Collaboration to simplify healthcare administration, says Thomas
WNS-HealthHelp’s technology platform and proprietary specialty outpatient clinical guidelines will be fully integrated into Availity’s Intelligent Utilization Management solution, which transforms the prior authorization process by delivering near real-time decision recommendations based on codified medical policy and clinical documentation http://wns.com.
For implementation of this project, WNS-HealthHelp has formed a strategic collaboration with Availity, North America’s largest real-time health information network https://www.availity.com/.
The collaboration unites two industry leaders to streamline Utilization Management (UM), expedite approvals, ease provider administrative burdens and enhance patient care. WNS-HealthHelp’s advanced AI-driven clinical engine, business transformation capabilities and fully delegated specialty programs, in combination with Availity’s extensive healthcare network, which connects over 95% of payers and more than 3 million providers nation-wide, will elevate outcomes across the healthcare ecosystem.
Additionally, WNS-HealthHelp’s fully delegated UM programs and expert clinical resources across multiple specialties will be made available to Availity clients.
“We are excited to collaborate with Availity to deliver our proprietary specialty outpatient clinical guidelines, our industry-leading clinical expertise and UM program options to empower payers in a competitive landscape,” said Keshav R. Murugesh, Group CEO, WNS.
“WNS-HealthHelp embodies the perfect fusion of high-touch clinical expertise and high-tech automation in healthcare management. Together with Availity, we will extend our AI-led clinical solutions to a wider audience, focusing on enhancing member outcomes and reducing healthcare costs,” he said on 7 April.
“We are thrilled to collaborate with WNS-HealthHelp to bring their platform led best-in-class clinical guidelines and clinical specialists to our network,” said Russ Thomas, CEO, Availity.
“This collaboration aligns with our mission to simplify healthcare administration and improve the provider and patient experience. By integrating WNS-HealthHelp platform into our intelligent UM solution, we are taking a significant step toward reducing friction in the prior authorization process and enabling better care coordination,” he added.
Availity empowers payers and providers to deliver transformative patient experiences by enabling the seamless exchange of clinical, administrative, and financial information. As the nation’s largest real-time health information network, Availity develops intelligent, automated, and interoperable solutions that foster collaboration and shared value across the healthcare ecosystem. With connections to over 95% of payers, more than 3 million providers, and over 2,000 trading partners, Availity provides mission-critical connectivity to drive the future of healthcare innovation. Fiinews.com
