CareSource, One of the Nation’s Largest Medicaid Managed Care Plans, Selects NantHealth’s Eviti® Connect to Provide Members with Quality, Value-Based Oncology Care
CULVER CITY, Calif.--(BUSINESS WIRE)-- NantHealth, Inc. (NASDAQ: NH), a next-generation, evidence-based, personalized healthcare company, today announced its partnership with CareSource, a leading nonprofit multi-state health plan serving government-sponsored programs, to bring patients value-based care through Eviti® Connect, the evidence-based treatment intelligence and web-based oncology decision support platform.
CareSource is a nationally recognized leader with more than 1.9 million members across five states, and is dedicated to member-centric health care coverage. The company’s managed care business model was founded in 1989 and is today one of the nation’s largest Medicaid managed care plans. The partnership with NantHealth will enable CareSource members to have the peace of mind that they are receiving the most appropriate and cost-effective treatment.
“Supporting CareSource in their mission to improve the health and wellbeing of their members is paramount for us,” said Ron Louks, Chief Operating Officer of NantHealth. “We look forward to helping them improve their claim processing efficiency, streamline the pre-authorization process for cancer treatments and reduce denials and appeals.”
NantHealth’s Eviti Connect is a web-based application that electronically connects healthcare plans and oncology practices for the authorization of treatment plans in near-real time. Eviti Connect reduces the administrative time involved in obtaining authorizations, assures appropriate reimbursement at the regimen level and validates cancer treatment options. Eviti Connect is a comprehensive evidence-based solution for oncology regimen selection that matches provider-recommended treatment with payer plan language and medical policy to ensure congruence.
NantHealth, a member of the NantWorks ecosystem of companies, provides leading solutions across the continuum of care for physicians, payers, patients and biopharmaceutical organizations. NantHealth enables the use of cutting edge data and technology towards the goal of empowering clinical decision support and improving patient outcomes. NantHealth’s comprehensive product portfolio combines the latest technology in molecular analysis (GPS Cancer® and Liquid GPS®), payer/provider platforms that exchange information in near-real time (NaviNet and Eviti), and connected care solutions that deliver Medical Device Interoperability (MDI). NantHealth’s GPS Cancer® molecular profiling provides comprehensive DNA & RNA tumor-normal profiling combined with pharmacogenomics analysis. Liquid GPS® provides non-invasive testing of cfDNA and cfRNA to monitor cancer mutations and potentially select targeted therapies, chemotherapies, and immunotherapies. For more information, please visit www.nanthealth.com or follow us on Twitter, Facebook and LinkedIn.
CareSource is a nonprofit, multi-state health plan recognized as a national leader in managed care. Founded in 1989, CareSource administers one of the nation’s largest Medicaid managed care plans and offers a lifetime of access to care through health insurance, including Medicaid, Health Insurance Marketplace, Medicare Advantage and dual-eligible programs. Headquartered in Dayton, Ohio, CareSource serves nearly 2 million members in Georgia, Indiana, Kentucky, Ohio and West Virginia. CareSource understands the challenges consumers face navigating the health system and is transforming health care with industry-leading programs that improve the health and well-being of our members. For more, visit www.caresource.com, follow @caresource on Twitter, or like CareSource on Facebook.
Source: NantHealth, Inc.