Skip to main content

MEDecision, NaviNet help payers supply clinical data to providers

By Mike Miliard , Executive Editor

MEDecision has partnered with NaviNet to assist payers in delivering patient clinical summaries to any provider enrolled in the NaviNet Network.

Pennsylvania-based MEDecision, which develops patient-centric collaborative healthcare management solutions, will integrate with NaviNet, the country's largest real-time healthcare communications network, to help health plans distribute its MEDecision Patient Clinical Summaries – clinically validated, payer-based electronic health records – and advanced referral and authorization technology – to any provider enrolled in the NaviNet Network, which includes hundreds of thousands of physicians and clinicians across all 50 states.

"MEDecision has long advocated collaboration and interoperability as a means of improving healthcare, and our alliance with NaviNet demonstrates our commitment to that belief,” said Scott A. Storrer, president and CEO at MEDecision. “Together, we will deliver a powerful solution that facilitates the growing need among payers and providers to enable the best clinical decisions, reduce costs and improve outcomes. As we approach the reform era, these are the types of relationships that will allow the industry to meet the mandates for change."

MEDecision's data will be delivered via NaviNet's multi-payer Web portal directly into the provider office workflow, giving doctors easy access to more robust, actionable patient information at the time of service. This can help payers and providers increase administrative and operational efficiencies, control costs and improve care coordination and quality.

"NaviNet is committed to streamlining health information exchange among stakeholders to improve efficiencies and quality of care," said Bradley J. Waugh, president and CEO of NaviNet.  "Our relationship with MEDecision is an extension of that approach. Combining NaviNet’s Web-based healthcare communications solutions and our vast network of electronically enabled providers with MEDecision Patient Clinical Summaries results in a best-of-breed solution that offers a true differentiator to health plans seeking innovative ways to improve care coordination and manage costs."