Payers/Health Plans

Payers/Health Plans

Payers want to manage risk through preventative care, reducing costs and improving quality of life. Managing coordination of care is a major piece of furthering that strategy. Sharing health information between primary care providers, patient-centered medical homes, accountable care organizations, and a network of managed care coordinators, to name a few, is crucial to changing the behaviors and habits that lead to a healthier population. Health plans and care managers need access to comprehensive patient data for a complete picture beyond a diagnostic code. A holistic record enables them to proactively guide early intervention and care options for patients to receive the best possible care options, driving cost savings and better overall member health.

How healtheConnect Alaska Can Help

healtheConnect Alaska believes that health information exchange (HIE) technology can play a significant role in helping payers and care coordinators manage risk. We can help by supplying the functionality and technical capabilities to make sure all parties have the information they need to effectively coordinate care.

healtheHUB* is a unified landing page and web-based query portal that integrates best in breed technology solutions of applications, services, and other health information exchange data sources on to one platform. healtheHUB leverages NextGate MPI (Master Patient Index) technology and is powered by the Mirth Integration Engine. healtheHUB includes these services:

– Select patient information
– Medication Fill History
– Prescription Data Monitoring Program (PDMP) lookup
– eHealth Exchange Access
PROMPT (Proactive Management of Patient Transitions)
ENS (Event Notification System)

*For most providers, healtheHUB will embed directly into the EHR. This will allow users to use make a single sign-on to query the HIE and all associated data without leaving their EHR or having to log in and search for the patient twice.

A la Carte Services

– Direct Secure Messaging
– Secure Text Messaging -TigerConnect and TigerFlow
– Image Share and Exchange
– Lab Results

Providing access to behavioral health data (coming in 2019)

– A tool for patient opt-in to open up access to substance abuse information
– Data from Alaska Psychiatric Institute
– Powerful patient matching