As payers and providers launch more value-based care programs and track performance more closely, there is a critical need to establish more collaborative partnerships. Increasingly, the payer-provider relationship is defined not only around traditional administrative transactions, but on rich collaboration that enriches the provider's clinical encounters and aligns the health plan and provider around shared goals.

NaviNet Open Document Exchange empowers health plans to better communicate and engage with their provider networks in real time. The flexible solution allows providers to easily access, review, modify, and return documents in pursuit of population health and fee-for-value program initiatives. By meshing clinical intelligence with administrative workflows, NaviNet Open Document Exchange enables effective payer-provider collaboration to improve patient outcomes and boost efficiency.

Improve Outcomes

Achieve higher HEDIS/Star ratings
  • Provides seamless, real-time access to clinical intelligence – like patient summaries, high-risk patient lists, care gaps, and more – allowing providers to proactively manage their patient panels
  • Equips provider end users with actionable insights into patient care considerations that can help to improve performance metrics like HEDIS and Stars

Improve Efficiency

Drive care coordination and cost savings
  • Enables health plans to share important patient clinical details like discharge summaries and care plans with provider offices in real time
  • Replaces time-consuming and costly manual processes for provider document retrieval

Improve Provider Engagement

Improve collaboration to thrive in a world of value-based care
  • Offers unparalleled flexibility to collaborate using different document types. Health plans can enrich the patient encounter with clinical summaries and medication lists, facilitate engagement with care management programs with enrollment forms, and increase transparency with performance reports
  • Configurable to meet each provider's desired workflow – patient-specific documents can be delivered within the context of existing workflows such as eligibility and benefits, or sent directly to the Patient Clinical Documents work list, where designated clinicians can access all documents for their practice – all within NaviNet Open's intuitive, user-friendly multi-browser portal

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"We use it to deliver care gaps to our providers electronically...So that's a preventive service that indicated because of a chronic disease that administrative data shows the number it needs to have. Every time they open the care gap they close it 42% of the time. That's an improvement the quality of care HEDIS measurements.

- Senior Vice President & CMO


Document Exchange

Today's healthcare demands real-time actionable information delivered directly to providers to impact patient outcomes. Our NaviNet Open Document Exchange application is a critical capability that enables you to share information with your provider networks in more timely and cost-effective ways.

Watch our demand webinar to learn how NaviNet Open enables this key technology by empowering its talented and adaptable users to serve as the information hubs of their practices.

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