Availity Blog

Availity Blog

Actionable insights for medical business professionals

Two things health plans and providers can agree on are the importance of improving patient satisfaction and lowering administrative costs. They also know that increased communication and collaboration are necessary to achieve these goals. The challenge is that neither health plans nor providers have made improving communication a business priority.

Join us Friday, 7/14 at 1pm ET for our tweetchat, The (Continued) Case for Interoperability, featuring our own Platform Solutions Architect, David Quickstad (@DQuickstad), and the CTO of HL7, Wayne Kubick (@WayneKubick), as we discuss how interoperability has become increasingly important in healthcare.

Understanding the needs of customers is paramount to any business’s success. And for Availity, a long-time, trusted intermediary between health plans and providers, understanding and appeasing both segments of the healthcare market has its challenges. Despite the development of integrated digital tools and improved processes and workflows, the relationship between these healthcare stakeholders is historically influenced by friction—even though both recognize a need to work together.

During this 2017 transition reporting year for MACRA, the requirements might feel overwhelming, but it’s important to put things into perspective. One of the most important thing you can do right now is to look at your quality measures and your clinical documentation activities and see where you can make improvements. The following are three things to keep in mind.

Elizabeth Woodcock, a leading expert on medical practice operations, is on a mission to help the healthcare industry improve the patient experience. In conjunction with the Availity Learning Center, she created a new on-demand training series, The Patient Relations Superstar, which launches this month.

If you’re a healthcare provider still processing most claims manually, you know first-hand the challenges this presents. First, you deal with a lot of paper—from spreadsheets to claims forms to sticky notes— just to keep track of what you billed, what got paid, and what got denied. Second, you spend a lot of time communicating with the payers to track down claims, follow up on payments, and reissue remittances. Automating these processes sounds good, but what kind of results can you really expect?

In the first episode of Bill’s journey, you saw how Bill’s new primary care physician and a specialist worked together to exchange information and coordinate care, saving everyone money and improving Bill’s health.

Join us Friday, 5/12 at 1pm ET for our #AskAvaility tweetchat on Provider Front-End Workflows where our VP of Authorizations, Mohammed Ahmed (@elpmma) and the Master of Workflow, Charles Webster (@wareFLO), will discuss how providers can streamline their front-end processes to stay current in an increasingly competitive industry and increase revenue.

What’s it like to navigate the healthcare system as a patient? In Availity’s new three-part video series, Bill’s Journey, you can see firsthand how the relationship between health plans and healthcare providers affects his care.