Enterprise Solutions
Turnkey Certified Enterprise Solutions.
PayerView®. Bringing transparency and process integrity to the health care system.With unprecedented change and uncertainty rattling the health care industry — a trend that is sure to continue through 2011 and beyond — the need for more certainty and consistency in day-to-day provider-payer interactions takes on a new level of importance. Describing the complex provider-payer relationship and identifying areas for improvement requires objective data and the kind of visibility into transactions that only PayerView provides.
PayerView is an annual project of athenahealth and Physicians Practice. It is the industry's leading quantitative report, providing unprecedented insight into the provider-payer relationship with objective, data-driven methodologies. PayerView data helps create an industry-wide dialogue on how breakdowns in the medical claims billing process can be addressed. The objectives of PayerView are:
Discovery. We continuously assess and refine the metrics represented in the data to ensure that the measures reflect the dynamics that create inefficiency and cost across the health care supply chain.
Continuous Improvement. PayerView data provides a framework to inform initiatives aimed at creating transparency between providers and payers.
Transparency. We provide our client base and payers at large with a comprehensive tool that explicates the interdependencies in the health care supply chain, helping both the payer and provider to improve.
We track the details of every client transaction for tens of thousands of providers. PayerView is a natural product of the unique data that athenahealth continuously compiles and manages on behalf of its clients. Unlike other medical billing, practice management, EMR, and patient communication solutions, athenahealth uses a combination of centrally-hosted, cloud-based software tools and robust back-office services. Our providers share a single web-based instance of software, enabling pooled data and intelligence through a powerful network effect. Every detail occurring during a medical claims billing transaction — patient eligibility check, claim submission, processing time at the payer, claim denials, receipt of electronic or paper remittance, and more — is captured electronically across our network.
We distill our information into quantitative rankings. Each year, we distill our extensive medical claims billing data and draw on it to create comprehensive and objective rankings of payer performance. athenahealth widely publicizes the PayerView rankings, and uses PayerView claims data to collaborate with payers to improve the overall provider-payer relationship.
Reflecting the complex dynamics occurring across the health care supply chain, PayerView brings reliable evidence to claims, a process long dominated by imperfect data, hearsay, and anecdotes.
Discovery. We continuously assess and refine the metrics represented in the data to ensure that the measures reflect the dynamics that create inefficiency and cost across the health care supply chain.
Continuous Improvement. PayerView data provides a framework to inform initiatives aimed at creating transparency between providers and payers.
Transparency. We provide our client base and payers at large with a comprehensive tool that explicates the interdependencies in the health care supply chain, helping both the payer and provider to improve.
