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Avaneer Health Announces the Launch of Its Coverage Direct Solution

Avaneer Health Announces the Launch of Its Coverage Direct Solution

Avaneer Health 宣佈推出其直接承保解決方案
PR Newswire ·  05/22 19:00

Initial product launch reveals significant financial benefits for payers and providers

首次發佈的產品爲付款人和提供商帶來了巨大的財務收益

OAK BROOK, Ill., May 22, 2024 /PRNewswire/ -- Avaneer Health, a decentralized digital network and platform for simplifying the business of healthcare, today announced that it has launched Avaneer Coverage Direct for healthcare payers and providers. Avaneer Coverage Direct proactively delivers accurate, real-time health insurance coverage information on a secure, peer-to-peer network of payers and providers, lowering operations and systems costs while enhancing the patient/member experience.

伊利諾伊州奧克布魯克,2024年5月22日 /PRNewswire/ — 旨在簡化醫療業務的去中心化數字網絡和平台Avaneer Health今天宣佈,它已爲醫療保健支付者和提供者推出Avaneer Coverage Direct。Avaneer Coverage Direct 在安全的點對點付款人和提供商網絡上主動提供準確、實時的健康保險承保範圍信息,降低運營和系統成本,同時增強患者/會員體驗。

Current and accurate coverage information is vital for efficiently managing claims, avoiding denials, facilitating timely provider reimbursement, and minimizing unnecessary administrative complexities for consumers. Today, providers use multiple electronic data interchange (EDI) transactions with limited discovery capability, manual processes, and retrospective analytics. Avaneer Health takes a new and different approach. Payers and providers connect directly to Avaneer Health's decentralized network where Avaneer Coverage Direct provides enhanced discovery and updates of insurance coverage information in near real-time. Further, the proactive updates provide a holistic view of active, inactive, and upcoming coverage, including new or secondary coverage when available.

最新和準確的保險信息對於有效管理索賠、避免拒絕、促進供應商及時報銷以及最大限度地減少消費者不必要的管理複雜性至關重要。如今,提供商使用多種電子數據交換 (EDI) 交易,但發現能力、手動流程和回顧性分析有限。Avaneer Health 採用了一種全新的和不同的方法。付款人和提供商直接連接到Avaneer Health的去中心化網絡,在該網絡中,Avaneer Coverage Direct可以近乎實時地增強對保險承保信息的發現和更新。此外,主動更新可以全面了解活躍、不活躍和即將推出的保險,包括新的或次要的保障(如果有)。

"Avaneer Coverage Direct gives both the care provider and the payer confidence that they each have the latest and most accurate coverage information proactively available in their source systems," says Stuart Hanson, CEO, Avaneer Health. Hanson continues, "This level of insight creates value for both payers and providers, while improving the patient financial experience. This is the first solution of many in development that are designed to uniquely reduce the cost and complexity of healthcare."

Avaneer Health首席執行官斯圖爾特·漢森表示:“Avaneer Coverage Direct使醫療提供者和付款人都有信心,他們各自的來源系統中主動提供了最新、最準確的保險信息。”漢森繼續說:“這種洞察力爲付款人和提供者創造了價值,同時改善了患者的財務體驗。這是許多正在開發的解決方案中的第一個,旨在獨特地降低醫療保健的成本和複雜性。”

Cleveland Clinic, the first Avaneer Coverage Direct provider pilot participant, is innovating to ensure that it has the most accurate coverage information upfront to eliminate delays in care and inaccurate patient financial responsibility.

Cleveland Clinic是第一家Avaneer Coverage Direct提供商試點參與者,它正在進行創新,以確保其預先獲得最準確的保險信息,從而消除護理延誤和不準確的患者財務責任。

"We've been working with Avaneer Health since inception to improve the patient and caregiver experience. Through a near real-time data exchange, the expectation is to see fewer discrepancies between what services are covered by the payer and what providers offer to the patient, resulting in a decrease in administrative overhead costs for both payers and providers. We are excited to see the transformative impact on reducing the administrative burden and enhancing the patient experience," says Dennis Laraway, Chief Financial Officer at Cleveland Clinic. "The initiative aligns with our goal to provide the highest level of patient experience while also improving overall financial performance and efficiency."

“自成立以來,我們一直在與Avaneer Health合作,以改善患者和護理人員的體驗。通過近乎實時的數據交換,預計付款人所承保的服務與提供商向患者提供的服務之間的差異將減少,從而降低付款人和提供者的管理費用。克利夫蘭診所首席財務官丹尼斯·拉拉威說,我們很高興看到它對減輕管理負擔和改善患者體驗的變革性影響。“該計劃符合我們的目標,即提供最高水平的患者體驗,同時改善整體財務業績和效率。”

Hanson explains that Avaneer Coverage Direct can help improve the patient/member experience and transform the process for payers and providers to update and access the latest coverage information, which will unlock unprecedented cost savings for both payers and providers. "Avaneer Coverage Direct can deliver short-term, hard value of between $3.35 to $5.75 per claim for providers and up to $1.65 per claim for payers," says Hanson. "Most provider savings come from reducing manual verification, preventing or reducing the need to rework denied claims, claim write-offs, and avoidable retroactive prior authorizations. Payer savings are from more streamlined adjudication, earlier data on coordination of benefits, reduced call center volumes, and lower recovery costs."

漢森解釋說,Avaneer Coverage Direct可以幫助改善患者/會員體驗,改變付款人和提供商更新和訪問最新保險信息的流程,這將爲付款人和提供商節省前所未有的成本。漢森說:“Avaneer Coverage Direct可以爲提供商提供每份索賠3.35美元至5.75美元的短期硬性價值,爲付款人提供每份索賠最高1.65美元的硬價值。”“大多數提供商的節省來自於減少手動驗證、防止或減少返工被拒絕的索賠、索賠註銷以及可避免的追溯性事先授權的需求。付款人節省的資金來自於更簡化的裁決、更早的福利協調數據、減少呼叫中心流量和降低迴收成本。”

With a single connection to the Avaneer Network, payers and providers submit data to their secure cloud environment, where it becomes discoverable solely by their designated trading partners on the Avaneer Network, based on permissions set by each organization. Data remains under the control of the data owner or originator. When new data for a member/patient is added or current data updated, Avaneer Coverage Direct determines missing, conflicting, and incorrect details automatically, and enables participants to directly exchange information.

通過與 Avaneer 網絡的單一連接,付款人和提供商將數據提交到其安全的雲環境中,只有他們在Avaneer Network上指定的貿易伙伴才能根據每個組織設置的權限發現這些數據。數據仍處於數據所有者或創建者的控制之下。添加成員/患者的新數據或更新當前數據時,Avaneer Coverage Direct 會自動確定缺失、衝突和不正確的詳細信息,並允許參與者直接交換信息。

About Avaneer Health
Avaneer Health is a decentralized digital network and platform for simplifying the business of healthcare. Designed as a modern IT infrastructure for healthcare data sharing, Avaneer Health is breaking down the barriers and data silos to improve healthcare experiences, speed of care, and enabling applications that drive significant administrative savings. The Avaneer platform is cloud-based and FHIR native, enabling secure and permission-based, peer-to-peer access to other organizations with shared members/patients on the network. Avaneer Health was founded in 2020 by a consortium of industry leaders including Aetna, a CVS Health company; Elevance Health; Cleveland Clinic; Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC); Sentara Healthcare; The PNC Financial Services Group, Inc.; and Merative. These founding members remain engaged with the company and its mission to solve inefficiencies in the healthcare industry. For more information, visit AvaneerHealth.com and follow Avaneer Health on LinkedIn.

關於 Avaneer Health
Avaneer Health是一個分散的數字網絡和平台,用於簡化醫療保健業務。Avaneer Health 專爲醫療保健數據共享而設計的現代 IT 基礎架構,正在打破壁壘和數據孤島,以改善醫療體驗、護理速度,並支持可大幅節省管理費用的應用程序。Avaneer 平台是基於雲的 FHIR 原生平台,支持在網絡上擁有共享成員/患者的其他組織進行安全和基於許可的點對點訪問。Avaneer Health由一個由行業領導者組成的聯盟於2020年創立,其中包括CVS健康公司安泰、Elevance Health、克利夫蘭診所、互助法律儲備公司(HCSC)、森塔拉醫療保健、PNC金融服務集團和Merative。這些創始成員繼續關注公司及其解決醫療保健行業效率低下的使命。欲了解更多信息,請訪問 AvaneerHealth.com 並在領英上關注 Avaneer Health。

SOURCE Avaneer Health

來源 Avaneer Health

譯文內容由第三人軟體翻譯。


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