Healthcare Solutions For Payers
Premier’s solutions are designed to bridge the gap between payers and providers by fostering collaboration, improving patient outcomes and streamlining administrative processes.
AI-Driven Technology Solutions
A strong partnership between payers and providers leads to better outcomes. Premier’s Stanson Health's Coding and Documentation solutions, along with our Prior Authorization tools, are designed to strengthen this collaboration. Wherever you are in your journey, Premier is ready to help you reduce inefficiencies and enhance operational performance.
Coding and Documentation Solutions
Proper coding and documentation ensures appropriate reimbursement and compliance with regulatory standards. Improved coding practices help reduce claim denials, increase payment accuracy and enable better communication between payers and providers.
HCC Coding:
Hierarchical Condition Category (HCC) coding improves risk adjustment accuracy. In doing so, patients are categorized correctly based on their medical history and conditions. With consistent reporting and clinical management, HCC coding fosters trust between payers and providers, which leads to better financial and patient outcomes.
"The HCC alert was followed 64 percent [of the time], and if you are familiar with alerts in an EMR, a follow rate of 64 percent is nearly a miracle. We shoot for 40-50 precent as a gold standard, so to have it at 64 percent tells you that providers really were accepting of this workflow and the alert when appropriate."
Patrick McGill, MD
Chief Analytics Officer, Community Health Network
Prior Authorization Solutions
It’s critical for your organization to have proper coding and documentation, to ensure appropriate reimbursement and compliance with regulatory standards. Improved coding practices help reduce claim denials, increase payment accuracy and enable better communication between payers and providers.
Prior Authorization:
Premier’s solutions automate and streamline the prior authorization process, reducing delays and administrative workload. This leads to faster approvals, greater transparency and reduced friction between payers and providers. Patients also receive the benefits of these solutions by receiving a smoother and more efficient treatment approval.
How Our Solutions Strengthen Payer-Provider Collaboration
Streamlining Workflows
Premier’s coding and documentation and prior authorization solutions can automate administrative workflows. This reduces inefficiencies and improves operational alignment between payers and providers.
Reducing Delays and Errors
By leveraging AI-driven tools and automation, Premier helps organizations to minimize errors and prevent delays, ensuring payers and providers are operating on the same page.
Improving Outcomes
Efficient coding and authorization processes lead to faster access to treatments, improved accuracy in billing and better overall care for the patients.
What Makes Premier Different?
Premier has a clear record of success. For example, through Premier’s prior authorization solutions, providers reduced approval times by 40%, allowing for faster treatments and increased patient satisfaction.
On a larger scale, Premier provides solutions for two-thirds of all healthcare providers in the U.S. We believe our services have contributed to 200,000 lives being saved. And ultimately, we make healthcare better with national scale, smarter with actionable intelligence and faster with novel technologies.
Get Started Today
Ready to elevate and streamline your services? Contact us today to explore Premier’s solutions or request a demo. Together, we’ll shape the future of healthcare.