Athenahealth, Inc., a leading provider organization of network-enabled software and services for medical groups and health systems nationwide, and Humana Inc., a leading health and well-being company, announced that the two companies have entered into a multi-year agreement to deliver value-added member insights through athenahealth’s electronic health record (EHR) software, athenaClinicals. The collaboration utilizes intelligence from Humana to empower provider organizations to proactively address consumer needs within the native EHR workflows – facilitating care management discussions between provider organizations and consumers, making it easier for provider organizations to transition to value-based care programs, and supporting quality program performance goals such as Medicare Advantage Star Ratings.
By marrying consumers’ medical records with insights from their health plan data, athenahealth and Humana will integrate supplemental and clinical data in real time to give provider organizations the necessary insights to spot potential time-sensitive gaps in consumer care. For instance, consumers with diabetes can become overwhelmed with numerous annual appointments including blood pressure screenings, blood sugar control tests, eye exams, and medication reviews. Automatic appointment alerts generated by Humana’s data can help provider organizations stay on top of diabetes management – thereby improving diabetic consumers’ health care experiences and closing care gaps.
This agreement augments Humana’s current use of athenahealth’s Real-Time Benefits Check, which allows Humana provider organizations to quickly determine a consumer’s prescription benefit coverage, provide their consumers with accurate costs for their prescriptions at the time of prescribing, and, when appropriate, choose lower-cost treatment options. With this collaboration, provider organizations on the athenahealth network gain access to even more real-time information to close care gaps, create alerts about upcoming preventive services, and help their consumers stay on track with their health.
Athenahealth partners with medical organizations across the country to drive clinical and financial results. The company’s vision is to create a thriving ecosystem that delivers accessible, high-quality, and sustainable health care for all through medical record, revenue cycle, consumer engagement, and care coordination service offerings. Tools are built using open, connected ecosystem.
Humana has served Medicare beneficiaries for more than 30 years, with nearly 8.4 million Medicare members in all 50 states, Washington, D.C., and Puerto Rico, as of June 30, 2020. Nearly 4.5 million of those members are enrolled in a Medicare Advantage plan.
This was reported by athenahealth on January 12, 2021.
Contact information: Jean Borgman, Public Relations & Marketing Communications, athenahealth, 311 Arsenal Street, Watertown, Massachusetts 02472; 617-402-1031; Email: email@example.com; Website: www.athenahealth.com/