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Milestone Achieved: Avaneer Coverage Direct™ Delivers Significant Cost Savings

June 20, 2024
Newsletter

Avaneer Health has reached an exciting milestone in our journey to drive administrative savings and better patient experiences for our industry. Last month, we officially announced the launch of the Avaneer Coverage Direct™ solution and some very promising initial results with Cleveland Clinic. The proven solution proactively delivers accurate, real-time health coverage information to participating payers and providers.

It’s been rewarding to see our team’s work come to life and deliver the results our initial clients were seeking – less manual work, more insight, and fewer denials and reimbursement issues. The participating payers are improving payment integrity with COB leads, gaining greater insight into secondary and tertiary coverage.

The initial results are astounding and will grow as we add more payers and providers to the network. The hard dollar value of Avaneer Coverage Direct is up to $1.65 per claim for payers and $5.75 per claim for providers.

And what we’re doing is helping patients, which is rewarding. More transparent financial information upfront and less billing confusion creates the type of healthcare experience we all want when we’re patients. Making this impact is what inspires me to keep pushing the mission of Avaneer Health forward.

I’m deeply proud of our entire team at Avaneer Health who have worked tirelessly to make this possible.

Coverage Direct is just the first of many solutions currently in development, all focused on reducing cost and complexity for our entire industry.

I look forward to many future announcements.

Stuart Hanson
Avaneer Health CEO

In This Issue

Industry Highlights

 

Avaneer Health Announces the Launch of its Coverage Direct Solution

On May 22, 2024, Avaneer Health announced the launch of Avaneer Coverage Direct, a solution that proactively delivers accurate, real-time health coverage information to payers and providers participating in its secure, peer-to-peer network. The solution can deliver short-term, hard value of up to $5.75 per claim for providers and up to $1.65 per claim for payers.

Read the press release

How Cleveland Clinic is addressing food insecurity and approaching food as medicine incentives

Becker’s Hospital Review

In this enlightening podcast, Vickie Johnson, Cleveland Clinic Chief Community Officer, and Dr. Monica Yepes-Rios, Medical Director of the Cleveland Clinic Community Health Equity and Food as Medicine program, discuss their journey to engage with communities to address food insecurity, which affects up to 12% of all individuals in the country and up to 25% of kids in some areas. The speakers discuss the systemic issues and social determinants that drive food insecurity, how it impacts lives and our healthcare system, and what steps they’re taking to make meaningful change in their communities.

Listen to the podcast

ONC Brief Reveals Current State of Hospital Data Interoperability

HIT Consultant

The Office of the National Coordinator for Health Information Technology (ONC) just released its latest figures on the state of interoperability among our nation’s hospitals. While the news is encouraging, much progress remains to be made. This informative article provides key takeaways from the report and suggests three areas that need additional focus.

Read more

Imagine What EHR Interoperability Could Do for Healthcare

MedPageToday

There are more than 500 EHR systems in the market today, offering limited interoperability. This lack of interoperability has led to troubling fragmentation and other inefficiencies that “remain cumbersome and overload clinicians with excessive data and administrative tasks.” Read this perspective from a med student who imagines a better way to retrieve and use healthcare information.

Read more

From the Avaneer Podcast

 

The Importance of Addressing Social Determinants of Health in Healthcare

In this podcast, Dr. Joseph Webb, Nashville General Hospital CEO and author of the hub-and-spoke health equity model, discusses the science of healthcare delivery. “This evidence-based approach to care is statistically, scientifically, and empirically proven to produce desired outcomes.” Webb shares how Nashville General is putting evidence-based models to work to remove barriers to care and improve outcomes in the populations it serves.

Listen to the podcast

From the Avaneer Blog

 

AI in Healthcare: A Model for Managing Risks as Well as Rewards

Few, if any, healthcare topics have garnered as much attention as artificial intelligence (AI). From a beacon of innovation to a harbinger of complex challenges, the opinions about AI’s potential in healthcare are extensive and broad ranging. A survey by Bain & Company found that “75% of health system executives believe generative AI has reached a turning point in its ability to reshape the industry.” The question now becomes, where do we go from here?

Read more

Innovation in Action: How Nashville General Hospital is Leading the Way in Health Equity

Nashville General may be 134 years old, but it leads the way in innovation and accessibility. Through the Webb hub and spoke model, individuals at risk are connected to healthy food in the hospital food pharmacy, health literacy and educational support through their faith communities, and medical care to prevent crisis visits to the Emergency Department. Learn about the work Dr. Joseph Webb and his team are doing in this blog post.

Read more

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