Analysis of Existing Data to Promote Continuous Learning and Improvement

1. Analysis of Existing Data to Promote Continuous Learning and Improvement May 22nd, 2019

2. OptumLabs • Founded as a partnership between Optum and Mayo Clinic in January 2013 • OptumLabs Data platform • Clinical, academic, and policy partners provide scientific and medical knowledge, and enable translation to improve patient care

3. OptumLabs Data Warehouse (OLDW) Commercial claims 136M Electronicmedical records 74M New in 2018: 7 years of Medicare FFS claims Medicare FFS claims 71M Consumer 50M More than 250 million de-identified lives Combining Medicare FFS data with the OLDW data further diversifies our linked data asset

4. OptumLabs Data Warehouse • High-level data schema: Linked, de-identified data Health Plan-Affiliated Data Administrative Claims Asset Lab test results Health risk assessment Socioeconomic status Enrollment Pharmacy claims Supplemental oncology data SSA death master file Insurance benefits design and CDHPs Physician claims Facility claims OPTUMLABS DATA WAREHOUSE Encounters Signs, disease and symptoms Consumer data Non-affiliated claims (not linkable) American Hospital Association Observations and clinical findings Medication orders and administrations Area health resource file Future addition to warehouse Future addition to warehouse PanTher asset (EHR-derived)

5. >140 publications

6. High Value Healthcare Collaborative (HVHC) Mission A provider learning network committed to improving healthcare value through data and collaboration. • To accomplish this, we: • Measure, innovate, test, and continuously improve value-based care • Rapidly disseminate and facilitate adoption of proven high value care models across HVHC Members and beyond • Advocate for policy and payment models that support sustainable high value healthcare

7. HVHC Member Facilities & HVHC CMS FFS Claims Data Coverage Providence St Joseph Health Dartmouth-Hitchcock Mayo Clinic Northwell Health Intermountain Healthcare Sentara Healthcare Mercy Baylor Scott & White Health Hawaii Pacific Health Source: CMS FFS claims data through 2018Q2

8. HVHC Data Trust Updated April 2019