NaviNet's Care Collaboration Solution for Health Plans
Managing patient care is challenging for health plans and physicians. Communication, administration, timely bidirectional data exchange, and general care coordination are expensive, laborious, and complex. In order to positively influence the spiraling cost trajectory and to make patient-centered medical homes (PCMH) and other innovative collaborative care models successful, health plans must consider how they are enabling providers to manage care better.
To deliver quality care, providers need to engage patients, specialists, pharmacy benefit managers, labs, other providers, and a multitude of health plans, among others. The better health plans enable physicians to deliver quality care, the better clinical information they receive back from that physician. It’s only with this information that health plans will be able shift to, and support, an outcome-based reimbursement model. You will not be bombarding providers with mountains of data. With NaviNet, health plans will transform data into actionable, relevant, intelligent information—information that is context-specific.
Did you know at annual checkups, patients in the U.S. receive half of the recommended preventive health services they need from their doctors?1 With communication and data exchange challenges, physicians often lack timely critical health information at the moments of care—the moments when they will be most impactful with patients. Providing patients with quality care takes a team effort, as well as the right tools to help manage that team and the information they share.
NaviNet’s care collaboration solution leverages the administration and financial communication functionality already in use in 75% of the provider offices in the U.S. today, along with best-of-breed clinical analytics capabilities. The solution enables providers to better manage quality and proactively improve chronic and preventive care across a population. The scalable Software-as-a-Service (SaaS) automation tools together make up the first comprehensive, integrated provider-focused population healthcare management solution. From pre-visit to patient follow-up, the key functional components of NaviNet’s care collaboration solution address each step in a patient’s office visit. These features include:
- Patient Engagement
- Eligibility and Benefits
- Care Collaboration Dashboard
- Patient Action Summary
- Electronic Health Record (EHR) Reconciliation
- Electronic Document Exchange
- Analytics Rules Engine
- Clinical Data Repository
Working with the NaviNet health plan community and leading-edge technologies, NaviNet is partnering to build NaviNet’s care collaboration solution. As the largest healthcare communications network in the country, NaviNet offers health plans an opportunity to quickly operationalize their PCMH and accountable care initiatives. By leveraging NaviNet, health plans and providers can enjoy the benefits of access to unified patient information management (UPIM) to support provider networks and help manage their members with efficiency, efficacy, and quality.
1January 19, 2012, Patients get half of preventive screens, Health News, http://www.upi.com/Health_News/2012/01/19/Patients-get-half-of-preventive-screens/UPI-98721327029051/?spt=hs&or=hn