It probably comes as no surprise that denials have skyrocketed over the past few years. But what you may not know is that 20% of first-pass denials come from issues with coverage, primarily inactive, incorrect, conflicting, or invalid information.
After years of collaboration with some of our nation’s largest payers and providers, Avaneer Health has solved this problem—and it doesn’t require third-party aggregators.
Every day, Avaneer Coverage Direct detects misaligned coverage information between payers and providers who deliver services for the same patient. The updated information is sent directly to the payer and provider EHRs or source systems so they always have the latest, most accurate coverage information. The result is fewer denials and write-offs and lower administrative and operational costs.
Learn more by watching our short video.
In This Issue
Avaneer Featured Content
9 Women in Tech Share Their Stories About Imposter Syndrome
BuiltIn
Many women in the technology sector struggle with “imposter syndrome,” the belief that their abilities don’t stack up, even when they actually do. This intriguing article shares the perspectives of nine women in tech, including Avaneer Health’s VP of operations, Jessica Willoughby. Jessica shares the struggles she faced early in career, along with key strategies that have helped her banish imposter syndrome and achieve her career goals.
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Real-Time Revolution: Innovative Data Sharing in Healthcare
The Edge of Health
Stuart Hanson, CEO of Avaneer Health, recently spoke on an episode of The Edge of Healthcare about how key healthcare leaders are tackling data interoperability challenges to improve patient experiences and reduce costs. Stuart discusses Avaneer Health’s decentralized network for real-time data sharing between payers and providers, the importance of innovative solutions to address industry “technology debt,” and the role of collaboration in driving down administrative costs. He also draws parallels between healthcare and financial services in data management and emphasizes the need for bold thinking, strong leadership, and legislative support in advancing value-based care.
Listen to the Podcast
Industry Highlights
IB the API, I think not
Health IT Buzz
With a focus on Information Blocking, this article discusses an important question: Are providers and certified health IT developers preventing the access, exchange, and use of a patient’s electronic health information in violation of information-blocking regulations? Apparently so, according to a new article published by the Assistant Secretary for Technology Policy (ASTP). Whether the information blocking is happening knowingly or unknowingly is unclear. Still, it highlights the need for all those impacted by the regulation to reevaluate their policies and procedures before they incur stiff penalties. This insightful article provides additional information providers and developers need to know.
Read More
From the Avaneer Podcast
Access for All: The Key to a Healthier Future
Headlines announcing the innovative use of AI and digital therapeutics in healthcare garner a lot of attention. However, there are other, equally innovative yet underappreciated interventions already changing the lives of millions. In this eye-opening podcast, John Gorman, founder and chairman of Nightingale Partners, shares the progress being made to address social determinants of health and health equity, while expanding access to underserved populations.
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The Path to Healthcare Improvement: Collaborative Innovation
David Sylvan, chief strategy, innovation, and marketing officer at University Hospitals in northeast Ohio, warns of the dangers of myopia in healthcare in this fascinating podcast. He examines the critical role of collaboration, technology, and disruption in solving healthcare’s “large, hairy and audacious problems.” Learn what David means when he says healthcare requires re-imagination, re-engineering, and the notion of “build by borrow.”
Tune In
From the Avaneer Blog
Strategic Guidelines for Getting Started with FHIR
How do you evaluate where to begin implementing FHIR? This blog highlights important factors for payers and providers to consider during FHIR strategy development such as regulatory compliance, data quality, system readiness, security, and customization.
Read the Blog
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The Sequoia Project Annual Meeting
Dec. 11 - 12, Nashville, TN
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