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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
HIP One
HIP One

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Direct
Direct

0 review

Categories

Solutions

Description

Product Description:
HIP One harnesses advanced AI and GenAI capabilities, enhancing the productivity of clinical and business operations teams by an impressive 30-50%. The platform’s built-in security, privacy, and compliance ensures that innovation is delivered responsibly and in full adherence to industry standards. By delivering comprehensive, integrated solutions, HIP One eliminates the need for building point-specific tools. That’s because each module within HIP One is purpose-built to address multiple use cases, including: Prior Authorization (PA) Utilization Management (UM) Case management (CM) Medical Reviews
About Genzeon:

We are Genzeon—your trusted partner in healthcare transformation, delivering AI-powered solutions, seamless data integration, and technology that drives better outcomes.

Product Description:

Direct is the leading EHR-integrated cost transparency solution. The solution brings real-time, pharmacy benefit cost information, coverage restrictions, and alternatives into native EHR workflows. Giving providers cost information at the point-of-care enables data-driven and evidence-based decisions that help patients get the care they need at prices they can afford.

Features and Benefits:

 - Access to lower-cost alternatives increases care adherence and patient health and satisfaction

 - Select medications that do not require prior authorization

 - Reduced pharmacy/PBM/payer call-backs, prior authorization denials, and other uncompensated provider hassles

 - Uses native order workflows, is easy to implement

- Surfaces pharmacy alternatives to drive continuity of care and patient satisfaction

- Integrates patient affordability program offerings into RTPB results, showing best-cost options when insurance coverage isn't found or doesn't apply. 

About Arrive Health (RxRevu):

Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first. We improve access to the most affordable, quality care by delivering accurate, patient-specific cost and coverage data to providers, care teams, and patients. Collaborating with premier health systems, pharmacy benefit managers, payers, and healthcare IT vendors, Arrive Health is clearing the way for better health by reducing friction in care workflows and enabling meaningful conversations about access to care. To learn more, please visit ArriveHealth.com.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

HIP One is Genzeon’s AI-powered healthcare platform, designed to seamlessly integrate core business processes and clinical workflows on a single, intelligent platform. By eliminating manual workarounds and disjointed point solutions, HIP One delivers enterprise-wide efficiency, accuracy, and enhanced decision support for payers, providers, and healthcare organizations.

The platform’s built-in security, privacy, and compliance ensures that innovation is delivered responsibly and in full adherence to industry standards.

HIP One delivers enterprise-wide efficiency, accuracy, and enhanced decision support for payers, providers, and healthcare organizations.

Use Cases

Description:

Medical reviewers, nursing staff, and clinicians are required to examine medical records for claims and verify patient data related to prior authorizations and claims, also respond to specific questionnaires associated with each claim. Currently, this process is conducted manually, where they meticulously scrutinize each document to verify its accuracy and provide responses to the questionnaire. To assist in their assessments, they refer to both the provided claim document and the CMS document. Subsequently, based on their findings and responses to the questionnaire, they make recommendations regarding the claim as approval, denial or requesting further information. The duration of this entire process varies from a few hours to several days, depending on the number of pages in each document. 

Our medical review solution, developed with the assistance of GenAI, streamlines this process by employing an LLM to automatically respond to questionnaires. This solution helps the nursing staff to improve their productivity by 30-50% by automating the review of medical records. 

Pediatric use cases:

None provided

Users:

Anonymous nationwide payer client

Government payer entity

Description:

With accurate coverage and cost information displayed at the point-of-care, providers can:

- Avoid medications that require prior authorization

- Improve patient interactions and experience

- Streamline ordering workflows

- Reduce patient costs and non-adherence 

- Support continuity of care

Pediatric use cases:

Deliver accurate costs and alternatives at the point-of-care. For children covered under a PBM/payer we're connected to, we can deliver details on medication options and restrictions. 

Users:

Any prescriber or care team member can utilize our solution within their EHR's workflow. 

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, ERP system, Pop health platform, Access +/or revenue cycle, Credentialing

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Allscripts

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Athenahealth

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

Differentiators

Differentiators vs EHR Functionality:

Built by domain experts in specific claim and prior authorization types

Differentiators vs Competitors:

Flexible commerical structure

Platform capability vs point solution

Differentiators vs EHR Functionality:

Our solution is seamlessly embedded into EHR workflows, allowing for direct connections to payer and PBM source-of-truth data. EHRs typically allow for one or many connections to Real-Time Prescription Benefit solutions, but rarely have their own prescription price transparency capabilities built-in. 

Differentiators vs Competitors:

Arrive Health delivers the industry's most accurate, patient-specific cost and coverage information to the EHR. Many providers do not trust the pricing information displayed in their workflow because of its obsolete or incorrect nature (see whitepaper below). However, Arrive Health delivers data that providers can rely on, taking into consideration up-to-date copay and deductible information, benefit details, and preferred locations. We also display therapeutic alternatives that are covered under the patient's insurance, options that might not require prior authorization, and options at a health system's own internal pharmacy. 

Keywords

Images

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Videos

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HIP One - Short Demo

No videos provided

Downloads

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HIP One Sales Sheet
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Arrive Health - Health System Flyer.pdf

Alternatives

Company Details

Founded in 2013

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