Virginia Premier Health Plan Selects NaviNet for Provider Web Portal

Medicaid Health Plan Arms Providers with Tools to Efficiently Access Patient Information to Reduce Costs and Improve Quality of Care

CAMBRIDGE, Mass.--(BUSINESS WIRE)-- NaviNet, America’s largest real-time healthcare communications network, today announced that Virginia Premier Health Plan (VPHP), a Medicaid managed care organization owned by UHS Managed Care, Inc., has implemented NaviNet as its Web-based provider communications portal. UHS Managed Care, Inc. is the Health Plan Division of the Virginia Commonwealth University Health System.

To keep provider satisfaction levels high while reducing costs associated with provider call volume, VPHP has deployed eligibility and benefits and claim status inquiry transactions via NaviNet Sponsor to providers treating the more than 160,000 patients insured by the plan. In 2010, NaviNet will also support electronic pre-authorization and referrals, replacing VPHP’s existing solution and enabling the plan to meet state requirements for electronic processing.

NaviNet Sponsor enables VPHP to deliver provider connectivity with a low-cost, low-risk implementation. NaviNet’s robust, flexible platform allows health plans to add new features at their own pace, including enhanced claims management and medical management with clinical transactions. NaviNet’s multi-payer portal is already used by more than 17,000 Virginia providers, many of whom treat VPHP members. As a result, the plan expects to see rapid provider adoption and utilization.

“At Virginia Premier we pride ourselves in being extremely provider-friendly and will offer NaviNet at no cost to providers to help them decrease administrative burdens and focus on delivering quality care to a vulnerable patient population,” said Carl Gattuso, CEO, Health Plan Division, VCU Health System. “NaviNet Sponsor fits naturally into common provider office processes, is easy-to-use and allows us to represent our brand among a key constituent.”

“We’re pleased to see a leading Medicaid health plan join the NaviNet Network to deliver providers a solution that supports health information exchange, including real-time access to clinical, financial and administrative data,” said Brad Waugh, president and CEO of NaviNet. “NaviNet gives Virginia Premier the solution it needs to quickly realize the benefits of electronic health information exchange.”

About UHS Managed Care, Inc.

University Health Services, Managed Care, Inc. (UHSMC) provides management and operational support to Virginia Premier Health Plan. As the Health Plan Division of the Virginia Commonwealth University Health System, UHSMC provides innovative, effective and quality driven services aimed at improving access to healthcare for underserved populations.

About Virginia Premier Health Plan, Inc.

Virginia Premier Health Plan, Inc. is a Health Maintenance Organization (HMO), which began operations as a full service Medicaid HMO in August 1995. VPHP is contracted with the Virginia Department of Medical Assistance Services to provide health care services to the recipients of the Family Access to Medical Security Insurance (FAMIS) and Medicaid's Temporary Aid for Needy Families and Aged, Blind, and Disabled residents of the Commonwealth of Virginia.

VPHP was formed for the purpose of effectively coordinating health care for low-income persons. VPHP currently services approximately 143,725 members. Virginia Premier operates in over eighty counties in Central, Eastern, Western and Southwestern Virginia. The Corporate office is located in Richmond, Virginia, with three other satellite offices located in Harrisonburg, Roanoke and Virginia Beach. For more information, visit http://www.vapremier.com.

About NaviNet

NaviNet is America’s largest real-time healthcare communications network, securely linking more than 800,000 providers and the nation’s patients, industry partners and leading health plans. NaviNet’s advanced solutions, services and expertise streamline business processes and drive industry-leading innovation. In a time when access to healthcare is a critical issue, NaviNet fosters collaboration and helps government, plans and providers improve quality of care and reduce costs. For more information, or to sign up for NaviNet, please visit www.NaviNet.net or call 617-715-6000 or 800-805-7569. Follow us on Twitter at http://twitter.com/NaviNet.

NaviNet, Inc.
Alicia Allen, 617-715-6488
[email protected]
or
Schwartz Communications
Mercedes Fereck or Payal Cudia
781-684-0770
[email protected]

Source: NaviNet