The Health Plan Serving Over 200,000 Covered Lives Selects NantHealth’s NaviNet® Open to Drive Provider Engagement Strategy
January 28 2020 - 6:33PM
Business Wire
New Partnership to Enable Cost Savings and
Rapid ROI Across the Continuum of Care
NantHealth, Inc. (NASDAQ: NH), a next-generation,
evidence-based, personalized healthcare company, today announced
its partnership with The Health Plan, a clinically driven,
technology-enhanced and customer-focused health maintenance
organization, to increase operating efficiency, lower costs and
improve provider satisfaction via the full suite of NaviNet® Open
Multi-Payer Portal applications.
The Health Plan is one of the largest locally managed care
organizations in West Virginia and Ohio, serving over 200,000
covered lives, and is committed to providing high quality,
comprehensive and cost-effective healthcare to members.
NaviNet Open is a leading payor-provider collaboration platform,
enhancing communication between health plans and providers to
increase operating efficiency, lower costs, improve provider
satisfaction and enable expansion. As organizations develop more
value-based product lines to support the transition to value-based
care, provider alignment and actionable data prior to care delivery
becomes critical. To enable these capabilities, health plans and
providers need a flexible, extensible infrastructure that fosters
collaboration and encourages interoperability. NaviNet Open
delivers vital administrative and clinical information to providers
in real-time, so they can quickly and easily communicate across
multiple health plans.
“NantHealth’s NaviNet Open delivers an easy-to-use full-service
application capable of reducing customer service calls and manual
processes,” said Jason Landers, Senior Vice President Provider
Delivery Services, The Health Plan. “Considering that 85% of our
provider networks are active NaviNet Open users, we’ll immediately
have the ability to securely and quickly obtain both clinical and
administrative functions, with minimal provider adoption effort.
This alone is a huge differentiator for us, and we’re projecting a
positive ROI in the first year of usage.”
Under terms of the partnership, NaviNet Open will drive The
Health Plan’s provider engagement strategy through the NaviNet Open
portal, comprised of Eligibility and Benefits, Claims Status
Inquiry, Claims Management, Authorizations, Referrals and Document
Exchange. The portal will enhance communications by building trust,
boosting provider satisfaction, and more closely aligning to
value-based outcomes.
“We’re excited to be working in partnership with The Health Plan
to enable a direct connection with their provider networks with an
outcome of impressive cost savings, ongoing support, product
improvements, and enhanced communications,” said Mark Mozley,
Senior Vice President, Global Sales & Marketing, NantHealth.
“NaviNet Open will continue to drive towards The Health Plan’s
overarching goals to achieve instant ROI with decreased
administrative costs and an improved provider network
collaboration.”
About NantHealth:
NantHealth, a member of the NantWorks ecosystem of companies,
provides leading solutions across the continuum of care for
physicians, payors, patients and biopharmaceutical organizations.
NantHealth enables the use of cutting-edge data and technology
toward the goals of empowering clinical decision support and
improving patient outcomes. NantHealth’s comprehensive product
portfolio combines the latest technology in payor/provider
platforms that exchange information in near-real time (NaviNet and
Eviti), connected care solutions that deliver medical device
interoperability (DCX device connectivity platform and VCX patient
vitals software) and molecular profiling services that combine
comprehensive DNA & RNA tumor-normal profiling with
pharmacogenomics analysis (GPS Cancer®). For more information,
please visit www.nanthealth.com or follow us on Twitter, Facebook
and LinkedIn.
About The Health Plan:
The Health Plan (www.healthplan.org), a not-for-profit, West
Virginia-based organization that employs over 550 people and
insures over 200,000 individuals across the country, is a
clinically driven, technology-enhanced, and customer-focused health
maintenance organization that manages and improves the health and
well-being of its members. Established in 1979, the West
Virginia-based company, with offices in Wheeling, Charleston and
Morgantown, West Virginia and Massillon, Ohio offers a complete
line of managed care products and services designed to provide
health care systems and clients with innovative health care
benefits and plans at a reasonable cost across the mid-Atlantic
region and nationally.
Forward-Looking Statements: NantHealth
This news release contains certain statements of a
forward-looking nature relating to future events or future business
performance. Forward-looking statements can be identified by the
words “expects,” “anticipates,” “believes,” “intends,” “estimates,”
“plans,” “will,” “outlook” and similar expressions. Forward-looking
statements are based on management’s current plans, estimates,
assumptions and projections, and speak only as of the date they are
made. Risks and uncertainties include, but are not limited to: our
ability to successfully integrate a complex learning system to
address a wide range of healthcare issues; our ability to
successfully amass the requisite data to achieve maximum network
effects; appropriately allocating financial and human resources
across a broad array of product and service offerings; raising
additional capital as necessary to fund our operations; achieving
significant commercial market acceptance for our sequencing and
molecular analysis solutions; establish relationships with, key
thought leaders or payers’ key decision makers in order to
establish GPS Cancer as a standard of care for patients with
cancer; our ability to grow the market for our Systems
Infrastructure, and applications; successfully enhancing our
Systems Infrastructure and applications to achieve market
acceptance and keep pace with technological developments; customer
concentration; competition; security breaches; bandwidth
limitations; our ability to continue our relationship with
NantOmics; our ability to obtain regulatory approvals; dependence
upon senior management; the need to comply with and meet applicable
laws and regulations; unexpected adverse events; clinical adoption
and market acceptance of GPS Cancer; and anticipated cost savings.
We undertake no obligation to update any forward-looking statement
in light of new information or future events, except as otherwise
required by law. Forward-looking statements involve inherent risks
and uncertainties, most of which are difficult to predict and are
generally beyond our control. Actual results or outcomes may differ
materially from those implied by the forward-looking statements as
a result of the impact of a number of factors, many of which are
discussed in more detail in our reports filed with the Securities
and Exchange Commission.
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NANT Jen Hodson Jen@nant.com 562-397-3639
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