NAMM IL Selects Health Access Solutions for Medical Group Management Technology

Access Express platform promotes collaboration and communication to control costs and improve quality of care delivery

NAMM IL Selects Health Access Solutions for Medical Group Management Technology

<0> Dodge CommunicationsLarry Hahn, 770-576-2562 </0>

Health Access Solutions, offering a Web-based multidisciplinary integrated health management platform, today announced a contract with North American Medical Management of Illinois (NAMM IL). After a speedy implementation, NAMM IL has gone live with the Health Access Solutions’ Access Express application, which facilitates management of health plan membership information, as well as advancing provider network management by monitoring utilization and referral activity both by provider and setting.

Providing management services to medical groups seeking to maximize its healthcare delivery network, NAMM IL leadership selected Health Access Solutions’ technology to:

“The deployment of Access Express supports the quality and cost performance goals of NAMM IL through its intelligent referral management capabilities,” says Doug Williams, CIO of Aveta Health Solutions, NAMM’s parent company. “The solution has been deployed to assist NAMM IL in the management of the referral process for Humana’s and Healthspring’s Medicare Advantage members by ensuring they receive medically appropriate services from the highest performing physicians. We have enjoyed a strong partnership with Health Access Solutions in other markets, including California, Arizona, Tennessee and look forward to expanding the use of this technology at NAMM IL.”

Utilizing a protocol rules engine and criteria built into the authorization process which are derived from evidence-based best practices, Access Express ensures the best healthcare service is being requested. The solution’s ability to influence better care decisions without obstructing provider office or medical management workflow empowers organizations whose primary goal is to improve the quality of care.

Health Access Solutions’ chief operating officer Dwight French is likewise enthusiastic about expanding the relationship. “We are pleased to be extending our services to NAMM IL. Not only will the organization continue to offer superior service to its customers,” he says, “but now it can experience improved access to quality care while better managing costs.”

Existing Health Access Solutions customers include risk-bearing physician organizations such as AltaMed Health Services, Independent Practice Association Medical Group of Santa Clara County, Heritage Provider Network, Cedars-Sinai Medical Group, Hill Physicians Medical Group, CareMore/Anthem Blue Cross and other health plans, hospitals and county health systems such as Medicare y Mucho Más (MMM) of Puerto Rico and Santa Clara Valley Health and Hospital System in northern California.

Health Access Solutions facilitates the delivery of patient-centered care among physician networks, extended care teams and medical management staff by coordinating clinical and administrative workflows across the continuum of care. The company’s Integrated Health Management (IHM) Suite improves coordinated care management processes for defined patient populations such as those attributed to an Accountable Care Organization (ACO) under Medicare and commercial variations of the ACO model or other forms of delegated risk. The Health Access Solutions IHM Suite leverages and goes beyond disparate EHR and HIE technologies by focusing on problems associated with patient transitions and optimal utilization of services across multiple providers and care settings. For more information, visit .

For 15 years, NAMM Illinois (NAMM-IL) has been a leading provider of management services that partner with 10 physician organizations and over 700 physicians throughout the Chicago area to successfully manage the delivery of medical services. Implementing sophisticated techniques to better manage rising healthcare expenses, NAMM-IL’s partnerships are relied on by more than 108,000 beneficiaries in the region.

As part of North American Medical Management and the Aveta Inc. family of companies (), NAMM-IL is redefining healthcare management by building innovative provider network models that maximize operations in a cost-effective, sustainable way and support high-quality healthcare. To learn more, visit