payers

A Milliman study, published in May 2010, highlights the sizable potential for health plans to realize significant administrative cost reductions through the adoption of electronic transactions amounting to $19 billion annually.  The study points out that such savings can be achieved via the migration of key transactions such as claim submissions, authorization and referrals, and eligibility verifications, online.  The report further establishes that efforts to increase use of electronic eligibility verification and prior authorization hold the greatest promise for health plans.

NaviNet was pleased to participate in the World Healthcare Innovation and Technology Congress (WHIT) in DC, where we were fortunate to participate in a panel as well as attend several interesting sessions. The sixth annual conference brought together health plans, government officials, providers and other healthcare stakeholders to educate and address “strategic, organizational and IT decisions” in the ever-changing healthcare industry.

NaviNet proudly presented at the Integrated Care Summit 10/13-10/15 in Washington DC, organized by the Care Continuum Alliance, formerly known as the Disease Management Association of America (DMAA).  The Alliance’s annual conference convenes healthcare professionals to promote and align population health improvement by sharing and integrating practice models, encouraging the widespread adoption and interoperability of health information technologies, and emphasizing the importance of both healthful behaviors and evidence-based care in p

We recently wrapped up our annual NaviNet Healthcare Forum, which brings together leading health plans from around the country to discuss challenges and share best practices. The Forum is always a great opportunity for networking between colleagues in the health plan community, for NaviNet to communicate our strategic vision and product updates, and for us to receive insight and feedback from our health plan customers.

We are gearing up for our annual NaviNet Healthcare Forum, which brings together top health plans from around the country to network and share best practices and lessons learned. The Forum is a great opportunity for health plans to meet and share ideas with colleagues, and is an opportunity for NaviNet to share our strategic vision and product plans, and how they will benefit health plans, and to hear candid feedback from our health plan customers about the business challenges they are facing, and how NaviNet solutions can help to address them.

We at NaviNet believe that the future of healthcare will be patient-centric. Having a holistic view of the patient will enable physicians to deliver more efficient and effective care. This means having all the right patient data at the right time, all in one easy-to-access location. This could include medical history, all physician and specialist visits, lab results, diagnosis, prescriptions and more.

As many of you already know, healthcare providers, hospitals and health plans need to comply with an updated version of the International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD-10) by October 1, 2013. As a prerequisite to the ICD-10 compliance, healthcare organizations also need to adopt updated electronic transaction standards, known as HIPAA 5010, by January 1, 2012.

As previously announced, NaviNet is participating in an initiative to demonstrate the benefits of electronic health information exchange (HIE) between providers and health insurers in New Jersey.