New technology supports health plan’s efforts to improve health care quality and reduce medical expenses
MEDFORD, Mass. and WALTHAM, Mass.--(BUSINESS WIRE)-- Network Health, a Massachusetts health plan that provides high-quality health care coverage to more than 170,000 Massachusetts residents with low and moderate incomes, announced today that it has selected MedVentive, a leader in health care performance management solutions, as a technology partner. MedVentive and Network Health will collaborate on the deployment of a secure, Web-based performance analytics tool that supports the health plan and its provider network’s shared values and goals.
Network Health’s performance analytics tool will allow the health plan to offer providers a real-time data-sharing platform to identify key opportunities for enhanced care management, better health outcomes, and improved finances.
“MedVentive’s innovative capabilities allow Network Health to be at the forefront of engaging and supporting providers in value-based contracting,” said Paul Burke, Network Health vice president of network management. “Our performance analytics tool will make available the information we and our providers need to be successful in the new era of health care payment reform.”
Network Health’s performance analytics tool includes advanced reporting functions; uses evidence-based algorithms to deliver concrete, patient-specific recommendations; examines and identifies opportunities to deliver cost-effective medicines and optimal dosages; shows variations in efficiency of care our members receive; and alerts providers about a gap in a patient’s care.
“MedVentive is an industry leader in developing technology that shares real-time data to improve patient health outcomes,” said Peter Bristol, Network Health chief technology officer. “Network Health’s focus on treating data as a shared asset and enhanced provider engagement necessitates a sophisticated technological solution, and MedVentive’s track record in this area is exceptional.”
Network Health will launch its performance analytics tool in spring 2011.
“We are very pleased to partner with Network Health in implementing advanced tools to support their forward-looking collaborative care model. These programs will empower their provider community to drive improvements in the quality and efficiency of care. We are looking forward to a long, productive partnership,” stated Dr. Jonathan Niloff, MedVentive founder and chief medical officer.
About Network Health
Since 1997, Network Health has provided Massachusetts residents with low and moderate incomes access to high-quality health care. Based in Medford, Mass., Network Health is a comprehensive health plan serving members through its Network Health Together® (MassHealth) and Network Health Forward® (Commonwealth Care) plans.
Network Health earned National Committee for Quality Assurance’s (NCQA) “Excellent” Health Plan Accreditation, NCQA’s highest accreditation rating, for its Network Health Together plan. Network Health is also ranked fifth among all Medicaid health plans nationally, according to NCQA’s Health Insurance Plan Rankings 2010 – 2011 — Medicaid.
Additionally, Network Health is nationally recognized for its innovative programs and received a Case In Point Platinum Award for “Best Overall Case/Care Management Program” from Dorland Health. Network Health also has the Top Leadership Team among health plans nationally, according to HealthLeaders Media.
Individuals must be eligible for MassHealth to join Network Health Together, a MassHealth plan. To learn about MassHealth eligibility, Massachusetts residents can call the MassHealth Enrollment Center at 888-665-9993 (TTY: 888-665-9997), Monday through Friday, from 8:45 a.m. to 5 p.m. Once enrolled, MassHealth members can learn about their MassHealth health plan options by calling MassHealth customer service at 800-841-2900 (TTY: 800-497-4648), Monday through Friday, from 8 a.m. to 5 p.m.
To learn about Commonwealth Care health plan options, Massachusetts residents can call Commonwealth Care customer service at 877-MA-ENROLL or 877-623-6765 (TTY: 877-623-7773), Monday through Friday, from 8 a.m. to 5 p.m., or they can visit www.mahealthconnector.org.
While healthcare was evolving the concept of an accountable care organization, MedVentive was busy operating as one. MedVentive was founded as the Provider Service Network (PSN) in 1997 by the CareGroup Healthcare System, an integrated, at-risk network of 4,500 physicians and eight hospitals that cared for more than 450,000 at risk patients.
Our origins as an ACO give MedVentive a deep understanding of provider organizations and the healthcare environment. Having been an at-risk provider network, MedVentive is uniquely qualified to support an organization’s transition from a fee-for-service payment environment to risk-based contracting, and provide the clinical integration/population management infrastructure necessary to be successful under this new model.
To learn more, please visit www.medventive.com or call (781) 290-2500.
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