NantHealth Eviti - Version Connect - Empowering Confident Care Platform
From NantHealth Eviti - Eviti for Oncology
Payers, seeking a clearer view into treatment validity, turn to Eviti Connect. Focused on high-quality, high-value care, the platform offers insight payers need to make reimbursement decisions. For payers, Eviti Connect streamlines the authorization of cancer treatment, ensuring prescription of high-quality, high-value care and setting patients on the path to appropriate treatment sooner. Powered by the renowned Eviti Evidence-based Medical Library, Eviti Connect minimizes payer risk while simultaneously placing evidence-based treatments in the hands of providers.
Minimize Risk. Maximize Care.
Eliminate unwarranted variability in care through the application of nationally-accepted treatment standards at the moment of clinical prescription. The automated process reduces the administrative burdens of obtaining and providing authorizations and ensures appropriate reimbursement at the regimen level, aligning payers and physicians in the best interests of patients while limiting appeals and denials.
2x Cancer drug costs are expected to double in the next two years.
Selecting an evidence-based treatment that offers the best possible outcome at a lower cost than a competing therapy creates value for payers, providers, and patients alike.
Value-Based Care: A Win for Everyone
Meeting the needs of payers, providers, and patients is complex. But it’s not impossible. Eviti Connect clears the way for value-based cancer care that benefits everyone involved.
- Patients have peace of mind that they are receiving the best treatment for their disease.
- Physicians can prescribe evidence-based care and receive appropriate reimbursement from the payer—with near real-time communications with the payer.
- Payers are assured the member is getting the right care at the best cost.
Empowering Better Oncology Decisions
STREAMLINE OPERATIONAL WORKFLOWS
Improve claim processing efficiency and reduce denials and appeals with an Eviti code. This code is provided when a physician chooses an evidence-based regimen, thereby validating appropriate treatment and pre-adjudicating the claim.
INTEGRATE MEDICAL POLICIES
Automate the process of verifying that treatments meet your plan’s medical policy and plan language before the treatment is selected and ordered.
ENSURE APPROPRIATE REIMBURSEMENT
Have visibility at the moment of prescribing, while your network providers are assured the treatments they recommend meet the clinical requirements for reimbursement.
INDICATE PAYER PREFERENCES
Highlight preferred regimens to indicate treatments aligned with payer-specific observed outcomes or higher reimbursement opportunities.
Explore the reasons payers choose Eviti Connect:
In healthcare, the well-being of patients is goal number one. At NantHealth, we're committed to aligning the needs of payers and providers in pursuit of that goal—and Eviti Connect is leading the way.
As a payer, you are challenged to keep costs low while enabling appropriate care for your members. As healthcare costs skyrocket, how effectively are you managing your spending? If your answer leaves you thinking there has to be a better way, then take a look at Eviti Connect - a web-based application that electronically connects health plans and practices to verify treatments in real-time.
Eviti Connect validates decisions with evidence-based medicine and payer policies before treatment begins. The automated process reduces the administrative time involved in obtaining and providing authorizations, aligning all parties around value-based care.
Eliminate unwarranted variability in care through the application of nationally-accepted treatment standards at the moment of clinical prescribing, ensuring that compliance occurs at the front-end as opposed to back-end review after treatment has begun. You'll have confidence that your members are prescribed the most effective care at the most appropriate cost.
Customers indicate a 15-25% reduction in appeals for oncology treatment plans since implementing Eviti Connect.The Eviti oncology clinical library is the most comprehensive knowledgebase of evidence-based cancer treatments available. It easily enables identification of recommended evidence-based treatment options across the spectrum of cancer types, including individualized patient diagnosis, the details of drug and radiation treatment, the supportive drugs required for best reducing toxicities, the level of evidence based on the clinical trial study design and primary study endpoint, the expected outcomes and toxicities, and the estimated cost of treatment.
Clinical content is included in the library if it is both endorsed by one of the national oncology organizations and there is published clinical data to support the treatment. NantHealth reviews and considers recommendations, approvals, and guidelines from the US Food and Drug Administration [FDA], National Cancer Institute [NCI], National Comprehensive Cancer Network [NCCN] Compendium, American Society of Clinical Oncology [ASCO], American Society of Hematology [ASH], American Society for Therapeutic Radiology and Oncology [ASTRO], American College of Radiology [ACR] and other recognized professional societies for inclusion in the library.
Eviti Connect is an intelligent treatment validation platform using evidence-based medicine to give payers and providers confidence to prescribe and reimburse high-quality, high-value care.
Key Benefits
- Extend the knowledge of your team with independent expertise.
- Streamline staff authorization workflow, allowing them to focus on more high-value tasks.
- Manage brand, biosimilar and generic use for best pricing.
- Ensure compliance with medical policy, pharmacy policy, and step therapy.
- Drive providers to more cost-effective therapies with configurable drug preferences.
- Redirect treatment delivery to optimal sites of care when clinically appropriate to reduce costs.
Autoimmune Diseases Library
The autoimmune diseases and drug therapies represented in the Eviti library account for the most commonly prescribed drugs (including biosimilars) and the most prevalent autoimmune conditions – such as inflammatory bowel disease, rheumatoid arthritis, plaque psoriasis, multiple sclerosis, and more. All drugs in the library are FDA approved for use with their respective conditions.
Health Plan Benefits
Eviti is an intelligent, evidence-based decision support and treatment validation platform that gives payers and providers confidence to prescribe and reimburse high-quality, high-value care. It streamlines authorization workflows and supports providers and payers from treatment plan prescription through validation and appeals.
- Ensure your members are prescribed the most appropriate care for their particular disease up front, and save millions of dollars per year through reduced costly ER visits, hospitalizations, recurrence, and medical complications.
- Optimize your savings by implementing treatment preferences aligned with payer-specific observed outcomes and/or higher reimbursement opportunities.
- Observe increased consistency in the use of evidence-based medicine and see non-compliance rates drop.
- Configure preferred regiments to align practices with and enhance conformance.
- The web-based platform allows you to roll out to your network quickly as an Internet-enabled device is all they need, which most providers already have in their office.
- Implementation costs remain low as there is no need to install software or hardware onsite.
- The current platform infrastructure can handle tens of millions of covered lives, so there is no waiting to begin.
DUAL ELIGIBILITY SUPPORT
DUAL ELIGIBILITY SUPPORT
Intelligent support to process treatment plans accurately for members with dual-eligibility status.
MEGA-RULE COMPLIANCE
Identification of pharmacy benefit drugs necessitating urgent review to facilitate quick approval decisions.
SUPPORT FOR MULTIPLE LINES OF BUSINESS
Effectively manage the diverse requirements of each line of business.
SITE OF CARE REDIRECTION
Redirect care to less expensive sites of care when clinically appropriate to reduce costs.
Health Plan Benefits
MEDICAL POLICY INTEGRATION
Automatic electronic verification that treatments meet your plan's medical policy and plan language before the treatment is selected and ordered.
PATHWAYS PROGRAM SUPPORT
Identify off-pathway regimens per payer-specified parameters.
FORMULARY REDIRECTION
Enable value-based care by redirecting physicians to preferred treatment plans when appropriate, facilitating payer-preferred drug selection at the time of treatment plan entry.
API WEB SERVICES
Map patient demographic, diagnosis, treatment details and recommendations into health plan application, reducing errors and time associated with manual data entry.
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