Health plans, hospitals partner to improve patient care coordination

Jacksonville, FLA., May. 19, 2015 – Availity, the nation’s largest real-time health information network, announced today the expansion of a new digital solution for hospitals in Oregon, Washington, Idaho, and Utah. The connectivity established by Availity creates a vital link for Regence physicians to electronically share members’ clinical information with the health plan’s care management team in the standardized HL7 data format. This secure, realtime information exchange platform enables providers and health plans to identify high-risk member populations and proactively coordinate care prior to a member’s discharge, thus closing care gaps and reducing the risk of readmission.

Availity’s solution also eliminates manual work and reduces coding gaps. By automatically extracting the electronic census data out of the hospital’s clinical management system and transmitting that to the health plan, Cambia Health Solution’s physicians can rely on the Availity platform to send notices to the health plan, eliminating manual phoning or faxing processes, and reducing the risk of missed notifications, claim denials, and uncompensated care.

In 2014, Availity partnered with Regence to establish connectivity with 17 hospitals in Oregon and Washington, replacing their manual clinical data intake processes with Availity’s platform. A positive outcome for Regence and their network hospitals resulted in the desire to expand the program, which now includes 100 hospitals across Regence’s four-state footprint.

“All of us at Regence are pleased to bring this new efficiency to our provider partners,” said Dr. Csaba Mera, Deputy Chief Medical Officer. “The Availity network helps us proactively secure the patient data we need without disrupting workflows while providing an improved customer experience for our members.”

Availity CEO Russ Thomas added, “By offering a single platform that automates clinical data exchange and streamlines the eligibility process, Availity delivers a holistic view that helps health plans achieve enhanced patient outcomes and improved financial results.”

About Availity

As an industry-leading, HITRUST-certified health care information technology company, Availity serves an extensive network of health plans, providers, and technology partners nationwide through a suite of dynamic products built on a powerful, intelligent platform. Availity integrates and manages the clinical, administrative, and financial data needed to fuel real-time coordination between providers, health plans, and patients in a growing value-based care environment. Facilitating over 7 million transactions daily, Availity's ability to provide accurate, timely, and relevant information is vital to the financial success of its clients.

For more information, including an online demonstration, please visit www.availity.com or call 1.800.AVAILITY (282.4548).