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UnitedHealth Launches Patient Info Service For Doctors

United Health Patient Information

By TOM MURPHY   02/14/12 10:19 AM ET  AP

-- UnitedHealth Group's Optum business is launching a service that allows doctors to share information about patients over the Internet, as health care companies continue their push to improve care with better coordination.

The system, known as cloud computing, involves storing information and software applications on remote servers that are accessed through a secure Internet connection.

In health care, this means a doctor does not have to go to a particular computer for patient information or care updates. He or she can use portable devices like smart phones or tablet computers.

Optum's cloud provides a platform that health care providers can use for software that helps them track patients. For instance, a doctor can use cloud-based applications, or apps, to receive automatic updates on a hospitalized patient's condition or to be notified when a patient visits an emergency room or fails to fill prescriptions, a company spokesman said.

Currently, most doctors have to rely on patients to tell them when they visit another physician or the ER.

Cloud computing also can allow doctors to share patient records and discuss a case more efficiently.

Optum worked with Cisco, IBM and Hewlett-Packard Co. among others, to design the cloud and is launching a set of apps called Optum Care Suite to help providers use it. But it also is encouraging providers to design their own applications for the cloud as well.

UnitedHealth Group Inc., based in Minnetonka, Minn., is the largest U.S. health insurer. Its Optum business provides technology outsourcing, among other services.

Insurers and care providers have been more intent on improving care coordination. Last month, another insurer, WellPoint Inc., said it will boost primary care reimbursement by paying for care management it doesn't currently cover.

Some care providers also are forming accountable care organizations that coordinate care among doctors, specialists and hospitals.

Cloud computing platforms first started appearing in health care a few years ago, said Lisa Gallagher, senior director of privacy and security for the industry group Healthcare Information and Management Systems Society, or HIMSS. She said about 30 percent of health care providers like hospitals or physician practices now use some form of cloud computing.

Experts say care coordination leads to better care for patients. It helps doctors catch prescriptions that may conflict or cause a bad reaction. It also cuts down on test duplications and can help people remember when to see the doctor or refill their prescriptions.

It also can lower costs by cutting wasteful spending.

Care coordination currently is left mostly to the patient or his or her family, said Dr. Ann O'Malley, a researcher with the Center for Studying Health System Change. She said that's a task best left to primary-care doctors.

"Right now, coordination is horrible in this country for the most part," she said.

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05:37 PM on 02/15/2012
The only thing I have against this is that Patient/Doctor confidentiality is certainly in jeopardy.
05:45 AM on 02/15/2012
Patients must be empowered by givingtheir permission or not to allow transmission or sharing of their personal information over the internet. WE have the right to say either yea or nay and shouldn't be left in the hands of these doctors.
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02:40 AM on 02/15/2012
Just Sayin'....Maybe it is time to GIVE DOCTORS A CHANC; AMA Not withstanding, nor Standing in the Way.
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wickedtwisted2
get a clue, get a life
02:12 AM on 02/15/2012
Everyone should take note. After a hospital stay and change of primary care doctors, I asked for my records. What a shock! So many errors upon errors... it's a miracle I didn't die in the hospital, as it turned out I had a TIA, yet they left me sitting for hours! I now ask for a copy of my records on a regular basis and if the doctor's office gives me a problem, I find a new doctor. Saw a segment on Dr OZ about how HE takes a recording device with him to his OWN appointments... HA!! I don't know a single doctor that would allow that. In fact, my doctor that I had for over 5 years questioned me when I brought in a friend to be with me during my appointment (as I was really sick and wanted to be sure that I had a backup person to hear what was said)... HE was offended! So sad, too bad, he's no longer my doctor. Finding a good primary care doctor is very difficult, today, I'm learning.
09:36 AM on 02/15/2012
And that's exactly what they don't want uneducated patients to find out.
01:46 AM on 02/15/2012
United Healthcare sucks and so does Oxford. Welcome to our future.
01:35 AM on 02/15/2012
I thought one of the things mentioned was interesting. Using this could notify your physician if you failed to refill a script.As overworked as doctors say they are, do you really think they are going to start calling patients about refills. Sounds great on paper.
12:53 AM on 02/15/2012
So, what? They can get together and black ball a patient? And, all these wonderful "shared" records is the patient going to be privvy to them???! Cute device for docs......seems like a big loss of privacy for patient. So, are pts. going to be forced to sign approval for this sharing, or is it going to happen w/o pts. agreeing to it? Hackers should love thiis especially since docs make it mandatory to give SSN'S. Government and employers going to sneak into this too? Wow. This is beyond scary.
05:47 AM on 02/15/2012
Agreed. It's not coordination that's a problem---it's our privacy that is.
09:46 AM on 02/15/2012
A doctor's office can ask for your SSN and/or driver's license, but you aren't compelled by law to give it to them. If you refuse and give you a hard time, find another doctor. I don't want my personal information floating around the internet for some hacker to pick up - and make no mistake, they will. Insurance companies will use your information to determine if they want to insure you. Some patients and their families wouldn't mind their physician "coordinating care." I want to make my own decisions and not have my doctor or his office clerk coordinationg my care plan, i.e., referrals or who I see for a second opinon. A patient who does not participate in their own care has a death wish. No, I don't want to participate in this unrestrained Big Brother approach to information sharing. There is enough of that already.
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cat540011
12:50 AM on 02/15/2012
We can only hope that doctos that accept United Healthcare will stop accepting it and not comply with this. Or we can hope that the droves of people that have left United HC will stay away and more will continue to switch isurance companies.
05:49 AM on 02/15/2012
If my MD ever joins this thing, I want a formal explanation of this on paper plus an opt-out refusing my permission to allow transmission and info about me over the internet and with other doctors.
09:47 AM on 02/15/2012
lifehub: Good luck on that. The only thing you'll get is divorced by your doctor's office.
05:43 PM on 02/15/2012
United Healthcare is the best Health Insurance I have ever had. I just had a quadruple by-pass it cost me $500.00. They work for me.I must admit they are VERRRRYYYY EXPENSIVE!! But after seeing the $82000.00 bill from the Hospital ...it's not so bad.
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cat540011
10:15 PM on 02/15/2012
Well, JYI-all medicare supplements are identical, plan F is plan F, regardless of what insurance company you have..they are all regulated. United Healthcare is expensive. So is Blue Cross/Blue Shield. They all work the same way and provide the same coverage. United Healthcare, through AARP advertises in a way that makes people think they're getting something more....There all quite a few other insurance companies that offer the exact same Medicare Supplements for sometimes a lot less money. Plus United Healthcare and BC/BS have tiered rate increases, which means big premium jumps at certain ages...the other companies don't do that.
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cat540011
10:16 PM on 02/15/2012
Hope you're doing well!!
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mac2jr
The truth always wins out
12:08 AM on 02/15/2012
Q) Why would doctors get together to hide the mistakes of one doctor by using your data?

The opposite is currently happening, the doctors and dentist NOT sharing patient information can and many are, hiding their mistakes from the others so that he or she will not be reported to the AMA, or ADA, or any state licensing agencies. Thus, when a 'professional' say he or she will not 'digitize' your records, you should ask 'what are you hiding'.
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mac2jr
The truth always wins out
11:58 PM on 02/14/2012
Q) Anyone trust an insurance company to use this technology?

Guess not from the comments seen here, so then why do you trust the insurance company with your banking account and credit card information, which are much more valuable than whether you had your tonsils out at age 7.
01:32 AM on 02/15/2012
My insurance company doesn't have my bank account or credit card information. Why would they? Unless they start making my payments or deposits.They do have all of our SSNs and that has always been bothersome to me.
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mac2jr
The truth always wins out
08:21 AM on 02/15/2012
How do you pay them?

Most pay by check, the number and account are on it, OR

pay by Credit Card, the number and account are on it, OR

Automatic Withdrawal, the number and account are on it, OR

Via the Internet Banking System, the number and account are on it.

They have your info and are selling it to the Credit Rating Agencies and other companies, unless you have specifically Opted out of that part of the contract.
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mac2jr
The truth always wins out
11:52 PM on 02/14/2012
Ok, let's talk....

Why is having your health care info on the Internet so much more of a risk to you than having your credit cards, bank accounts, ebay and paypal accounts, or any other info out there, like facebook data?

What is the benefit to a hacker to know your health care history?
05:53 AM on 02/15/2012
There is plenty risk and can be used in the same way as other personal data that has been stolen. Our physical bodies and the information concerning it are the only things that are not left to security risks in this day and age. We should be able to safeguard that at least.
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mac2jr
The truth always wins out
08:34 AM on 02/15/2012
If I am allergic to some medications and in a car accident while on vacation, I would want the medical team working on me to be able to access my medical records and make informed decisions that will not kill me. I want them to know about the metal pin in my arm before doing an MRI, or the heart valve defect before cutting me open for nothing, or the legal drugs before accusing me of DUI.

The advantages of having the info digitized is much greater than not; perhaps we need to use the European system of having all our medical data on a Credit Card that we can carry with us or present to the new doctors upon admission for services.

Too many have been injured or died in hospitals due to the doctors NOT having the proper medical history available.

I have Disk of CTs, X-rays, MRIs, etc. and all past Blood Test and other data available to all doctors, and just last week this info came in handy and not only speed up a biopsy but saved a several hundred dollars in new test.
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taina2
Spending my money smarter than government
11:43 PM on 02/14/2012
Let's get them to share costs with everyone.
11:24 PM on 02/14/2012
It has started them record keeping for the socialist government we have now
They have all you medical records in one click--Don't be fooled these low lifes
want socialism and they know they have maybe 8 month to lock it in
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ScottyboyLA
Hold me, Thrill me, Kiss me
11:01 PM on 02/14/2012
Anyone trust an insurance company who sponsors this software to have the best interests of the patient in mind? Hardly. We've see time and time again their complete and utter focus on bottom line profits by denying claims based on arbitrary pre-existing conditions.

So, some hacker now has access to your profile. Well, that's the risk you patients will have to take because the real motive is to cut costs to pad profits. No thank you UnitedHealth. You can take Optum's cloud and shove it.
05:54 AM on 02/15/2012
Agreed and well said.
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10:59 PM on 02/14/2012
How does a patient opt out of having her info spread around the universe? I don't want my medical history out there for anyone whom I have not specifically approved to see it. Am willing to take my chances in an emergency. How come no one has informed patients how to opt out of such cloud computing?
05:56 AM on 02/15/2012
Make sure with your MD's office that no such item exists and that you haven't given permission for public display of your records. Review any forms you may have signed with the office in the past.