Johns Hopkins Health Plans Improving Provider Experience

BALTIMORE, Maryland, June 4 -- Johns Hopkins Medicine issued the following news release:

Recently, Johns Hopkins Health Plans launched a new multi-payer portal. Powered by Availity Essentials, the portal is a secure, real-time platform that connects providers with payers to help providers manage medical benefits, insurance claims and authorization requests.

"As part of our continuing effort to boost efficiency and streamline processes for providers in our network, Johns Hopkins Health Plans is excited to introduce this new portal," said Ryan O'Donnell, Chief Operating Officer for Johns Hopkins Health Plans.

Using this new portal, provider offices will be able to submit and track electronic claims, claims status, remittance and claims payment information. Provider staffs will also benefit from insights into financial and administrative transactions powered by Artificial Intelligence, allowing for faster access to accurate data. Future improvements will enable providers to receive more timely access to member information through improved provider reports.

The health plans of Priority Partners, Advantage MD and Employer Health Programs (EHP) will be implemented during the first phase, with US Family Health Plan added later.

As a provider-sponsored health plan, Johns Hopkins Health Plans recognizes that successful managed care organizations must make it easier for providers to deliver care and reduce the administrative burden that they face. Using the technology provided through its new payer platform, Johns Hopkins Health Plans is simplifying and improving transactions, communication and coordination.

"Patients experience less frustration and delays in care when their medical providers and health plan work seamlessly together," said Dr. Marina Zeltser, Johns Hopkins Health Plans' Associate Chief Medical Officer. "Evolving our technology and processes will ultimately help to improve the experience of our members as they navigate their health care."

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About Johns Hopkins Health Plans

As a part of Johns Hopkins Medicine, Johns Hopkins Health Plans administers a range of physician-sponsored health plans managing more than $3 billion in annual premiums and serving nearly 500,000 members. Johns Hopkins Health Plans' robust network of providers includes Johns Hopkins Medicine physicians and providers, regional clinics and many other top-tier providers. Johns Hopkins Health Plans administers the US Family Health Plan for active-duty family members, military retirees and their families, Employer Health Programs, Priority Partners (Maryland's largest Medicaid plan with co-owner Maryland Community Health System) and Advantage MD Medicare Advantage plans. It advocates for its members and fosters collaboration with providers to help achieve optimal health. Through its Johns Hopkins HealthCare Solutions business, Johns Hopkins Health Plans also offers the world's leading population health analytics software, the Johns Hopkins ACG(R) System, used by commercial and government health entities and employers worldwide.

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Original text here: https://www.hopkinsmedicine.org/news/newsroom/news-releases/2024/06/johns-hopkins-health-plans-improving-provider-experience