Posts tagged "payer"

March 4, 2012

Health Payers and Providers Ease into the Era of Accountable Care

Posted by

.

 

A funny thing is happening on the way to health reform; the business of healthcare in the US is gradually coming of age. Although not without its share of trials and challenges, a developing trend of comprehensive outcomes-based models are now shedding light on age-old issues like care delivery and payment structures.
.
These new “shared savings” models, which in the most basic explanations are simplified as “pay for treatment quality vs. quantity,” aim to motivate providers who voluntarily differentiate themselves by shifting focus to improving patient care while reducing avoidable costs over time, and away from being solely incentivized on a fee-for-service basis. The models, including Accountable Care Organizations (ACO), Patient Centered Medical Homes (PCMH), and Programs of All-Inclusive Care for the Elderly (PACE), offer the potential for transformational change through connected health. They each subscribe to the concept that coordination of all available resources will keep the patient as healthy as possible while significantly bolstering efficiency and strengthening the physician-patient relationship

11:05 AM Permalink
December 22, 2011

Health Payers Turn to Adobe to Optimize Provider Contracting

Posted by

 

Relationships between health payers and their provider networks have traditionally been complex on multiple levels. Until recently, such complexity was often apparent from the very start of each relationship, as tenuous onboarding processes forced new network providers to wait weeks before treating their first patients. Meanwhile, contractual agreements and related documents bounced back and forth for updates, approvals, and signatures.

However, this costly bottleneck has now been completely removed for many leading health payers as they launch solutions powered by Adobe EchoSign, a disruptive cloud-based technology for electronic signatures and contract management.

Since acquiring EchoSign, we have seamlessly integrated this pioneering solution into the Adobe document exchange services platform, including the ubiquitous Adobe Reader and newly launched iPad app, for securely providing universal service access while satisfying rigorous compliance requirements.

 

Impressive results throughout the global health payer community have been garnering attention in the public sector too, as Medicaid agencies and others face workflow challenges similar to their commercial counterparts.

At Aetna, where the average contract processing time was decreased from three weeks to one day, three-quarters of all contractual transactions with providers are now electronic. Additionally, Aetna has significantly reduced its carbon footprint, as well as costs associated with postage and paper. These changes helped Aetna earn the 2011 InfoWorld Green 15 Award, presented by International Data Group (IDG).

“As a health care benefits company, we also are focused on creating a healthy environment. Our paperless contracting is one way we are advancing this mission,” said Carl King, head of National Networks and Contracting Services for Aetna.

At Cigna, average onboarding times for new physicians and small practices have been cut in half. As their expansive provider network continues to grow at a rate of over 20,000 new providers per year, over a million pages of contracts are efficiently managed digitally with the auditable Adobe EchoSign solution.

5:39 PM Permalink