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Solution interoperability is the ability of different healthcare industry software systems, devices, and applications to communicate with each other, seamlessly exchange data and information, and work together in a coordinated fashion. It is the central nervous system that powers health system business objectives and strategy. Until relatively recently, interoperability was largely an IT function with a point-to-point approach. Policy changes like the 2014 HITEC Act and the 2016 21st Century Cures Act established broader data sharing standards and created the necessary regulatory framework to support effective and secure information sharing. In 2020, the Office of the National Coordinator for Health Information Technology (ONC) issued the Cures Act Final Rule, which clarified and enforced regulations related to information sharing among healthcare organizations and patients’ access to their electronic health data.

AVIA Marketplace's Top Interoperability Companies Why interoperability matters What leading solutions offer AVIA Marketplace’s top interoperability companies

In today’s rapidly evolving healthcare landscape, optimizing revenue cycle management (RCM) in healthcare is paramount for providers aiming to maintain financial health while delivering exceptional patient care. However, traditional RCM solutions suffer from glaring inefficiencies that lead to frustrated patients and lost revenue. Enter the digital front door (DFD)—a holistic approach that enhances RCM by digitizing and centralizing various aspects of the patient journey. By streamlining everything from intake to bill pay, the DFD drives efficiency and addresses many of the shortcomings of traditional RCM along the way.

AVIA Marketplace's Top Revenue Cycle Management (RCM) Companies Report | Fall 2024

Digital RCM solutions are software platforms and technologies that automate and optimize the healthcare revenue cycle. These tools leverage advanced algorithms, artificial intelligence, and data analytics to streamline financial processes, improve efficiency, reduce errors, and provide actionable insights.

The Top Digitally-Assisted Provider Documentation Companies Report is a resource designed to guide healthcare professionals in their quest for exceptional workforce solutions. This report offers perspective on prominent provider documentation companies as reflected in the client reviews gathered on AVIA Marketplace and presents a selection of leading-edge solutions and companies.

Prior authorization is a management process by which health care providers obtain approval from payers before delivering specific services in order to prevent lost revenue and reduce expenses.

The Top Digital Prior Authorization Companies Report is intended to provide healthcare leaders with a broad view of the prior authorization process and showcase standout companies and solutions with proven market traction. Users can view quick summaries to help them identify which solutions might meet their needs and visit AVIA Connect to access detailed profiles and verified client lists, compare solutions, and generate Match Scores to narrow their selections.

With its end-to-end automation platform VALER, Voluware offers a unified solution for prior authorizations, referrals management, and eligibility and coverage. VALER fully automates prior authorization submissions and includes a comprehensive form library and real-time payer information and status monitoring. The cloud-based solution covers all service types, including professional, facility, technical, pharmacy, and DME authorization workflows, and creates a centralized communication hub to capture faxed medical necessity documentation and phone exchanges with payers.

Prior authorization, or PA, remains a massive administrative burden for health plans and their provider partners, and often delays patient care. It also represents an untapped opportunity to improve patient care journeys and enable more successful value-based care arrangements. The Cohere Unify™ solution suite automates prior authorization intake and decisioning to drive administrative efficiency, while adding clinical intelligence to speed and improve patient outcomes.

At Arrive Health, the patient-provider relationship is our true north. Our solutions leverage accurate, patient-specific data to help providers reach the best decisions with their patients. With real-time notifications for coverage restrictions and prior authorization details, as well as automatic initiation of the electronic prior authorization (ePA) process, providers can significantly reduce administrative burden and ensure transparent communication with patients and care teams. Our directly connected network combines real-time prescription benefit data (from payers and PBMs) with automated ePA capabilities to reduce provider burden, improve patient engagement, and speed time to therapy.

Change Healthcare is focused on enabling a better, more efficient healthcare system through the power of the Change Healthcare platform. Our goal is to help payers, providers, and consumers improve clinical and financial outcomes so that everyone in the healthcare system can thrive. Despite all the automation innovations that exist today, authorization automation remains a complex challenge. Although the industry has recognized some success, many gaps still exist that require costly human intervention. The manual nature of prior authorization, the need for clinical documentation, and payer connectivity are some of the challenges Change Healthcare is solving today.

AVIA Marketplace's Top Prior Authorization Companies Why prior authorization matters What leading solutions offer AVIA Marketplace’s top prior authorization companies

Recently, I had the privilege of attending the AHA Rural Health Conference, a gathering that brings together healthcare professionals, administrators, and advocates from across the nation to address the unique challenges and opportunities within rural healthcare. The experience was not only enlightening but also deeply inspiring, highlighting the resilience, innovation, and dedication of those at the forefront of rural health. Reflecting on the conference, I’d like to share three key themes and takeaways that resonated with me, in the hope of offering some insights and encouragement to others navigating this vital field.

As a practicing physician, I, like many others, can easily become overwhelmed by administrative burden and information overload. Seeing many patients in a matter of minutes, means I have limited time to digest relevant information from the patient chart that could positively impact the way I deliver personalized care. Every day, clinicians search through numerous tabs in the EHR to gather data before seeing patients —reviewing new labs, notes, and telephone encounters. This leaves less time for patient encounters and even less time to research evidence-based care based on unique patient experiences. This discrepancy between best practice and care delivered, coupled with lots of wasted physician time, leads to suboptimal patient outcomes.

AVIA Marketplace's Top Clinical Decision Support (CDS) Companies Report | Fall 2024

What is clinical decision support (CDS)? Clinical decision support solutions encompass digital tools and systems that assist healthcare professionals in making clinical decisions for diagnosis, treatment, and management by providing them with evidence-based information, guidelines, and recommendations.

AVIA Marketplace's Top Ambient Intelligence Companies Report | Fall 2024

Technologies that include unobtrusive solutions, sensors, and devices embedded in the physical environment that continuously collect data and enable autonomous detection, prediction, intervention and other intelligent support. AmI systems are context-aware, adapting to changing needs, and offering real-time support like alerts or recommendations. Ambient intelligence relies on a combination of technologies, including: Internet of things (IoT): Connecting everyday objects to the internet to collect and exchange data. Artificial intelligence (AI): Enabling devices to learn from interactions and improve over time. Sensor networks: Using sensors to gather data about the environment and user activities. Natural user interfaces: Allowing interaction through voice, gestures, and other non-intrusive methods.