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AVAILITY IN THE NEWS, MANAGEMENT AND LEADERSHIP

Matt Cunningham, EVP of Product at Availity, joined the HIMSSCast podcast to discuss prior authorizations as a use case for artificial intelligence (AI). In this episode, Cunningham discusses recent industry trends, regulatory pressures and why the time is right for AI; the new push to leverage AI solutions for the prior authorization process; and how AI technology will benefit providers, payers and patients. Click here to listen now!

AVAILITY IN THE NEWS, MANAGEMENT AND LEADERSHIP

Availity, the nation’s largest real-time health information network, announced the appointment of Sean Keneally as the company’s new chief operating officer (COO). A seasoned healthcare executive with nearly two decades of experience in healthcare operations, strategic planning, and technology and executive leadership, Keneally brings his unique healthcare market insights to help empower Availity to serve its clients and shape the future of healthcare technology and service delivery.

AVAILITY IN THE NEWS

Availity AuthAI CTO Rob Laumeyer spoke with Saul Marquez on the Outcomes Rocket Podcast about using AI to streamline prior authorizations in healthcare. Learn more about utilizing AI to solve healthcare’s most complex administrative functions.

AVAILITY IN THE NEWS

Availity Clinical Solutions GM Mary Lantin joined host Paul Schrimpf on the Healthcare Changemakers podcast to discuss her extensive background in healthcare and prior roles in the industry. Mary also discusses healthcare acquisitions and highlights how Availity combines the power of clinical and claims data to ultimately drive meaningful change and improvement in healthcare.

AVAILITY IN THE NEWS

Silicon Valley Journals reports that that Availity announced that it closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

AiThority reports that that Availity closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

Axios reported that Availity closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

Becker’s Hospital Review reported that Availity announced that it closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

Fierce Healthcare reported that Availity closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

HISTalk reports that that Availity announced that it closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

MobiHealth News reported that Availity closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

Crunchbase reports that that Availity has closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

HIT Consultant reported that Availity announced that it closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

Jacksonville Business Journal reports that that Availity has closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

mHealth Times reported that Availity announced that it closed on an agreement to acquire the utilization management solution and business unit from healthcare automation company Olive AI, Inc. This transaction also includes assuming the commercial contract with Olive’s current utilization management customers and hiring key associates dedicated to the utilization management business.

AVAILITY IN THE NEWS

In the March/April 2023 issue of Healthcare Innovation, Linda Perryclear, Availity’s Senior Director of Product Management, says that predictive editing tools can help health systems move from denials management to denials prevention.

AVAILITY IN THE NEWS

Availity earned a place on Becker’s Hospital Review’s list of RCM companies to know thanks to Essentials Pro, Availity’s EMR- and PM-agnostic solution that simplifies claim and payment processing while delivering intelligent reporting and analytics that pinpoint revenue cycle trends.

AVAILITY IN THE NEWS

Availity presented scholarships earned by students from Jean Ribault High School, during a ceremony held at Availity HQ. The event was part of the Beyond School Walls program, a long-standing partnership between Availity, Big Brothers Big Sisters of Northeast Florida, and Ribault to connect students one-to-one with mentors from Availity. News 4 covered the story as part of their Positively Jax segment.

AVAILITY IN THE NEWS

Availity was named one of the most promising digital companies in healthcare by CB Insights, a market analyst firm that provides market intelligence on private companies and market activities. The firm’s fourth annual report, Digital Health 150, is a list of the top private companies transforming healthcare with digital technology.

AVAILITY IN THE NEWS

At Emids Healthcare Summit last month, Availity CEO Russ Thomas moderated the Creating Health panel. Joining Russ to discuss the underlying data challenges of achieving whole-person healthcare was Quantum Health CEO Zane Burke, WHOOP Strategic Advisor Ellen Reilly, and Homeward CEO Dr. Jennifer Schneider.

AVAILITY IN THE NEWS

As high-deductible health plans and other out-of-pocket health costs proliferate, hospitals and medical groups struggle to develop strategies that improve cash flow and satisfy patients. Availity's Kristina Hutson shares providers' best opportunities to do both.

AVAILITY IN THE NEWS

Krisi Hutson, Availity’s senior director of product development, sat down with HIMSS TV’s Bill Siwicki to explore the benefits and opportunities of automated pre-service clearance processes, including price transparency and member eligibility, for hospitals and group practices.

AVAILITY IN THE NEWS

Steven Loeb speaks with Russ Thomas, CEO of Availity, about how technology is radically changing healthcare: the way we screen, treat and measure progress and outcomes and how we are creating productivity that drives economic costs down while improving are overall health.

AVAILITY IN THE NEWS, PRESS RELEASES, ANNOUNCEMENTS

Availity associates, friends, and family raise nearly $3,000 for the American Heart Association during the 2022 First Coast Heart Walk. Check out the mention in HISTalk.

AVAILITY IN THE NEWS, PRESS RELEASES, ANNOUNCEMENTS

In this episode of WTF Health, Availity’s CEO Russ Thomas and Diameter’s President and COO, Mary Lantin, join Jessica DaMassa to share details on this exciting acquisition and this BIG vision for scaling up the fight against healthcare’s massive spending on administrative waste.

AVAILITY IN THE NEWS, PRESS RELEASES, ANNOUNCEMENTS

Mary Lantin, President and COO Diameter Health joins the HIT Like a Girl podcast to discuss the recent acquisition of Diameter Health by Availity, how the companies will fit together, and how the deal will impact the market.

AVAILITY IN THE NEWS, PRESS RELEASES, ANNOUNCEMENTS

Russ Thomas, CEO of Availity & Mary Lantin, President and COO Diameter Health join our Slice of Healthcare host Jared S. Taylor to discuss how Availity’s acquisition of Diameter Health will disrupt healthcare and the value of actionable, real-time, and precise data to the healthcare industry.

AVAILITY IN THE NEWS, ANNOUNCEMENTS, PRESS RELEASES

Joint technology solution will deliver an integrated data interoperability platform that streamlines data acquisition and delivers clean, actionable, and intelligent data.

AVAILITY IN THE NEWS, PRESS RELEASES, ANNOUNCEMENTS

Value-added transaction capability delivers a dynamic provider experience, helps reduce administrative inefficiencies, and accelerates Availity’s omni-channel strategy

AVAILITY IN THE NEWS, PRESS RELEASES, ANNOUNCEMENTS

Becker's Healthcare is pleased to release the "150 Top Places to Work in Healthcare | 2022" list, which highlights hospitals, health systems and healthcare companies that promote diversity within the workforce, employee engagement and professional growth. The organizations featured on this list offer benefits and opportunities for employees to build successful careers above and beyond the average healthcare provider or company; they encourage professional development and promote leadership from within.

AVAILITY IN THE NEWS

In recent years, Big Tech has gotten a bad rep. But of course many tech companies are doing important work making monumental positive changes to society, health, and the environment. To highlight these, we started a new interview series about “Technology Making An Important Positive Social Impact”. We are interviewing leaders of tech companies who are creating or have created a tech product that is helping to make a positive change in people’s lives or the environment. As a part of this series, I had the pleasure of interviewing Russ Thomas.

PRESS RELEASES, MANAGEMENT AND LEADERSHIP

Availity, the nation’s largest real-time health information network, announced today that Nathan von Colditz has joined the company as Chief Strategy Officer (CSO). In his role, von Colditz is responsible for leading Availity's corporate strategic activities and positioning the organization for both long-term and short-term initiatives.

AVAILITY IN THE NEWS, PRESS RELEASES

Availity, the nation’s largest real-time health information network, announced today that Bobbi Coluni has joined the company as chief product officer (CPO). In her role, Coluni is responsible for leading Availity's product design and management, developing innovative solutions, and launching products for the healthcare market.

AVAILITY IN THE NEWS, PRESS RELEASES

Availity, the nation’s largest real-time health information network, today announced a strategic alliance with PriorAuthNow, the leading real-time prior authorization network that connects providers and payers, to form the healthcare industry’s largest integrated prior authorization network.

AVAILITY IN THE NEWS

Patient and provider experiences have to be top-of-mind in the year ahead, with special attention to stressed hospital workers and underserved populations, healthcare vendor leaders say.

AVAILITY IN THE NEWS

The changes brought to the industry in 2020 amid the pandemic continued to weigh on the minds of healthcare executives throughout 2021.And, as they look ahead to the coming year, they're expecting similar themes to carry forward: interest in virtual care, the ongoing pandemic response and a greater focus on patients' social needs. Hear from 12 industry leaders on what they're watching in 2022.

AVAILITY IN THE NEWS

As healthcare continues to emerge and innovate from the disruptions of the COVID-19 pandemic, MGMA presents these 22 industry leaders and their insights and predications on what medical practices should keep their eyes on for digital health in 2022.

AVAILITY IN THE NEWS

Patient Experience is not just a buzz phrase. It is a major driver of health IT innovation. The healthcare industry to say the least is doing a little catch up to other industries when it comes to how their customers or patients interact with their entities.

AVAILITY IN THE NEWS

Ms. Hutson is a product line director for Availity's pre-service capabilities. She leads a team of 11 product line managers and product owners who work to enhance the eligibility and benefits transaction within Availity's revenue cycle management solution.

AVAILITY IN THE NEWS

Availity, one of the nation’s largest real-time health information networks, is proud to be Certified™ by Great Place to Work® again. The prestigious award is based entirely on what current associates say about their experience working at Availity. In a survey from Great Place to Work, 94% of Availity associates said it’s a great place to work – 35 points higher than an average U.S. company.

AVAILITY IN THE NEWS

In this First Coast Connects podcast episode, Chief Technology Officer Jack Hunt speaks with Melissa Ross about the acceleration of digital transformation during the pandemic and beyond.

AVAILITY IN THE NEWS, MANAGEMENT AND LEADERSHIP, PRESS RELEASES

Jacksonville, Fla—October 19, 2021— Availity, one of the nation’s largest real-time health information networks, announced today that Jim McNary has joined the company as chief operating officer (COO). As COO, McNary is responsible for leading cross-departmental operations, refining business processes, and maintaining alignment throughout the company for both organic and inorganic initiatives. Availity’s technology, product management, implementations, and strategy/corporate development teams will report to McNary.

AVAILITY IN THE NEWS

October 4, 2021— At Availity, we strongly support the intent and purpose of the 'No Surprises Act' to provide federal consumer protections against surprise medical bills. Like any piece of legislation, success will depend upon the implementation of the law. Availity is prepared to offer guidance and leadership to help ensure the success of the No Surprise Act.

AVAILITY IN THE NEWS, MANAGEMENT AND LEADERSHIP

Jacksonville, Fla—July 20, 2021— Availity, one the nation’s largest real-time health information networks, announced today that Frank Petito has been appointed chief financial officer. In his new role, Petito is responsible for leading Availity’s financial and accounting teams and serves as a strategic partner to the organization’s board of directors and executive leadership team regarding organic expansion, mergers and acquisitions, and capital markets opportunities.

AVAILITY IN THE NEWS, PRESS RELEASES

July 7, 2021 -- Novo Holdings A/S (“Novo Holdings” and “NH”), a leading international investor in healthcare and life sciences, today announced a strategic minority investment in Availity, one of the largest healthcare data and administrative networks connecting payers and providers throughout the United States.

AVAILITY IN THE NEWS, MANAGEMENT AND LEADERSHIP

Availity names Leslie Antunes as Chief Growth Officer. Antunes brings over 30 years of experience and innovation in emerging, entrepreneurial, and high-growth companies across sales, leadership, and partner development.

AVAILITY IN THE NEWS, MANAGEMENT AND LEADERSHIP

Jacksonville, Fla—June 8, 2021— Availity, the nation’s largest real-time health information network, named healthcare and business development veteran Leslie Antunes as its chief growth officer. Antunes will be responsible for driving strategic growth initiatives and leading the business development, sales, client services, marketing, trading partner, account and alliance management teams.

AVAILITY IN THE NEWS

Krisi Hutson, product line developer at Availity, outlines the concept of Balance Billing and how it relates to surprise billing.

AVAILITY IN THE NEWS

Physicians Practice® spoke with Krisi Hutson, the product line director at Availity, to discuss some of the ways in which she has been seeing providers help their patients to avoid surprise billing scenarios.

AVAILITY IN THE NEWS

According to statistics released by the U.S. Department of Labor, in the early months of the pandemic, the nation’s unemployment rate reached its highest level since the Great Depression, skyrocketing to 14.7 percent in April of 2020, more than tripling from only 4.4 percent in March. While these figures have improved since then, the pandemic has permanently altered the labor market, requiring workers to be nimble, sharp and technologically fluent. Enter the UpSkill Institute at Jacksonville University.

AVAILITY IN THE NEWS

In this installment, I check in with Lillian Phelps, senior director of product management at Availity to discuss claims management, the relationship between payors and providers, and how technology can help to streamline and automate these communication pathways in a way that benefits everybody.

AVAILITY IN THE NEWS

Lillian Phelps, Senior Director of Product Management, Availity shines light on the new HHS rules about price transparency for hospitals and health plans. These organizations now need to publish their standard rates as well as their contracted rates along with pricing for bundled services for over 70 specific services. As the nation's largest health information network, Availity works with providers and health plans to enable real-time generation of understandable data for patients and healthcare providers to inform better medical decisions.

AVAILITY IN THE NEWS

Physician's Practice spoke with Paul Joiner, chief operating officer of Availity, to discuss the implications of an American Medical Association survey and find out how you can improve your prior authorization processes.

AVAILITY IN THE NEWS

As the COVID-19 pandemic has gripped the world, many providers have adopted an all-hands-on-deck approach and mentality for treating COVID-19 patients, stretching their resources to the breaking point. We have heard about the frontline heroes who have sacrificed their own health and safety to treat patients and, in less-fortunate scenarios, comfort patients in their last moments as they were quarantined from loved ones. What has been less recognized is the work and sacrifice put forth by providers’ back-office staff. Many back-office workers have had to transform their operational practices after shifting to “work-from-home” mode to avoid potential exposure and minimize traffic to hospitals and physicians’ offices.

AVAILITY IN THE NEWS

Where are vaccine supply chains, value-based care, AI, telehealth and other trends headed next year? C-suite leaders from an array of vendors weigh in on provider/payer relations, the healthcare workforce and more.

AVAILITY IN THE NEWS

What trends are healthcare execs watching out for in 2021? We gathered predictions from executives at companies across the industry to compile a collection of the key topics to keep an eye on in the coming year. Topics ranged from behavioral health needs to data analytics to the social determinants of health.

AVAILITY IN THE NEWS, PRESS RELEASES

Availity, the nation’s largest real-time health information network, announced today that it has earned the honor of becoming a Great Place to Work-Certified™ company, a distinction rooted in the tremendous talent, energy, and generosity of its associates.

AVAILITY IN THE NEWS, PRESS RELEASES

Availity, the nation’s largest real-time health information network, and Regence, a family of regional health plans serving members in Oregon, Washington, Idaho and Utah, announced today the results of their collaboration to improve the pre-authorization process through the implementation of new tools that allow for real-time, electronic and automated pre-authorization.

AVAILITY IN THE NEWS

Unemployment remains high, but talent is still in scarce supply for many companies. CEOs share their strategies for attracting the best and brightest.

AVAILITY IN THE NEWS

Insurance claim denials are a costly and time-consuming burden on every hospital and health system. But you can avoid most denials by taking the proper steps. Avoiding the most common types of denials — duplicate claims, medical documentation, timely filing, etc. — can add tens of thousands of dollars to a hospital's bottom line. Revenue cycle management experts discussed how to prevent recurring denials in an Oct. 19 webinar hosted by Becker's Hospital Review and sponsored by Availity.

AVAILITY IN THE NEWS

First, the good news: While a new federal mandate requiring health plans to build an online shopping tool for members will be a heavy lift for some payers, most major health plans already offer online cost estimator tools. That will give them a leg up compared to payers that will have to build tools from scratch, according to industry experts.

AVAILITY IN THE NEWS

While providers have many legitimate concerns about the PA process, it remains an important tool to help ensure that the care patients obtain is safe, effective, and necessary. Given the nature of the prior authorizations process, it’s inevitable this practice will lead to some level of provider abrasion; however, the healthcare industry is taking steps to reduce the burden prior authorizations create.

AVAILITY IN THE NEWS

Jacksonville University is working to help address the primary care shortage we’re facing throughout the state of Florida. Action News Jax looked into a new scholarship program that’s hoping to expand the access to healthcare through nurse practitioners. Dr. Laurie Buschini is a nurse practitioner at JU’s new student health center. Over the summer, she joined a new online pilot program so she could get the credits she needed to treat people without an attending doctor to supervise her.

AVAILITY IN THE NEWS

Physician's Practice®, talks with Paul Joiner, Chief Operating Officer of Availity, about the state of prior authorizations and recent data from the American Medical Association.

AVAILITY IN THE NEWS

Availity, a locally headquartered health information network, announced it is partnering with Jacksonville University to set up a scholarship fund for nurse practitioners who could practice independently under a new state law. It also addresses Florida's shortage of primary care physicians. “Forty-eight percent of physicians in Florida are expected to retire in the next 10 years," according to the Florida Association of Nurse Practitioners. "Florida needs an estimated 3,000 to 5,000 primary care providers over the next five to 10 years. Medical schools cannot graduate enough physicians to meet the need."

AVAILITY IN THE NEWS

Jacksonville University will partner with Jacksonville-based Availity to provide educational opportunities for nurse practitioner s who want to offer independent primary care. Availity, a health care IT company, will make a $100,000 donation to establish the Availity Nurse Practitioner Scholars Fund at JU.

AVAILITY IN THE NEWS

No one likes going to the doctor, but after months of searching, Jerry Finster finally found Dr. Bob Wallace. “I just kind of took a stab in the dark, came over and met with him, and it worked out fabulous,” Finster said. At 72 years old, Finster says it’s important he has a doctor he can trust. “It’s just to have a source of good guidance that helps you take care of any particular needs you might have,” he explained. But that’s not always easy, especially because Florida ranks last in the nation for access to primary care physicians, according to Jacksonville University.

AVAILITY IN THE NEWS

Responding to a new law that will allow nurse practitioners to operate independent primary care practices, Jacksonville University is rolling out a program that will allow nurse practitioners to get needed credits for free. Scholarships for the program are funded by a $100,000 donation from Jacksonville-based Availity, a health care IT company that provides the technological infrastructure to connect providers and insurance companies.

AVAILITY IN THE NEWS

The health-information network company Availity has donated $100,000 to Jacksonville University to establish a scholarship fund for advanced registered nurse practitioners who could practice independently from physicians under a new state law.

AVAILITY IN THE NEWS, PRESS RELEASES, FEATURED ARTICLES

With a $100,000 donation from Availity to establish the Availity Nurse Practitioner Scholars Fund at Jacksonville University, qualified nurse practitioners (NPs) may begin to earn the educational credits needed to offer independent primary care without an attending doctor, as outlined under a new state law.

AVAILITY IN THE NEWS, PRESS RELEASES, FEATURED ARTICLES

COVID-19 has seemingly reached into every corner of American healthcare, with new procedures, regulations and safety precautions required to keep patients and caregivers safe and protected from the virus. Wearing masks and social distancing are crucial, but these low-tech strategies are hardly new; versions were used during the 1918 flu pandemic.

AVAILITY IN THE NEWS, PRESS RELEASES, FEATURED ARTICLES

In theory, health care consumerism is a straight-forward idea: Shifting costs to consumers, typically in the form of high-deductible health plans (HDHPs), gives them an incentive to make informed decisions about the health care services they purchase. In practice, consumerism represents a significant challenge to providers’ bottom lines. A recent report reveals that for 74% of providers, patient collections take over a month. Further, 66% of providers said patient receivables are a primary revenue concern. Part of the problem is many providers’ patient collection processes do not align with consumer preferences. For example, 88% of providers reported relying on manual and paper-based transactions for patient collections, but 46% of consumers prefer electronic communication for medical bills, while 65% prefer to pay medical bills via online portals or mobile apps.

ANNOUNCEMENTS, PRESS RELEASES

The COVID-19 pandemic has led payers and providers to embrace electronic encrypted documents and other technology — and that has fostered greater collaboration between them. As the U.S. healthcare system makes gradual and persistent strides towards value-based care, success within this new payment model depends on greater collaboration between payers and providers. Until recently the pace of this engagement has been slow. However, the COVID-19 pandemic has caused an acceleration in payer and provider collaboration.

ANNOUNCEMENTS, PRESS RELEASES

Since the emergence of value-based care, the need for greater collaboration between healthcare’s traditional adversaries, payers and providers, has received lots of attention but results have sometimes been less tangible. Now, as a result of the COVID-19 pandemic, payer – provider collaboration has accelerated at an unprecedented rate within the health industry ecosystem.

ANNOUNCEMENTS, PRESS RELEASES

In a recent interview with HIMSS TV, Russ Thomas discussed how Availity led conversations with providers and health plans during COVID-19 to ensure that the latest information needed for processing claims and billing was being shared between both parties.

AVAILITY IN THE NEWS, FEATURED ARTICLES

Doctors didn’t attend medical school to spend their waking hours managing or waiting for prior authorizations (PA), but these days it feels like that’s all they are doing. A recent American Medical Association survey found that 90 percent of responding physicians believe that the “administrative burden related to PA requests has risen in the last five years, with most saying it has ‘increased significantly.’” As healthcare continues its acceleration toward value-based reimbursement models, payers may begin to require even more PAs as they seek greater cost controls...

ANNOUNCEMENTS, PRESS RELEASES

With a precipitous drop in volume, some organizations are going back to basics from a revenue cycle standpoint. All healthcare organizations are suffering financially during the COVID-19 epidemic. Hospitals are on the front lines of treatment while also seeing precipitous drops in volume and business. The pandemic is also threatening the financial health and long-term stability of clinics and specialty practices. Primary care physician practices are no exception, but strategies have emerged that could help them weather the storm…

AVAILITY IN THE NEWS, ANNOUNCEMENTS, PRESS RELEASES

Availity, the nation’s largest real-time health information network, announced today that it has launched a COVID-19 Provider Resource Center that consolidates links to updates from more than 50 payers for information about patient eligibility, coding, claims processing, telehealth guidelines and more. The new COVID-19 Provider Resource Center connects providers directly to payer updates, while enabling better collaboration between providers and payers...

AVAILITY IN THE NEWS

Realizing the promise of value-based healthcare will require a level of payer and provider collaboration virtually unheard-of in the recent past—and health information management (HIM) professionals play an essential role in achieving this reality. To achieve success in the new value-based world, both payers and providers must work together to develop the most efficient means of sharing data, managing risk, validating provider credentials, processing claims, controlling costs, and optimizing the consumer experience. However, in the realm of provider data management (PDM), efforts directed towards payer-provider collaboration are expensive and time-consuming...

ANNOUNCEMENTS

Beginning February 10, 2020, Anthem Blue Cross will begin using Availity’s medical attachment functionality to request and obtain medical records from providers during its post-payment claims review (audit) process. To utilize this functionality, providers must opt into the medical attachment functionality through the permissions in Availity’s enrollment center. Providers who have not opted in will continue to receive requests via paper...

AVAILITY IN THE NEWS

Financial information systems are an integral part of the healthcare information technology machine. Without them, healthcare does not get paid for. That’s why healthcare CIOs and CFOs need to keep these invaluable information systems humming—and humming optimally. There’s always room for improvement, so CIOs, CFOs, and other health IT leaders need to know how to optimize these systems so that they are working at peak levels and helping healthcare provider organizations achieve their specific goals...

AVAILITY IN THE NEWS, MANAGEMENT AND LEADERSHIP

Jean Ribault High School is giving students more opportunities through a new partnership that is bringing mentorship inside and outside the classroom. A group of freshmen will be taking part in a new program called “Beyond School Walls.” ...

AVAILITY IN THE NEWS

The cost of prior authorization requirements on physician practices has continued to increase - up 60% in 2019 to manually generate a request to insurers. The just-released CAQH 2019 Index, which concluded that the healthcare industry can save $13.3 billion on administrative waste through the automation of eight transactions (including prior authorizations), said the medical industry could see potential annual savings of $454 million by transitioning to electronic prior authorizations.

AVAILITY IN THE NEWS, FEATURED ARTICLES

Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM).

AVAILITY IN THE NEWS, PRESS RELEASES

Patients deserve access to the safest, most effective and highest-quality care. To achieve that goal, health insurance providers may use prior authorization – a systematic approach based on clinical evidence and data that ensures patients receive safe and effective treatments. Today, America’s Health Insurance Plans (AHIP), along with several of our member insurance providers, is launching the Fast Prior Authorization Technology Highway (Fast PATH) initiative to improve the prior authorization process...

ANNOUNCEMENTS, PRESS RELEASES

A new paper in JAMA found that 30% of all healthcare spending is wasted. This is not a new story for healthcare professionals, but the sheer size of the waste—$760 billion to $935 billion—can give even the most grizzled industry veterans pause. The authors measured waste in six broad categories: failure of care delivery, failure of care coordination, over-treatment or low-value care, pricing failure, fraud and abuse, and administrative complexity. In five of the domains, the researchers identified potential cost-savings through various efficiency initiatives, technology advancements, and policy prescriptions.

ANNOUNCEMENTS, PRESS RELEASES

Availity, the nation’s largest real-time health information network, named Frank J. Manzella its new Senior Vice President of Corporate Development & Strategy. An experienced healthcare executive and investor with broad strategic expertise and transaction experience, Manzella’s focus will be to provide critical insights and guidance for potential acquisitions designed to significantly expand Availity’s capabilities ...

AVAILITY IN THE NEWS, PRESS RELEASES, ANNOUNCEMENTS

Sixty-seven percent of all provider organizations in the United States attest the accuracy of their provider directories, credentialing, and other demographic data through the industry-leading, multi-payer intelligent portal of Availity, the nation’s largest real-time health information network. So far this year, 263,000 provider organizations, representing almost 1 million physicians, utilized Availity to make more than 7 million updates or corrections to their directories.

AVAILITY IN THE NEWS

Revenue cycle management technology is at the heart of the administrative side of business at every hospital and health system. It is key to daily operations. As such, healthcare CIOs and other IT professionals must take great care when implementing RCM systems. Getting revenue cycle done right – and done right the first time – is imperative. Here, five experts in the field of revenue cycle management IT offer Healthcare IT News readers their expertise when it comes to identifying and deploying best practices for implementing this all-important technology.

AVAILITY IN THE NEWS

Welcome back to Faces of HR. In this space every Friday, we will profile one of your peers, learn about his or her experiences as and feelings about being an HR professional, what the person’s goals are, and how he or she hopes to accomplish those goals—and get to know a little about your peer as a person along the way! Today we’re learning about Jessica Micciche, Senior Vice President and Chief Human Resources Officer at Availity, the nation’s largest real-time health information network.

PRESS RELEASES

Jacksonville, Fla—July 24, 2019—Availity, the nation’s largest real-time health information network, named Jessica Micciche its new Senior Vice President and Chief Human Resources Officer. With 15 years of HR experience in high-tech and manufacturing environments, Micciche is tasked with all aspects of human resources including culture, talent acquisition and management, leadership, human capital analytics, compensation and benefits

ANNOUNCEMENTS, AVAILITY IN THE NEWS, CLAIMS AND PAYMENTS, REVENUE AND COST STRATEGIES

Jacksonville, Fla—June 18, 2019— Black Book Market Research LLC awarded Availity, the nation’s largest real-time health information network, its highest ranking for Ambulatory Claims Management and Physician Clearinghouse Solutions, in a comprehensive survey of more than 1,600 hospital and health system executives, directors, and managers.

AVAILITY IN THE NEWS

The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) have proposed new rules designed to give patients greater control over their own data and advance interoperability across the healthcare industry. Should the rule be finalized in its current form, millions of patients will have unprecedented access to and control over their own health information by 2020.

ANNOUNCEMENTS, PRESS RELEASES

IRVINE, Calif.--(BUSINESS WIRE)--Feb. 11, 2019-- For healthcare providers, the laborious process of registering patients, estimating costs, collecting up-front payments, reducing denials and securing overall financial clearance is challenging, requiring the immediate need for efficiency and improved workflow. As deductibles rise, patient demand for cost transparency prior to service is skyrocketing. To meet these needs, NextGen Healthcare, Inc. (NASDAQ:NXGN), the leading provider of ambulatory-only technology solutions, and Availity, the nation’s largest real-time health information network, have collaborated to offer clients NextGen® Pre-Service Solutions.

AVAILITY IN THE NEWS, ANNOUNCEMENTS

In theory, healthcare consumerism is a straight-forward idea: Shifting costs to consumers, typically in the form of high-deductible health plans (HDHPs), will give them an incentive to make informed, judicious decisions about the healthcare services they purchase. In practice, consumers have been slow to shop for health care based on price, despite high enrollment levels in HDHPs, with the National Center for Health Statistics reporting that nearly 40 percent of consumers purchased private HDHPs in 2016, up from 26 percent in 2011.

AVAILITY IN THE NEWS, ANNOUNCEMENTS

medQ, Inc. and Availity announced an agreement to provide Availity Patient Access and AuthPal services through the Q/ris 3000 workflow suite of products. With this integration, Q/ris 3000 will quickly process physician orders, obtain prior authorizations, and verify insurance for all diagnostic imaging procedures. In addition, the Q/ris 3000 integrated app will also calculate how much patients will owe for that exam to ensure they are aware of their financial obligations prior to arrival for the procedure.

AVAILITY IN THE NEWS, FEATURED ARTICLES, ANNOUNCEMENTS

Starting Monday, Jacksonville-based Availity LLC and about 400 employees will operate at its new headquarters offices at Town Center One. Until then, most employees will work from home as the move is completed to the newly constructed building at 5555 Gate Parkway, across Butler Boulevard from St. Johns Town Center.

ANNOUNCEMENTS, AVAILITY IN THE NEWS, PRESS RELEASES

Stamford, CT, June 11, 2018 – FUJIFILM Medical Systems, U.S.A., Inc., a leading provider of Enterprise Imaging and Medical Informatics solutions, announced a new collaboration in its health IT portfolio to enhance access for clinicians and patients. Fujifilm has joined forces with Availity, the nation’s largest payer and provider engagement network, to provide an integrated solution for patient financial engagement and automated insurance pre-authorizations. Both vendors recently attended the RBMA conference and highlighted their new partnership.

ANNOUNCEMENTS, AVAILITY IN THE NEWS, MANAGEMENT AND LEADERSHIP, PRESS RELEASES

Availity, the nation’s largest real-time health information network, named Damien Creavin its new Chief Technology Officer. Availity’s New Chief Technology Officer Brings a Fresh Perspective to Healthcare.

ANNOUNCEMENTS, AVAILITY IN THE NEWS, PRESS RELEASES, CLAIMS AND PAYMENTS

Availity, the nation’s largest HITRUST-certified health information network, and IDS, a leader in healthcare cloud information management services, announced the successful integration of Availity’s pre-service authorization and patient access solutions into AbbaDox RIS, the cloud-based health information management platform developed by IDS.

AVAILITY IN THE NEWS

George Orwell wrote, “To see what is in front of one’s nose needs a constant struggle.” This is health care’s problem. We have spent — and will continue to spend — billions of dollars developing, buying and marketing state-of-the-art technology designed to create care that is transparent, cost-effective and patient-centered. However, in our pursuit of the future, we’re overlooking foundational elements that make the health-care system patients deserve more difficult to achieve.

FEATURED ARTICLES, MANAGEMENT AND LEADERSHIP, PRESS RELEASES

The Integrated Healthcare Association (IHA) announced their selection of Gaine Healthcare and Availity as the technology vendors for the launch of the statewide Provider Directory Utility (PDU). The first of its kind in the state, the PDU will offer a centralized, cloud-based platform for providers and health plans to update, manage, and exchange their provider data.

AVAILITY IN THE NEWS

eHealth Initiative released their final report, The Role of Technology in Value-Based Care & Patient Engagement, which gained insight, from an industry perspective, on the impact of healthcare reimbursement policies on technology and revenue cycle. Twelve executives, primarily from provider organizations and health information networks (HINs), were interviewed for this research project. Analytics were a prominent theme and interviewees felt strongly about the value of data in improving patient outcomes.

PRESS RELEASES

Availity, the nation’s largest real-time health information network, praised the recent announcement by physicians, pharmacists, medical groups, hospitals and health plans to streamline the prior authorization processes.

AVAILITY IN THE NEWS

Data Dimensions, a leader in business process automation, and Availity, the nation’s largest real-time health information network, now offer the workers’ compensation market a new way to connect payers and providers by leveraging Availity’s Provider Engagement Portal as part of Data Dimensions’ Shared Services solution. This multi-payer platform serves as an entry point for providers who require secure access to their payers regarding clinical and administrative transactions.

AVAILITY IN THE NEWS

Thanks to a new relationship with Availity, LLC, Amedisys, Inc, one of the nation’s leading home health, hospice and personal care providers, is processing authorizations more efficiently – and less costly. Previously, Amedisys processed every authorization for managed care claims manually, through either a website or a phone call, requiring 15 to 20 minutes per claim. As a result, authorizations often took too long to complete, thus raising administrative costs and at times, delaying patient care. To address those longstanding challenges, Amedisys forged a relationship with Availity, the nation’s largest real-time health information network. Availity electronically synthesizes and shares data in real-time between providers and health plans nationwide.

 

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