Joint solution to deliver improved payer and provider administrative efficiency, better medical cost savings and patient satisfaction throughout healthcare marketplace
Boston, MA. - NaviNet, Inc., America’s leading healthcare collaboration network, today announced a strategic partnership with SpendWell Health Inc., a wholly owned subsidiary of Cambia Health Solutions, to provide health plans, third-party administrators (TPAs) and self-funded employers with an e-commerce platform that enables members to purchase bundled healthcare services directly from providers. SpendWell’s retail marketplace provides an effective solution for consumers struggling with rising out-of-pocket healthcare costs while giving them more visibility into their actual cost of care. By integrating SpendWell with NaviNet’s multi-payer portal platform, this joint solution helps payers and providers reduce administrative costs associated with eligibility verification, claims submissions, collection risks and customer service calls. It also improves member satisfaction and retention in an increasingly competitive marketplace. The market for shoppable procedures as defined by the Advisory Board is more than $700 billion according to its recent report, “Blueprint for Growth 2020: Product, Pricing, and Sales Strategies for a Retail Market for Health Care.”
“Our payer customers are asking us for solutions that help drive greater value for their provider networks while improving the experience for their members and reducing costs,” said Chuck Digate, senior vice president of sales, marketing and business development at NaviNet. “SpendWell’s e-commerce platform enables consumers to take immediate action with buy-now e-commerce purchasing, uniquely configured for healthcare industry workflow requirements and compliance. This partnership helps NaviNet to rapidly meet evolving payer needs, while delivering a pre-service patient payment solution and a differentiating online marketplace for our network of 170,000 provider offices nationwide as the industry continues its shift towards healthcare consumerization.”
The SpendWell e-commerce platform seamlessly plugs into a payer’s existing member portal, helping plans to improve patient loyalty, satisfaction and engagement. Integration with NaviNet Open enables a health plan’s network of providers to quickly process marketplace orders, submit claims for services rendered, and receive payment, all within NaviNet’s user-friendly, multi-payer portal experience.
“This integrated offering between NaviNet Open and SpendWell e-commerce platforms signals a big industry leap forward in partner collaboration toward delivering the next generation of medical shopping,” said Marcee Chmait, president of SpendWell Health. “Health plans, TPAs and self-funded employers are tired of the lackluster results of proprietary, standalone tools with challenging data silos that lack true real-time interoperability. The key ingredient to expanding consumer value and improved stakeholder experience, satisfaction and engagement is adding the display of real provider prices with meaningful contextual data through integrated tools across the workflow continuum—from electronic eligibility to services rendered to electronic payment. Our partnership with NaviNet delivers on these objectives and provides significant market differentiation to health plans and TPAs.”
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About NaviNet
NaviNet is America’s leading healthcare collaboration network. We connect over 40 health plans and 450,000 clinical and administrative healthcare professionals, representing 60% of the nation’s physicians. Through NaviNet Open, our payer-provider collaboration platform, and our ecosystem of partners, we help payers and providers lower costs and boost care quality, while enhancing the provider and patient experience. For more information, please visit www.NaviNet.net and follow us @NaviNet on Twitter.
About SpendWell Health
SpendWell® is the leading digital health care e-commerce solution that empowers insured consumers to shop, compare and buy routine health services at actual prices. SpendWell’s online marketplace integrates benefit plans, removes consumer anxiety about surprise bills with upfront payments, eliminates patient collections risk for providers and reduces administrative inefficiencies and costs for payers. SpendWell transforms the traditional health care model for consumers, providers, employers, health plans and administrators into an online retail experience. SpendWell’s nationwide community of providers includes medical, dental, vision, behavioral health, chiropractic, alternative care, imaging and more. SpendWell is a wholly owned subsidiary of Cambia Health Solutions, Inc. Learn more at CambiaHealth.com. For more information about SpendWell, visit SpendWellHealth.com.
