News

PAYER COMPASS EXPANSION ALLOWS PLAN MEMBERS TO MAKE INFORMED CHOICES ABOUT THEIR HEALTH

Dallas, TX, March 16, 2018—For nearly five years, Payer Compass’s care management solution has worked in tandem with the technology of Avedon Health Systems, owner of the integrated case management, disease management, and utilization management platform known as AveCare. On March 1, 2018, the transaction between Payer Compass and Avedon became official, bringing Avedon’s expertise into the fold of Payer Compass’s expanding offerings.

Payer Compass’s current offerings include URAC-accredited case and utilization management. The inclusion of AveCare allows a tighter integration of these services, incorporating clients’ claim histories into the patient advocacy and medical management processes. Combining claim data with care information stipulates a longitudinal view of both the member’s healthcare and the provider’s statistics. Clients will benefit from the increased transparency, efficiency and the ability to tailor the data as needed.

Greg Everett, President and CEO of Payer Compass is spearheading the move and anticipating positive reaction from the market. “This acquisition deepens our healthcare technology portfolio by taking our current care management and patient advocacy systems and now integrating them seamlessly with our reimbursement software platform. The payoff? Our clients will better understand the actual cost of care compared to the care that is being delivered.”

The current state of healthcare requires service providers to operate with a progressive state of mind, seeking optimal solutions to improve cost, availability and quality of care for America’s population. The advancement of Payer Compass to enhance its offerings through the addition of Avedon displays this progressive nature. By creating a greater transparency between the price of care and the access to care, the member ultimately is empowered to make more informed choices about his health.

Payer Compass started in 2013, providing healthcare reimbursement services with best-of-breed technology. Our team is making a difference in healthcare with progressive claim pricing and editing technology, yielding savings of 30–40% over networks. Payer Compass’s solutions extend beyond pricing and include plan analytics, care management, patient advocacy, balance billing support and consulting. We serve the self-insured, Third Party Administrators (TPA), stop-loss carriers, brokers and a variety of health plans including government, indigent care and Indian health services tribal plans. Our services are backed with a team of healthcare and reimbursement experts driven by a passion for technology and a standard of excellence.

Established in 2007, Avedon Health Systems was formed by individuals with life-long careers in the health management arena, including technical and operational expertise from care management, health plans and TPAs. This unique combination of backgrounds enables Avedon to develop a product that is robust in features and capabilities, serving the industries of health plans, TPAs, Independent Review Organizations (IRO), physician networks, disease management organizations, Patient-Centered Medical Homes (PCMH), Accountable Care Organizations (ACO) and other healthcare delivery organizations serving the public and private sectors.

If you would like more information about this healthcare initiative, please contact Ginger Barrientez, Director of Marketing at 469.215.2654 or email at gbarrientez@payercompass.com.