A number of healthcare IT distributors have unveiled new choices that assist well being programs enhance affected person entry, tackle supplier burdens and drive price optimization over the previous week.
Oracle Well being mentioned Monday that it needs to assist tame supplier administrative challenges by changing guide processes with cloud-based automated claims processing whereas Luma Well being launched machine studying and pure language processing enhancements to remodel workflows on Tuesday.
And this previous week, athenahealth mentioned it goals to enhance holistic care supply with a brand new behavioral well being integration in its cloud-based digital well being data. And Make clear Well being hopes to foster higher transparency and construct belief by providing direct entry to efficiency measures and predictive analytics that spans price, high quality and utilization.
Oracle leverages FHIR
Oracle mentioned the overall availability of automated knowledge change between healthcare suppliers and payers will change the way in which authorizations are dealt with.
“Healthcare has lengthy been affected by expensive, time-intensive and antiquated claims processing that ends in billions of pointless charges annually, and in the end a strained relationship between suppliers and payers,” Seema Verma, government vice chairman and normal supervisor of Oracle Well being and Life Sciences, mentioned in a press release.
About 70% of authorizations are dealt with by telephone or fax with payers and suppliers sharing about 25% of paperwork associated to reimbursement, Oracle mentioned.
The brand new medical knowledge change platform might assist tame the burden of administrative duties and transfer suppliers and payers away from these guide processes by sending medical data by means of a safe, centralized community. It additionally helps suppliers streamline payer knowledge request responses and ease the workers burdens, based on Kent Hoyos, vice chairman and chief data officer at Pomona Valley Hospital Medical Middle.
Suppliers choose what knowledge to make accessible to their payer companions within the platform and might audit chosen medical knowledge with chosen payers to substantiate precisely which knowledge was obtained, based on Oracle. Payers retrieve medical knowledge by way of FHIR queries or bulk processing in an industry-standard format with no extra point-to-point connections required.
Sooner payer responses and claims reimbursements might additionally hasten the velocity of affected person care.
“Automating the method will assist velocity approval of obligatory affected person medical companies in addition to cost processing and shorten the wait time for our sufferers to obtain the care they want,” Hoyos mentioned in a press release.
Luma automates with genAI
San Francisco-based Luma Well being introduced two new synthetic intelligence merchandise for its affected person success platform on Tuesday. The multi-model generative AI named Spark can be utilized to deal with widespread operational challenges for well being programs, together with excessive name quantity and guide fax processing.
“Our imaginative and prescient is to make use of this newest groundbreaking expertise to unravel persistent challenges on an enormous scale, and now the expertise is supplied to assist us ship a next-generation affected person expertise,” Aditya Bansod, Luma’s co-founder and chief technical officer, mentioned in a press release.
“Well being programs are doing greater than ever to serve their sufferers with fewer workers and assets, they usually do not have time to waste on AI options that provide shallow EHR integration or create extra overhead,” Luma’s co-founder and CEO Adnan Iqbal added.
“That is why we targeted Spark on the most typical challenges we hear from well being programs: excessive name quantity, backlogged referrals, misplaced income and never sufficient workers to deal with all of it manually.”
Woven into the corporate’s affected person success platform, Spark has bi-directional integration with main EHRs, together with Oracle Well being, Epic, eClinicalWorks, Meditech, athenahealth, NextGen and Greenway Well being, Luma mentioned.
The primary two Spark-enabled instruments automate fax processing – Luma’s Fax Rework – and supply a patient-facing voice AI concierge – Luma’s Navigator.
Supplier workers can use Luma’s Fax Rework to robotically parse structured knowledge from faxes together with referrals, prescription refills and extra, to confirm data then the referral is robotically created in a well being system’s EHR.
DENT Neurologic Institute mentioned it’s experiencing 3 times sooner fax processing and a 70% time financial savings on fax workflows with the brand new instrument.
“We obtain a variety of faxes – over 500 per day throughout the group – and it is simply unattainable to maintain up with manually,” Emily Smythe, the institute’s supervisor of high quality and analytics, mentioned in a press release.
“Processing a single fax can take as much as 5 minutes. Fax Rework automates it fully, so it takes 10 seconds or much less to file a fax.”
The College of Arkansas for Medical Sciences adopted Luma’s AI concierge and inside one month saved 98 guide name middle workers hours, automated 95% of telephone name responses, processed 1,200 cancellations with none human interplay and extra, based on the announcement.
“The staff was spending three hours every day simply listening to affected person voicemails after which entering into and canceling appointments,” Michelle Winfield-Hanrahan, RN, UAMS’ chief medical entry officer and affiliate vice chancellor for entry, mentioned in a press release. “Our outcomes have been very constructive, and actually exceeded what I anticipated.”
Athenahealth integrates behavioral well being
To allow personalised care, the EHR firm has launched athenaOne for Behavioral Well being. The suite contains remedy plans, group remedy capabilities, tailorable session documentation, a privateness toolkit, affected person engagement instruments and extra, athena introduced final week.
“Behavioral well being suppliers try to offer complete, significant care however are sometimes confronted with an ideal storm of challenges that may get in the way in which of delivering care that achieves desired well being outcomes,” Chad Dodd, the corporate’s vice chairman of product administration, mentioned in a press release.
The brand new licensed platform additionally contains psychological well being apply and income cycle administration instruments with workflows and embedded companies for coordinated care.
By integrating behavioral well being and first care into one answer that helps varied care fashions, together with outpatient behavioral well being practices, intensive outpatient packages and partial hospitalization packages, suppliers can entry related affected person knowledge from throughout the healthcare ecosystem in a single view.
Sufferers may self-schedule appointments and talk with suppliers and workers on the brand new platform.
Make clear launches AI for efficiency management
As a result of conventional analytics fall wanting delivering actionable intelligence that optimizes supplier networks and manages prices successfully, Make clear Well being mentioned it’s leveraging its Clara IQ synthetic intelligence to empower well being plans to drive worth.
“Our {industry} continues to wrestle with delivering simpler look after every greenback spent,” Todd Gottula, the corporate’s founder and president, mentioned in a press release. “We have invested considerably in growing absolutely built-in measures and benchmarks. This permits well being plans to know supplier efficiency, utilization patterns, referrals and medical populations at a granular stage.”
The brand new Efficiency IQ Suite, powered by the Make clear Atlas Platform, affords direct entry to efficiency measures and detailed analytics and in addition permits suppliers to know how they’re evaluated.
Well being plans can use the insights to optimize supplier efficiency, assess aggressive networks, redirect referrals to high-performing specialists based mostly on complete price and high quality metrics, cut back pointless spending and extra, Make clear mentioned.
Andrea Fox is senior editor of Healthcare IT Information.
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Healthcare IT Information is a HIMSS Media publication.