NaviNet's Care Collaboration Solution for Providers
Managing all aspects of patient care is challenging for physicians and health plans. Communication, administration, timely bidirectional data exchange, and general care coordination are laborious, complex, and expensive. To deliver quality care, providers must engage patients, specialists, pharmacy benefit managers, labs, other providers, and a multitude of health plans, among other entities.
Did you know that physicians spend an average of $83,000 every year interacting with health plans?1 That does not even include all the work that will be added with the new care coordination, cross-practice, and patient-centered medical home (PCMH) models of the future. With communication and data exchange challenges, despite these high costs, physicians often lack timely critical health information at the moments of care—the time when they will be most impactful with patients.
Providers have clinical information—like care gaps—that can positively impact the cost and quality of care at these moments. They need to share information regarding the gap closure among care givers in order to maximize their business and support the new reimbursement programs and performance metrics that health plans are putting in place. Providing patients with quality collaborative 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 administrative and financial communication functionality that more than 75% of providers in the United States already use today, along with
best-of-breed clinical analytics capabilities. The solution enables providers, care coordinators, and healthcare professionals to better manage quality and proactively improve chronic and preventive care across a population. Health plans and providers are able to simplify complex clinical data in the same way they simplified administrative and financial data.
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 interactions with a primary care physician office. 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.
As the largest healthcare communications network in the country, serving one in three Americans, NaviNet offers health plans leading-edge technology to quickly operationalize their PCMH and accountable care initiatives. By leveraging NaviNet, providers and health plans can enjoy the benefits of access to unified patient information management (UPIM) to support provider networks and help manage their patients with efficiency, efficacy, and quality.
1 August 2011, US Physician Practice versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers, Health Affairs. http://content.healthaffairs.org/content/30/8/1443.abstract