What You Should Know:
– The Pings rollout delivers real-time admission, discharge, and transfer (ADT) e-notifications for HTA’s 15,000 North Carolina PPO and HMO Medicare Advantage plan members.
Using Real-Time E-Notifications to Lower Costs and Improving High Quality Care
Bamboo Health is a healthcare technology solutions company, focused on fostering care collaboration and providing information and actionable insights across the entire continuum of care. As one of the largest, most diverse care collaboration networks in the country, Bamboo Health’s technology solutions equip healthcare providers and payers with software, information, and insights to facilitate whole person care across the physical and behavioral health spectrums.
HTA is a subsidiary of Cone Health, a not-for-profit healthcare network that first utilized Pings to better manage patient care journeys and improve health outcomes in 2017. With this implementation, the Medicare Advantage plan will build on its mission to improve the health and well-being of its members through a commitment to personalized service, quality, and healthcare. Through the utilization of Pings, HTA receives real-time e-notifications whenever patients experience care events, enabling the company to scale how it manages its PPO and HMO patient populations. Whether a patient is at a hospital, post-acute facility, or presents at the emergency department, the solution alerts payers and providers of their patient’s status in real time. This allows them to intervene and connect with care team members before a patient receives treatment, or to schedule follow-up appointments in a timely manner.
“Bamboo Health is providing HealthTeam Advantage with insights into the real-time health status of all of our members, whether they’re receiving care in Greensboro or in one of the seven surrounding counties we serve,” said Nancy Truver, vice president of care and utilization management services. “By integrating Pings, we are elevating healthcare provider awareness into patient health statuses, which results in more informed and complete patient care. Furthermore, we’re supporting our organization’s vision to be the leading Medicare Advantage plan dedicated to exceptional, personalized, and caring experiences.”
In addition to the real-time data insights Pings provides, the solution will also drive the automation of key utilization management (UM) functions. For example, Pings will be integrated into HTA’s UM tool to automatically enable prior authorizations. In turn, this will streamline processes for both staff of HTA and members receiving care. The other Pings use cases include enabling more informed care encounters, increasing member engagement, and providing real-time visibility into care transitions. These capabilities help HTA ensure the best possible outcome for all members.