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.

“How well does this vendor integrate with Epic?” It’s an increasingly important question among hospitals and health systems that run Epic and are considering a new claims and clearinghouse solution. It was one of the questions Community Health Network—a non-profit health system with more than 200 sites of care throughout Central Indiana—asked as it sought to consolidate the number of revenue cycle solutions in use across the organization.

Last year, Availity, the nation’s largest real-time health information network, participated in a pilot initiative with America's Health Insurance Plans (AHIP) to identify solutions for providing real-time updates and validation of provider directories through a single workflow. See the results!

As part of a partnership with the Illinois Critical Access Hospital (ICAHN), Availity is working with several hospitals across the state to streamline registration operations and improve patient collections. By implementing our Patient Access solution, several have seen significant improvements, which have helped them maintain financial viability in a changing healthcare marketplace. In a newly published case study, we look at the challenges these hospitals face and the success they’ve had to date.

Whether you’re new to healthcare or a seasoned veteran, understanding the revenue cycle is tough—not to mention staying up-to-date with myriad legislative and policy changes that can impact your revenue cycle over time.

With more patients enrolled in high-deductible health plans, front-desk employees are facing difficult questions from patients about their healthcare coverage, but many lack the skills and training necessary to answer them. Here are 3 steps to help patient access staff provide better answers to difficult questions.