Pilot initiative to be launched through one of
Hawai‘i’s largest healthcare providers
Magellan Health, Inc. (NASDAQ: MGLN) today announced a
collaboration with Stanson Health, Premier, Inc.’s clinical
decision support (CDS) technology division, to deploy an
industry-leading automated prior authorization (PA) solution at the
point of care. Magellan’s enhanced CDS Tool, DecisionPoint, which
will be powered by Premier’s CDS technology, supports true
automation of the prior authorization process within the electronic
health record (EHR) and physician workflow.
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DecisionPoint (Graphic: Business
Wire)
DecisionPoint is built with Magellan Healthcare’s Advanced
Imaging Management program clinical guidelines and Premier’s
award-winning technology platform. The tool will provide clinical
guidelines for determining the medical necessity of certain imaging
procedures to inform providers and enable authorization
determinations in real time, improving efficiency of the overall PA
process for providers and health plans, while also enhancing the
member experience and maintaining clinical integrity.
“As a national leader in digital and clinical innovation, we
continuously focus on building more provider-friendly approaches
that reduce inefficiencies throughout the healthcare delivery
system,” said Gus Giraldo, Magellan Healthcare’s president of
behavioral and specialty health. “Our collaboration with Premier is
an example of our ongoing efforts to advance the industry
commitment to automate prior authorization for better care
delivery. With DecisionPoint, providers and payers can experience
greater value through more effective processes combined with
Magellan’s high level of clinical intensity.”
As part of the collaborative initiative, Hawai‘i Pacific Health
(HPH) and other provider groups will participate in a pilot of
Magellan’s guidelines embedded in the system. HPH is one of the
largest healthcare providers in Hawai‘i, with four major medical
centers and more than 70 locations statewide. The pilot will be
administered though Hawai‘i Health Partners, HPH’s Accountable Care
Organization (ACO). The pilot will leverage Magellan’s clinical
guidelines for the top-utilized advanced imaging studies, as well
as Magellan’s full panel of clinical experts.
“Being one of the first to implement an enhanced CDS system is
part of our goal to be the leader in healthcare transformation in
Hawai‘i. It is our hope that this system will assist providers in
delivering the most appropriate care, help streamline care delivery
and ease provider workflow,” said Gerard Livaudais, M.D., vice
president of Hawai‘i Health Partners. “This will ultimately enhance
the patient experience, as well as the quality of care that our
patients receive.”
The healthcare industry is in the midst of a significant
paradigm shift as it transitions from fee-for service models to
value-based care. As a technology-augmented service backed by the
support of providers, DecisionPoint is designed to minimize the
industry’s challenges by fully integrating with EHRs at the point
of care to enable more timely, automated PAs.
“We look forward to working with Magellan and Hawai‘i Pacific
Health to pilot this initiative,” said Scott Weingarten, M.D.,
chief executive officer of Stanson Health, a Premier Company. “Our
approach to prior authorization will help ensure that patients
receive real-time authorization decisions and evidence-based care
whenever possible. We believe that this approach, using machine
learning and AI algorithms, should improve patient experience,
provider satisfaction, and the affordability of care.”
DecisionPoint, initially focused on Magellan’s advanced imaging
studies, is expected to be available to additional providers in the
fourth quarter of 2019 and will expand to additional product lines
in the future. This will include further clinical decision-making
capabilities to assist physicians and patients in optimizing the
care plan. For more information, please visit
MagellanHealthcare.com or email
ProviderSolutions@MagellanHealth.com.
About Premier, Inc.
Premier, Inc. (NASDAQ: PINC) is a leading healthcare improvement
company, uniting an alliance of more than 4,000 U.S. hospitals and
health systems and approximately 165,000 other providers and
organizations to transform healthcare. With integrated data and
analytics, collaboratives, supply chain solutions, and consulting
and other services, Premier enables better care and outcomes at a
lower cost. Premier plays a critical role in the rapidly evolving
healthcare industry, collaborating with members to co-develop
long-term innovations that reinvent and improve the way care is
delivered to patients nationwide. Headquartered in Charlotte, N.C.,
Premier is passionate about transforming American healthcare.
Please visit Premier’s news and investor sites on
www.premierinc.com; as well as Twitter, Facebook, LinkedIn,
YouTube, Instagram and Premier’s blog for more information about
the company.
About Magellan Health: Magellan Health, Inc., a Fortune
500 company, is a leader in managing the fastest growing, most
complex areas of health, including special populations, complete
pharmacy benefits and other specialty areas of healthcare. Magellan
supports innovative ways of accessing better health through
technology, while remaining focused on the critical personal
relationships that are necessary to achieve a healthy, vibrant
life. Magellan's customers include health plans and other managed
care organizations, employers, labor unions, various military and
governmental agencies and third-party administrators. For more
information, visit MagellanHealth.com.
About Hawai‘i Pacific Health: Hawai‘i Pacific Health is a
not-for-profit health care system with over 70 locations statewide
including medical centers, clinics, physicians and other caregivers
serving Hawai‘i and the Pacific Region with high quality,
compassionate care. It’s four medical centers—Kapi‘olani Pali Momi,
Straub and Wilcox—specialize in innovative programs in women’s
health, pediatric care, cardiovascular services, cancer care, bone
and joint services and more. Hawai’i Pacific Health is recognized
nationally for its excellence in patient care and the use of
electronic medical records to improve quality and patient
safety.
About Hawai‘i Health Partners: Hawai‘i Health Partners,
an affiliate of Hawai‘i Pacific Health, is a physician-led
Accountable Care Organization (ACO) with the goal of providing high
quality care, increased efficiency and optimal patient health. It
is Hawai‘i's first and only ACO with over 800 physician
members.
(MGLN-GEN)
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version on businesswire.com: https://www.businesswire.com/news/home/20190807005062/en/
Media Contact: Lilly Ackley, ackleyl@magellanhealth.com,
(860) 507-1923 Investor Contact: Joe Bogdan,
jbogdan@magellanhealth.com, (860) 507-1910
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