ATLANTA, GA — (Marketwired) — 06/11/13 — the leading provider of healthcare payment and reimbursement automation, and Rx Management, Inc., a leading provider of patient lab and pharmacy clinical information, today announced that they have entered into a strategic partnership that will launch at AHIP 2013. The patent-pending innovative electronic “Quality and Value Awareness” solution integrates data from RxManagement-s MedCheck lab and pharmacy management patient care reports along with PaySpan-s provider reimbursement remittance financial data to improve the communication and monitoring related to population health and care management quality incentive programs.
PaySpan-s electronic payment platform is the largest healthcare payment network in the U.S. PaySpan offers a broad array of electronic methods of payment including CAQH compliant ERA / EFT and Virtual Card solutions.
Bill Nordmark, Senior Vice President of Payer Economics at PaySpan, stated, “Our clinical data partnership with RxManagement empowers our payer clients to lead the market shift to quality-based reimbursement through the consolidation of financial, administrative and clinical data. This solution will enable payers and providers to clearly align clinical quality and financial terms to create greater value across the healthcare economy.”
Nordmark added, “The enhanced PaySpan provider remittance advice helps providers view clinical care opportunities and use electronic workflow features to resolve potential gaps in care side by side with their reimbursement data. The integrated Quality and Value Awareness solution directly addresses the market need for alternative models for outcomes- and quality-based reimbursements administered through shared savings models. This approach represents PaySpan-s commitment to advanced and innovative reimbursement solutions that improve the sustainability of healthcare economics for payers and providers.”
RxManagement-s MedCheck service provides physicians with timely and accurate reports on their patients- lab results, polypharmacy, high-risk medications or medication reconciliation needs at the point of care. MedCheck reports help physicians identify preventable prescribing problems such as adverse reactions, toxicity, contraindications, drug interactions, and enables improved patient compliance.
“Being able to deliver lab and medication management information to over 450,000 PaySpan provider payees within a remittance document that is highly utilized by the hospital, medical group or practice was a high value opportunity for us,” said Bryon Cipriani, President of RxManagement. “The Quality Notices will include important HEDIS and STARS categories to help providers better monitor and resolve risk related to their quality ratings as well as facilitate proactive communications and improved collaboration between providers, payers and patients about key health risk indicators.”
Quality and Value Awareness information is easily accessed by providers through their existing PaySpan.com user account and will be available later this year through PaySpan-s Patient-Centered Financial Home solutions for Payers, Providers and Consumers. Quality and Value Awareness information embedded on the PaySpan remittance advice are designed to improve provider awareness and complement the physician-s professional judgment and first-hand knowledge of their patient as the basis for monitoring at-risk, high risk or chronically ill patients.
PaySpan is showcasing the Quality Value and Awareness Solution at the 2013 AHIP Institute in Las Vegas June 12th-14th, booth #445.
With more than 25 years of payments expertise, PaySpan, Inc. is a trusted source of innovative healthcare reimbursement solutions that Empower the Healthcare Economy for health plans, providers, members and banks. Our solutions enable stakeholders to interact across communities, conduct commerce, capture value, instill trust and strategically use reimbursement currency. PaySpan-s customers comprise an elite array of industry leaders representing all benefit types, spanning both commercial and government sectors. For more information, visit .
Rx Management was founded in 2000 and is headquartered in Pittsburgh, Pennsylvania. The MedCheck service can help physicians improve patient outcomes by addressing the more than $100 billion problem associated with adverse reactions:
Monitoring the patient-s lab and pharmacy activity
Monitoring medication compliance to avoid adverse drug reactions and preventable hospital admissions or re-admissions
Eliminating prescription drugs that are no longer needed
Reducing the total number of pills a patient is taking each day in order to improve compliance
Decreasing the dose of the drugs the patient is taking, thereby minimizing side effects
Combining two or more drugs into a single, more versatile drug in order to simplify the drug regimen
Replacing suboptimal medications with safer and more effective medications
For more information, visit .
Amendola Communications for PaySpan
Janet Cabibbo
480.664.8412, ext. 15
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