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Sharing coverage data can be more secure with direct connections

May 15, 2024
Newsletter

I want to take this opportunity to announce that our initial solution has a new name: Avaneer Coverage Direct™. The new name more accurately describes the solution’s value: Connecting payers and providers directly, avoiding intermediaries, and closing the gap left by existing solutions (EDI, clearinghouses, and portals).

Enabling providers and payers to have a full view of coverage at the point of care, along with direct primary source updates, allows for improved patient/member experience and eliminates waste through the care continuum. Existing eligibility solutions miss key updates that lead to write offs, bad debt, and unexpected denials.

Avaneer Coverage Direct integrates with your workflow to ensure you always have updated information. There’s no swivel chair. Data remains under the control of the data originators in their private environment, and only exchanged between authorized participants. Person-level data is exchanged only when there is a match, instead of exchanging entire data sets.

I invite you to read our case study to learn more about the impact of Avaneer Coverage Direct or reach out if you have any questions.

David Schramm
Senior Product Manager, Avaneer Health

In This Issue

From the Avaneer Podcast

The Spark: Putting the Value in Value-Based Care

Bob Gross, executive director of financial decision support and analysis at Cleveland Clinic, and Krista Matlock, senior director of operations and market network services at Cleveland Clinic, discuss what puts the value in value-based care and how close we are to success. “The beautiful thing is that the technology, FHIR standards, and the data is here today.” Stakeholders are now coming to the table to discuss ways to create mutually aligned incentives that alleviate friction, reduce risk, and create a “harmonious member-centric experience.”

Listen to the podcast

Industry Highlights

 

Earth Day, hospitals and sustainability: ‘We’ve seen the momentum change’

Chief Healthcare Executive

Hospitals have come to realize that the Hippocratic Oath adage “First, do no harm” applies to the environment as well as to patients. A recent Commonwealth Fund survey found that 41% of hospitals have created teams focused on sustainability, or have assigned positions like chief sustainability officers while 24% said they plan to do so within the next three years. Hospitals are also finding that sustainability efforts can produce millions in annual savings. It’s a movement that executives, managers, and front-line employees are getting behind.

Read more

Interoperability: some improvement but much work remains

Medical Economics

How much progress has been made since the implementation of the 21st Century Cures Act in 2016 that sought to improve interoperability? That’s the question the American Board of Family Medicine asked more than 2,100 physicians in a recent survey. Just 10% of respondents said they were satisfied with the progress. This insightful article breaks down the complete survey to offer insight into just how far we have yet to go to achieve “universal, high-value interoperability.”

Read more

From the Avaneer Blog

 

The Road to Building Trust in the Revenue Cycle

Effective relationships are built on trust, transparency, and a shared vision that leads to mutually beneficial outcomes. If we remove those attributes, each party prioritizes their own interests, often at the expense of the other party. Such is the case with payers and providers. Although they do business together, a lack of aligned interests has led to friction that significantly disrupts the revenue cycle and patient care. But that’s about to change as new solutions enable a trust-filled, patient-centric future that benefits all parties equally.

Read the blog

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