Payer

Milliman MedInsight Announces Solution Availability in Microsoft Azure Marketplace

Retrieved on: 
Tuesday, March 5, 2024
Data science, MACC, Investment, Milliman, Microsoft Azure, HIPAA, Payer, VBC, Health, Organization, HITRUST, Microsoft, Environment

"We are excited to offer our products on Microsoft Azure Marketplace ," said Scott Ponder, VP of Strategic Business Development.

Key Points: 
  • "We are excited to offer our products on Microsoft Azure Marketplace ," said Scott Ponder, VP of Strategic Business Development.
  • "Milliman MedInsight on Azure brings cloud scale to clients' analytics and drives contextualized insights from their data.
  • The Milliman MedInsight Payer and VBC Platforms are currently offered on Azure Marketplace.
  • As an eligible solution on Azure Marketplace, Milliman MedInsight software customers can leverage the benefit of their purchase contributing towards their Microsoft Azure Consumption Commitment (MACC).

New 'Plutus Health Revenue Cycle Management Challenges Index, 2023' offers insights into healthcare revenue management

Retrieved on: 
Thursday, September 14, 2023
KPI, Insurance, RPA, File, Health care, Payer, RCM, Artificial intelligence, AI, Health, Automation, Customer service, Health insurance, DALLAS

DALLAS, Sept. 14, 2023 /PRNewswire-PRWeb/ -- The "Plutus Health Revenue Cycle Management Challenges Index, 2023" details some of the providers' top issues and how they plan to tackle them. The index by Plutus Health Inc. surveyed more than 200 healthcare providers about their revenue cycle management (RCM) processes and plans.

Key Points: 
  • The index by Plutus Health Inc. surveyed more than 200 healthcare providers about their revenue cycle management (RCM) processes and plans.
  • The 'Plutus Health Revenue Cycle Management Challenges Index, 2023' highlights insurance denials as a significant burden for healthcare providers.
  • "Our new ' Plutus Health Revenue Cycle Management Challenges Index, 2023 ' shows how big of a burden insurance denials are for healthcare providers.
  • For more insights into the challenges healthcare providers face in their revenue cycle management and the ways they've found to solve them, find more insights as well as the full " Plutus Health Revenue Cycle Management Challenges Index, 2023 " report on our website.

Simplify Healthcare’s Benefits1™.Medicare continues its market-leading position of managing 30% of the total nationwide PBP market share compliant with CMS modernization initiatives

Retrieved on: 
Tuesday, August 22, 2023
Payments, Data Management, Health, Technology, Practice Management, Software, Health care, EVP, Payer, Medicare, API, SBS, Video, Corio-PBP RNA motif, CMS, PBP, GM, HPMS, Health insurance

Simplify Healthcare , a leading healthcare Payer technology company, announced that its customers leveraged its Medicare Advantage benefit plan management solution — Benefits1™.Medicare — to complete another successful PBP bid management season post-CMS PBP modernization.

Key Points: 
  • Simplify Healthcare , a leading healthcare Payer technology company, announced that its customers leveraged its Medicare Advantage benefit plan management solution — Benefits1™.Medicare — to complete another successful PBP bid management season post-CMS PBP modernization.
  • Benefits1™.Medicare is the only solution in the marketplace to have successfully integrated with HPMS APIs for large-scale bid submissions, as well as importing data from the modernized HPMS portal.
  • “While Payers nationwide faced challenges with the modernized PBP filing process, Benefits1™.Medicare continued its market-leading position by complying with the CMS modernization initiative to account for over 30% of the total Medicare bids nationwide.
  • Our platform approach is committed to enabling a connected benefits journey within the Payer ecosystem while continuing to remain hyper compliant with CMS initiatives.” — Nirnay Patel , EVP and GM, Benefits1™, Simplify Healthcare.

Oxford Health Founder, Steve Wiggins, launches a new type of health insurance plan with nirvanaHealth’s Aria platform on Microsoft Azure

Retrieved on: 
Monday, August 14, 2023
Health Technology, Health Insurance, Insurance, Technology, Robotics, Pharmaceutical, Practice Management, Apps, Applications, Professional Services, Venture Capital, Artificial Intelligence, Software, Networks, Health, Medical Supplies, Oxbridge, RPA, Medicaid, Partnership, Oxford, PPO, Oxford Health Plans, HealthMarkets, Payer, HMO, Point, Multimedia, Preferred provider organization, Pharmacy, Government, Acos, Private health services plan, Health maintenance organization, Medicare, Patient, Risk, Machine learning, PBM, Architecture, Point of service plan, Health insurance, Apple, UnitedHealth Group

These capabilities will be linked to the Oxbridge platform to enable creative use of bundled payments and episode of care allowances in benefit plan designs.

Key Points: 
  • These capabilities will be linked to the Oxbridge platform to enable creative use of bundled payments and episode of care allowances in benefit plan designs.
  • “We are excited to work with Oxbridge to drive innovation and to help them launch with a highly competitive cost structure.
  • The Oxbridge platform has been designed to move up to 50% of an employer’s annual health benefit spending into episode of care programs.
  • The Aria platform was designed to administer any type of health benefit program, whether a Medicare or Medicaid plan, a commercial health insurance program, an employer self-funded plan or prescription drug programs.

Troy Medicare Selects nirvanaHealth’s Aria Platform that Runs on Microsoft Azure

Retrieved on: 
Thursday, July 20, 2023
Data Management, Technology, Pharmaceutical, General Health, Professional Services, Venture Capital, Artificial Intelligence, Clinical Trials, Biotechnology, Science, Software, Networks, Other Science, Internet, Research, Health, RPA, Partnership, Pharmacy, Marketing, Overalls, Payer, Intelligence, Microsoft, Multimedia, Sale, Medicare, Pharmacist, Machine learning, MA, Microsoft Azure, PBM, Artificial intelligence, Azure, JS Hachijō (MSO-303), Health insurance, Apple

nirvanaHealth and Troy Medicare announce their partnership to implement nirvanaHealth’s Medicare Advantage Platform-in-a-Box enterprise solution that runs on Microsoft Azure.

Key Points: 
  • nirvanaHealth and Troy Medicare announce their partnership to implement nirvanaHealth’s Medicare Advantage Platform-in-a-Box enterprise solution that runs on Microsoft Azure.
  • Troy Medicare will be migrating onto nirvanaHealth’s Aria Payer platform.
  • View the full release here: https://www.businesswire.com/news/home/20230720479255/en/
    Troy Medicare will use nirvanaHealth’s Aria platform as the backbone for its Payer operations.
  • nirvanaHealth’s Medicare Advantage complete enterprise solution includes its Aria platform, which leverages robotic process automation (RPA), machine learning (ML), and artificial intelligence.

nirvanaHealth's Payer & PBM business suite, Aria will go live during open enrollment this year and launch on Microsoft Azure Marketplace

Retrieved on: 
Monday, July 10, 2023
RFP, State, Risk, CMS, Payment, Microsoft, Dual exchange rate, Automation, Commission, Human back, Martin PBM Mariner, IPA, ACA, Tricare, Enrollment, Corporation, Microsoft Azure, PBM, Apple, ASO, August, Azure, Organization, Health insurance, Sales, Video game, Medicaid, Payer, Exchange, Medicare

SOUTHBOROUGH, Mass., July 10, 2023 /PRNewswire/ -- nirvanaHealth announces that Aria, the Payer & PBM business suite that will empower Payers & PBMs to design their own business solutions, will be available on Microsoft Azure and in the Azure Marketplace with a "try and buy" mode. nirvanaHealth is modernizing complex administrative & clinical operations for Payers & PBMs by offering thirty different modules as a one-stop-shop Payer & PBM business suite. Aria for Microsoft Azure is a build-your-own centralized digital workspace for Payer & PBM operations.

Key Points: 
  • nirvanaHealth is modernizing complex administrative & clinical operations for Payers & PBMs by offering thirty different modules as a one-stop-shop Payer & PBM business suite.
  • Aria for Microsoft Azure is a build-your-own centralized digital workspace for Payer & PBM operations.
  • With Aria for Microsoft Azure, Payers & PBMs can custom design their business solutions with Aria's 30+ different modules.
  • "With the introduction of Aria onto the Microsoft Azure ecosystem, Payers & PBMs can benefit from the flexibility and business user empowerment that Aria provides.

nirvanaHealth’s Payer & PBM business suite, Aria will go live during open enrollment this year and launch on Microsoft Azure Marketplace

Retrieved on: 
Monday, July 10, 2023
Venture Capital, Marketing, Advertising, Communications, Apps, Applications, Software, Digital Marketing, Other Science, Networks, Research, Pharmaceutical, Electronic Design Automation, Data Management, Technology, Science, Biotechnology, Insurance, Telemedicine, Virtual Medicine, Payments, Health, General Health, Finance, Artificial Intelligence, Health Technology, Professional Services, Health Insurance, RFP, RPA, State, Risk, CMS, Payment, Microsoft, Dual exchange rate, Pharmacy, Automation, Commission, Martin PBM Mariner, IPA, ACA, Tricare, Enrollment, Corporation, Microsoft Azure, PBM, Apple, ASO, Azure, Organization, Health insurance, Video game, Sales, Medicaid, Payer, Exchange, Medicare

nirvanaHealth is modernizing complex administrative & clinical operations for Payers & PBMs by offering thirty different modules as a one-stop-shop Payer & PBM business suite.

Key Points: 
  • nirvanaHealth is modernizing complex administrative & clinical operations for Payers & PBMs by offering thirty different modules as a one-stop-shop Payer & PBM business suite.
  • Aria for Microsoft Azure is a build-your-own centralized digital workspace for Payer & PBM operations.
  • With Aria for Microsoft Azure, Payers & PBMs can custom design their business solutions with Aria’s 30+ different modules.
  • “With the introduction of Aria onto the Microsoft Azure ecosystem, Payers & PBMs can benefit from the flexibility and business user empowerment that Aria provides.

XSOLIS to Sponsor, Speak at America's Health Insurance Plans 2023 Conference

Retrieved on: 
Thursday, June 8, 2023
Health Insurance Plan of New Jersey, Workflow, Health care, Payer, Friction, Nursing care levels, AHIP, UR, Artificial intelligence, Growth, AI, Health, Conference, Medical device

NASHVILLE, Tenn., June 8, 2023 /PRNewswire/ -- XSOLIS, the artificial intelligence (AI) technology company creating a more efficient healthcare system, announced today that Chief Medical Officer Dr. Heather Bassett and Vice President of Payer Strategy Michael Drescher will speak at America's Health Insurance Plans (AHIP) 2023 Conference happening June 13-15, 2023, in Portland, Oregon.

Key Points: 
  • NASHVILLE, Tenn., June 8, 2023 /PRNewswire/ -- XSOLIS , the artificial intelligence (AI) technology company creating a more efficient healthcare system, announced today that Chief Medical Officer Dr. Heather Bassett and Vice President of Payer Strategy Michael Drescher will speak at America's Health Insurance Plans (AHIP) 2023 Conference happening June 13-15, 2023, in Portland, Oregon.
  • As the healthcare industry seeks to reduce administrative waste for improved efficiency and collaboration amid resource constraints, XSOLIS also announced an unprecedented 177% growth in its payer connections since the company's first presence at the AHIP Conference in 2022.
  • XSOLIS is proud to be a silver sponsor of the AHIP 2023 Conference, which brings together the people, ideas and solutions to guide greater health for years to come.
  • Learn from recent results, including UR workflow improvements and efficiencies gained by automating status determinations.

Simplify Healthcare Launches Simplify Health Cloud™ to Enable Connected Benefits and Provider Journeys Based on Clean and Rich Product, Benefits, and Provider Data

Retrieved on: 
Thursday, April 20, 2023
Software, Managed Care, Professional Services, Fintech, Payments, Technology, Health Technology, Health Insurance, Insurance, Human Resources, Practice Management, Health, Health care, Payer, Growth, Credentialing, NLP, Catalog, Health insurance, Payment

Simplify Healthcare , a leading healthcare Payer technology company launched their much-awaited flagship Payer platform, Simplify Health Cloud™ – a common platform that will enable Payers to simplify product, benefits, and provider lifecycle management.

Key Points: 
  • Simplify Healthcare , a leading healthcare Payer technology company launched their much-awaited flagship Payer platform, Simplify Health Cloud™ – a common platform that will enable Payers to simplify product, benefits, and provider lifecycle management.
  • This innovative platform will unleash powerful capabilities by streaming provider and benefits data across the Payer ecosystem.
  • Simplify Health Cloud™ enables connected benefits and provider journey on a foundation of clean and rich products, benefits, and provider data across the Payer ecosystem.
  • “Today marks the next major step in the evolution of how benefits and provider data will fuel innovation at Payers,” said Mohammed Vaid , CEO, and Chief Solution Architect, Simplify Healthcare.

Antidote Health Selects nirvanaHealth’s Aria Platform to Power its Anticipated Launch of Insurance Plans on the ACA Exchange

Retrieved on: 
Wednesday, March 29, 2023
Venture Capital, Other Communications, Marketing, Advertising, Communications, Other Technology, Software, Digital Marketing, Networks, Pharmaceutical, Electronic Design Automation, Data Management, Technology, Business, Other Professional Services, Insurance, Telemedicine, Virtual Medicine, Payments, Health, General Health, Finance, Artificial Intelligence, Accounting, Health Technology, Professional Services, Health Insurance, RPA, Telehealth, Amazon Web Services, Diabetes, Payer, ML, Multimedia, Pharmacy, Sale, Hypertension, Machine learning, Risk, PBM, Artificial intelligence, AI, Mental health, AWS, MSO, Health care, Pharmaceutical industry, Health insurance, Apple

Antidote Health, a leading telehealth company, has chosen nirvanaHealth’s Aria platform to power its backend operations as it transforms the future of health care.

Key Points: 
  • Antidote Health, a leading telehealth company, has chosen nirvanaHealth’s Aria platform to power its backend operations as it transforms the future of health care.
  • With nirvanaHealth, Antidote Health will be able to support its ambitious mission to provide accessible and affordable healthcare to all Americans.
  • nirvanaHealth will provide Antidote Health with payer business services and operate as its full-service pharmacy benefit manager (PBM), enabling Antidote Health to expand its current telemedicine services to include a novel, virtual-first insurance offering on the ACA Exchange.
  • After careful consideration, Antidote Health selected nirvanaHealth for its ability to support our upcoming insurance offering with a comprehensive, industry leading solution,” says Avihai Sodri, co-founder and CEO of Antidote Health.