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athenahealth network

athenahealth for health plans

We help you collaborate with providers more easily so you can manage costs, drive quality outcomes, and improve care coordination.

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5.3%

decrease in readmissions

2.2%

increase in in-network utilization

13%

of Americans are seen by an athenahealth provider

Connect and collaborate with our network of providers

From our founding, our focus has always been to help healthcare work as it should. Today we’ve grown to become the largest connected network in healthcare, with more than 87,000 providers.

For nearly 20 years, we have worked closely with health plans to streamline revenue cycle management for both health plans and providers. In the process, we set out to transform the claim creation, submission, and tracking process to minimize the work it takes for both parties to get a claim submitted and approved.

As we continue our progress, athenahealth’s goal is to improve the care that your members receive.

Share clinical data more easily with Health Plan Data Exchange

Now we’re moving beyond the revenue cycle to help providers and health plans seamlessly share clinical data. Our Health Plan Data Exchange offers a cost-effective alternative to manual patient record audits by sharing clinical data in an automated, standardized, electronic format. With Health Plan Data Exchange, we aim to:

•    Reduce administrative burden and costs
•    Improve access to and quality of data
•    Facilitate collaboration between health plans and providers
 
Partner with athenahealth across your provider network

With the rise of value-based care, traditional roles are blurring: Providers are taking on risk, and health plans are becoming more involved in driving healthcare outcomes. But despite shared goals, health plans and providers still lack the tools and infrastructure necessary to adequately share information and effectively collaborate on care management.

athenahealth offers a range of opportunities to partner with health plans, including population health management, implementing athenaOne® Services across network providers, and other solutions to help health plans and providers work together more easily – all with the goal of bringing members better care.

Need more information?

Contact one of our experts to learn how athenahealth is uniquely positioned to drive results for health plans.


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