BOSTON, MA — (Marketwired) — 10/14/14 — NaviNet, , and (Independence), which serves more than nine million people in 24 states and the District of Columbia, announced that they have entered into a Design and Collaboration Agreement. Independence will collaborate with NaviNet on the design of an Advanced Referral Value-Based Network Application, which NaviNet will build and offer to the broad payer market.
The current referral process is broken, with patients not always going to the best-performing specialists when they are referred by their primary care physicians (PCPs). Both payers and physicians who are engaged in value-based accountable care relationships want to address this issue through an improved referral process. In addition, payers are currently incurring high administrative costs, which will be lowered with an improved and automated referral process. Furthermore, today specialists often lack patient history at the time of an encounter, and PCPs and care managers do not have a view into what happens after a referral is made.
This Advanced Referral Value-Based Network Application will give physicians the right information for better-informed decision-making around cost and quality and enable them to send patients to the most appropriate specialists and health systems. In addition, this application will empower the PCP and the specialist to close the loop between care teams.
“We are excited about this opportunity to collaborate with NaviNet on the creation of the next-generation referral process that will enhance accountable care relationships between payers and providers,” said , President and Chief Executive Officer, Independence Blue Cross. “To really address the cost and quality problems facing healthcare today, we need effective tools that enable all stakeholders to work more effectively together, and NaviNet–s Advanced Referral Application will do just that.”
“We are delighted to have the opportunity to develop this groundbreaking Advanced Referral Value-Based Network Application with our customer partner Independence Blue Cross,” stated , Chief Executive Officer, NaviNet, Inc. “The Advanced Referral Value-Based Application will remove unnecessary costs from the healthcare system, improve workflow efficiency, and increase patient satisfaction because consumers will be able to be better advised about the choices that they make for care.”
News: @IBX & @NaviNet announce Design Partnership to build #advanced #referral value-based app to fix broken system
NaviNet is America–s largest healthcare network community. The company–s flagship multi-payer provider communications platform offers immediate access to the desktops of more than 420,000 administrative and clinical staff, representing 60% of the physicians in the United States, and connects them with over 40 health plans. NaviNet Open is a next-generation payer-provider communication solution suite that supports value-based reimbursement and clinical workflows. It consists of a series of layers: a platform, a set of network services, a suite of reimbursement-related and clinical applications, and a set of tools that customers can use to configure and customize the system.
NaviNet, Inc.
Laura McCaughey
617.715.6431
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