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Collaboration in healthcare? Yes, it’s possible.

February 16, 2023

“Payers and providers are collaborating to solve healthcare’s inefficiencies.” It’s a comment we don’t often hear in our industry. Today, payers and providers depend on third parties like clearinghouses, data platforms, and individual APIs to bridge the connectivity gap that makes collaboration so difficult. Most organizations have hundreds of these one-to-one gateways to maintain and manage. While they make bi-directional, use-case specific transactions possible, they don’t allow collaboration in the truest sense.

But that’s about to change. Since 2017, payers, providers and other healthcare industry stakeholders have been designing and building a new way to connect that finally makes true collaboration possible. From those pioneering efforts, Avaneer Health was born to make the dream a reality, and the collaboration continues.

Recently, senior director of revenue cycle transformation at a large national and international health system said, “We’ve never had an opportunity at this scale to work with a national insurer that covers a significant percentage of our patients to merge our data sets together, allowing both of us to ensure data quality and accuracy.”

Another client, the senior director of technology exploration at a large, national payer organization, said, “One of the biggest focuses of the DaVinci Project and ONC is to try to get the market to align on methodologies for using data in a common format. We’re showing it’s possible and making it real in a connected way.”

These clients and others are working together to demonstrate new connectivity capabilities. They’re using Avaneer Collaboration ServicesTM, a suite of utilities that makes collaboration possible, including a person-centric identity service that connects to data discovery workflows that unlock access to permissioned data. The authorization review and exchange of data are trackable, auditable, and immutable with a blockchain node in each participant’s Avaneer SparkZoneTM (a client’s “home base” on the Avaneer NetworkTM).

Participants provide their data and establish a network identity called an Avaneer ID. When and where the Collaboration Services detects other participants who share data for the same Avaneer ID, data-sharing authorization policies defined by the owning organization are automatically evaluated in real-time to determine if the release of data is permissible. Where authorization is permitted, data is shared directly and securely between network participants without the need for an additional ask to obtain it. As participants update their information, that update is also made available in real-time to permissioned organizations serving the same person. Only the minimally required and necessary data is exchanged without Avaneer seeing or storing the data.

The opportunities to deliver solutions to current inefficiencies and introduce new value with the collaboration enabled is limited only by our imagination. Coverage verification, coordination of benefits, and automated authorizations are just a few of the industry’s most challenging problems these collaborators are addressing.

It’s a new way forward and Avaneer Health is leading the way. We hope you’ll join us.

Mary Butler-Everson
SVP, Commercial Growth
Avaneer Health

In This Issue

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2023 ISA Reference Edition is Here

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The ONC received more than 150 comments during its 60-day public comment period ending September 30th of last year, all of which are reflected in the 2023 Interoperability Standards Advisory (ISA) Reference Edition. Get the latest updates on SVAP integration, pharmacy interoperability, adverse event reporting, and more. Read the Article

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This fascinating article covers a vast array of healthcare regulations, what they mean, and deadlines for compliance, as well as hurdles, inconsistencies, and limitations of federally mandated rules. “The real reality is that small regulatory carrots can help to tick the needle forward, but larger private sector sticks will better do the trick.” From interoperability to patient access to data exchange and price transparency, you’ll get an insightful picture of the role of private industry in moving these critical initiatives forward. Read the Article

We want to meet you!

We are attending a few events this spring and hope to meet you in person.

We will have a pod at ViVE 23, reply to this email and let us know if you’d like to set up time to meet.

Meet with us at HIMSS23 – we will have a meeting room on the exhibit floor and are hosting a lunch and learn. Reply to this email if you’d like more information about connecting.

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