Envisioning a Better Way with Cloud-Based Services John Fitchwell, Director of Market Strategy

Transcription

1 Envisioning a Better Way with Cloud-Based Services John Fitchwell, Director of Market Strategy

2 Envisioning a Better Way with Cloud-Based Services John Fitchwell, Director of Market Strategy

3 We understand what it s like to practice medicine without a national backbone Athena Women s Health, 1997 athenahealth today 47,000+ providers on athenanet Clients ranging from 1 to 5,000 + providers 48 states and 76 medical specialties $9 billion in client collections per year Growing at 30% quarters consecutive revenue growth Acquired Epocrates March, 2013

4 We understand what it s like to practice medicine without a national backbone Athena Women s Health, 1997 athenahealth today 47,000+ providers on athenanet Clients ranging from 1 to 5,000 + providers 48 states and 76 medical specialties $9 billion in client collections per year Growing at 30% quarters consecutive revenue growth Acquired Epocrates March, 2013

5 We use CULTURE to rally around a MISSION in pursuit of a VISION VISION MISSION CULTURE An information backbone that helps make health care work as it should. To be medical caregivers most trusted service, helping them do well by doing the right thing. Each of us is a teacher and learner, in it for the mission.

6 Performance Visibility

7 Performance Visibility

8 Performance Visibility

9 First, we view software as a technology enabler, not as the product itself TECHNOLOGY KNOWLEDGE SERVICES

10 First, we view software as a technology enabler, not as the product itself TECHNOLOGY EMR PMIS BI ACO PAC TECHNOLOGY KNOWLEDGE SERVICES

11 Second, we deliver constantly updated knowledge into the workflow KNOWLEDGE P4P D2D ICD CPT DRG IPA TLA US Patent # 7,720,701 TECHNOLOGY KNOWLEDGE SERVICES 6

12 Second, we deliver constantly updated knowledge into the workflow KNOWLEDGE P4P D2D ICD CPT DRG IPA TLA US Patent # 7,720,701 TECHNOLOGY KNOWLEDGE SERVICES 6

13 Finally, we handle all the back-office work that technology doesn t automate SERVICES EOB ANSI ERA CSI HL7 CCD PCI SOC 1 (SAS70) FAX 11 TECHNOLOGY KNOWLEDGE SERVICES

14 We offer six services which combine to help caregivers thrive WHY IT MATTERS athenacollector 29% average improvement in client DAR 8% average improvement in collections Life Cycle of Claim Reduced administrative work 96% Meaningful Use attestation in 2012 athenaclinicals 1,329 clinical documents processed on average per physician per Life Cycle of the Chart month (PPM) Improved P4P revenue capture athenacommunicator 8% average decline in no-show rates Life Cycle of the 121 patient interactions via portal per PPM Patient Relationship Improved collection of patient payments 2011 Increased volume and revenue capture from patients and athenacoordinator insurance companies Life Cycle of the Order Reduced administrative work for both sender and receiver athenaclarity SM The data you need to grow and expand your network, such as production metrics, reimbursement rates, billing performance, Network Intelligence and referral patterns Epocrates Point of Care Medical Applications Mobile medical software for drug interaction, EHR, drug prices, dosing, disease, medical dictionary, ICD9 Code, Medicare Part D, and CME

15 Reward for improvement Bring the principle of comparative advantage to the health care supply chain Estimates of the proportion of primary care visits that might be attended by PAs or NPs range between 50%-75%

16 Reward for improvement Hospital-based physician Office-based physician Mid-level provider Support staff Patient Bring the principle of comparative advantage to the health care supply chain Estimates of the proportion of primary care visits that might be attended by PAs or NPs range between 50%-75%

17 Reward for improvement Hospital-based physician Office-based physician Mid-level provider Support staff Patient Bring the principle of comparative advantage to the health care supply chain Estimates of the proportion of primary care visits that might be attended by PAs or NPs range between 50%-75%

18 Workflow Typical You Do Work Co-sourcing allows your practice to leverage comparative advantage for patient communications We Do Pre Visit Schedule appointments Appointment reminders Appointment reschedule calls Reminder calls for appointments Group call campaigns (ie. Weather) Group call appointment reschedules Live Operator services Visit Post Visit Results calls urgent Results calls non-urgent No-show follow up call policy Self-pay follow up call policy Patient Portal Automated results call Group call no shows Group call self-pay balances Ongoing Run performance reports Review performance P4P program calls Self-pay collection decisions Group call P4P programs Live Operator support Patient web portal Self-pay collections via portal Patient statements at no charge Appt. Schedule, View Health Record, Test Results, Healthwise info, Balance info

19 In 2013, KLAS rated athenaclinicals as the most usable EHR at go live and today Ambulatory EMR Usability 2013: More Nurture than Nature, May, KLAS Enterprises, LLC. All rights reserved. 11

20 In 2013, KLAS rated athenaclinicals as the most usable EHR at go live and today Ambulatory EMR Usability 2013: More Nurture than Nature, May, KLAS Enterprises, LLC. All rights reserved. 11

21

22 The Meaningful Use Guarantee

23 The Meaningful Use Guarantee If you don t receive the Federal Stimulus reimbursement dollars for the first year you qualify, we will credit you 100% of your EHR service fees for up to six months until you do. The ICD-10 Guarantee 1. If we re not ready, you don t pay us. 2. If the payers drop the ball, we will advance you cash against your outstanding claims.

24

25 In every instance, we help our clients 1 Get onto the cloud 2 Achieve financial health 3 Win at risk 4 And

26

27

28 Questions?