technology
Produce better outcomes
Increase satisfaction
Enhance personalization
Lower costs
Improve access to care
Focus on preventative
Increase predictability
Maintain Security
Artificial Intelligence
Internet of Things (IoT)
Blockchain
Genomics
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What is Artificial Intelligence
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Artificial Intelligence
Creating intelligent computer systems that are able to perform tasks without
receiving instructions directly from humans
Machine Learning
Development of algorithms that drive a computer’s “thoughts” by providing a
conceptual framework for processing input and making decisions that can change
when exposed to new data
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Artificial Intelligence…Components of AI
9
Speech Recognition
Virtual Agents
Machine Learning
Deep Learning
Natural Language Processing
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Where is AI?
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Applying AI…Big Data
Disease Prediction & Management
11Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
Improved
prediction and
identification of
diabetes from 75%
to 87%Patient
Demographic
Pharmacy
Medical/Behavior
alPhysician
Social
82% Accuracy in Predicting Opioid Dependency
Input Machine Learning Model
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Applying AI…Improving Efficiency
12Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
Improving Efficiency
• Simplify and personalize
member interactions.
Quicker answers
• Intelligent next best
actions and
recommendations
• Guided navigation in
health care delivery
Is my MRI
covered?
Yes. The nearest
MRI provider is…
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Applying AI…Improving Efficiency
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Creating Better Experiences
Locate Review/Update Dictate AutoCode Submit
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Blockchain
Blockchain is most useful when loosely coupled
organizations want to confidently share and audit
information and automate mutually beneficial
processes.
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Mex$38.5 billion/year collectively
spent to improve provider data
accuracy.
Provider groups update their
information at separate payer
portals creating islands of
potentially inconsistent data.
PDX offers a way to share
attestations and updates across the
industry through a synchronized,
single source of truth.
Hypothesis
PDX
Built & Powered by Optum
Blockchain Use Case
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Internet of Things (IoT)
Chronic Care
Wellness Acute
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Wellness Program
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Wellness Program
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Register Select Device
Ongoing
Support
What happens
• Introduction of motion benefit
via email / direct mail
• Registration
• Information for potential
members or employers
What happens
• Registration credit awarded
• Selection of activity tracker
• BYOD from approved list
• Purchase new; D2C
shipping
What happens
• Progress reports,
dashboards, rankings, and
earnings to date
• Participation challenges and
badges
• Earnings deposited quarterly
What happens
• Member self-service
• Promotion of new features
and enhancements
• Activity tracker info
Subsequent Visits
Walk, Monitor, Earn
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Acute Care
Acute Care Needs
• Medical
• Behavioral
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Chronic Care Program
20
medication optimization
post-meal walking
sleep
diet and nutrition+ +
Sensors Feedback
Time to go for a walk.
203
Skills
Type II Diabetes
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Genomics
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Precision Medicine
Possible Use Cases
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GRACIAS