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      them to the nation’s largest connected healthcare network.
   
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 * epocrates®
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    * 
   
    * epocrates®
      
      A powerful tool that provides vital clinical knowledge and supports
      medical decisions whenever you need it.

 * ELECTRONIC HEALTH RECORDS
   
   Technology that supports clinical efficiency while keeping you ahead of
   industry change.

 * MOBILE CAPABILITIES
   
   Accomplish meaningful clinical work on the go from your mobile device.

 * VOICE SOLUTIONS
   
   Save time and boost clinical efficiency with our fully integrated, hand-free
   products.

 * ATHENAONE
   
   The industry’s most adaptable, network-enabled suite of healthcare solutions.

 * See our EHR solution in action
   
   Learn how our technology makes documentation more efficient and keeps
   clinicians compliant without slowing them down.
   
   Watch video

 * REVENUE CYCLE SERVICES
   
   Drive efficiency through your entire revenue cycle, whatever your
   organization’s size.

 * BILLING AND STAFF PRODUCTIVITY BOOSTER
   
   Drive better RCM outcomes by gamifying your revenue cycle processes.

 * ATHENAONE
   
   The industry’s most adaptable, network-enabled suite of healthcare solutions.

 * See our Medical Billing solution in action
   
   Speed up your revenue cycle and improve financial outcomes with our
   cloud-based medical billing solution that identifies errors before they’re
   made and offers on-demand performance reporting.
   
   Watch video

 * PATIENT ENGAGEMENT
   
   Stay connected with patients through every stage of their visit.

 * ATHENAONE
   
   The industry’s most adaptable, network-enabled suite of healthcare solutions.

 * See our Patient Engagement solution in action
   
   Reduce no-shows, empower patients to participate in their care, and build
   stronger patient-provider relationships throughout the continuum of care with
   athenaCommunicator.
   
   Watch video

 * POPULATION HEALTH
   
   Coordinate care, engage patients, and manage populations of any size across
   multiple EHRs.

 * See Population Health in action
   
   Manage risk more safely by staying connected with patients and keeping them
   engaged with you and their healthcare.
   
   Watch video

 * ATHENATELEHEALTH
   
   A convenient and secure way to deliver virtual care to your patients.

 * See our Telehealth solution in action
   
   With integrated workflows and functionality that’s easy for both patients and
   providers, athenaTelehealth offers a safe and convenient virtual care
   solution as an alternative to in-person visits.
   
   Watch video

 * PLATFORM SERVICES
   
   Extend athenaOne with differentiated apps, exchange clinical data across
   systems, and effortlessly explore clinical and financial data.

 * Developer Portal
   
   Tools and resources to support building apps and interfaces to support them.
   
   Learn more

 * OUR MARKETPLACE PROGRAM
   
   Tailor your athenahealth experience to your organization’s specific needs
   with industry-leading solutions from our Marketplace.

 * BECOME A PARTNER
   
   Build end-to-end integrations using our robust library of APIs, and market
   them to the nation’s largest connected healthcare network.

 * DEVELOPER PORTAL
   
   Tools and resources to support building apps and interfaces to support them.

 * The athenahealth Marketplace
   
   Shop for apps and services that integrate with our solutions to optimize your
   workflows and experience.
   
   Visit the Marketplace

 * 

 * Advisory Services
   
   Experts ready to help improve your workflows, performance, and ROI.
   
   Explore Advisory Services

 * 

 * epocrates®
   
   A powerful tool that provides vital clinical knowledge and supports medical
   decisions whenever you need it.
   
   Explore epocrates

Who We Serve  
 * Who We Serve
   Who We Serve
   Who We Serve
    * Medical Practices
    * Internal and Family Medicine
    * Pediatrics
    * Cardiology
    * FQHC
    * Ob-Gyn
    * Urgent Care
   
    * Hospitals and Health Systems
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 * MEDICAL PRACTICES

 * INTERNAL AND FAMILY MEDICINE

 * PEDIATRICS

 * CARDIOLOGY

 * FQHC

 * OB-GYN

 * URGENT CARE

 * HOSPITALS AND HEALTH SYSTEMS

 * ORTHOPEDICS

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 * START-UPS

 * ANCILLARY SERVICE ORGANIZATIONS

Why Choose Us
 * Increase Revenue
   Increase Revenue
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    * Increase Revenue
      
      Grow your revenue by adding a partner that’s aligned with driving your
      success. Leverage our expertise, network, technology, and data-driven
      insights, and surpass your goals.
   
    * A partner that’s invested in your future
      
      Meet some customers who have realized stronger financial performances
      after partnering with athenahealth. Hear why they believe we’re stronger
      together.

 * Cost and Value
   Cost and Value
   Cost and Value
    * Cost and Value
      
      Most healthcare software costs more than the price tag suggests – and
      delivers far less than promised. Since we only get paid when you do, you
      know your success is our top priority.
   
    * Get more value from your healthcare IT
      
      Learn how to identify the total costs of ownership in IT investments
      including labor, operating, and opportunity costs.

 * The athenahealth Network
   The athenahealth Network
   The athenahealth Network
    * 
   
    * Improve your data, insights, and capabilities through connectivity
      
      Make it easier to deliver high-quality care and optimize your revenue
      cycle with connections that span the healthcare ecosystem. See how our
      network can help your organization achieve its full potential.

 * Master MACRA and MIPS
   Master MACRA and MIPS
   Master MACRA and MIPS
    * 
   
    * Understanding every change, so you don't have to
      
      We anticipate healthcare industry change on the horizon and propose the
      best measures for you. And because updates can be pushed out across the
      network overnight, you’ll always be prepared.

 * Customer Support
   Customer Support
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    * 
   
    * Support that prepares you for success
      
      Get the foundational training to feel prepared from day one, live support
      when you need it most, and the personalized assistance to achieve your
      short and long-term goals.

 * Interoperability
   Interoperability
   Interoperability
    * Interoperability
      
      Open data exchange is only the first step in healthcare interoperability.
      Our technology goes a step further, curating data for seamless integration
      directly into your workflows—so it’s within reach when you need it.
   
    * Clinical interoperability requires a single record—not a single system.
      
      Exchange data that’s curated for seamless integration directly into your
      workflows.

 * Improved Efficiency
   Improved Efficiency
   Improved Efficiency
    * 
   
    * You’re never left to fend for yourself
      
      With expert back-office teams and automation, we take on your
      administrative work—at speed, at scale, and more efficiently than any one
      organization possibly could.

 * INCREASE REVENUE
   
   Grow your revenue by adding a partner that’s aligned with driving your
   success. Leverage our expertise, network, technology, and data-driven
   insights, and surpass your goals.

 * A partner that’s invested in your future
   
   Meet some customers who have realized stronger financial performances after
   partnering with athenahealth. Hear why they believe we’re stronger together.
   
   Watch the video

 * COST AND VALUE
   
   Most healthcare software costs more than the price tag suggests – and
   delivers far less than promised. Since we only get paid when you do, you know
   your success is our top priority.

 * Get more value from your healthcare IT
   
   Learn how to identify the total costs of ownership in IT investments
   including labor, operating, and opportunity costs.
   
   Read the whitepaper

 * 

 * Improve your data, insights, and capabilities through connectivity
   
   Make it easier to deliver high-quality care and optimize your revenue cycle
   with connections that span the healthcare ecosystem. See how our network can
   help your organization achieve its full potential.
   
   Explore the benefits of joining our network

 * 

 * Understanding every change, so you don't have to
   
   We anticipate healthcare industry change on the horizon and propose the best
   measures for you. And because updates can be pushed out across the network
   overnight, you’ll always be prepared.
   
   Learn more about our approach to managing healthcare regulations

 * 

 * Support that prepares you for success
   
   Get the foundational training to feel prepared from day one, live support
   when you need it most, and the personalized assistance to achieve your short
   and long-term goals.
   
   Learn more about our approach to customer support

 * INTEROPERABILITY
   
   Open data exchange is only the first step in healthcare interoperability. Our
   technology goes a step further, curating data for seamless integration
   directly into your workflows—so it’s within reach when you need it.

 * Clinical interoperability requires a single record—not a single system.
   
   Exchange data that’s curated for seamless integration directly into your
   workflows.
   
   Read the whitepaper

 * 

 * You’re never left to fend for yourself
   
   With expert back-office teams and automation, we take on your administrative
   work—at speed, at scale, and more efficiently than any one organization
   possibly could.
   
   Learn more about how we improve efficiency

About
 * Who We Are
   Who We Are
   Who We Are
    * 
   
    * Helping shape the future of healthcare
      
      We partner with healthcare organizations of all sizes and provide them
      with the technology, insights, and expertise to help them drive better
      clinical and financial results.

 * Careers
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    * Careers at athenahealth
      
      Help us make the healthcare system healthier for everyone.
   
    * Culture
      
      We’re collaborative and strive to build inclusion into all we do. 
   
    * Teams
      
      Get to know the teams that bring our work to life.
   
    * Locations
      
      Our offices span the U.S. and India. Find the closest one to you.
   
    * Student opportunities
      
      Solve real business challenges, and experience our culture firsthand.
   
    * Ready to join the team?
      
      Help us create a thriving ecosystem that delivers accessible,
      high-quality, and sustainable healthcare
      for all.

 * Newsroom
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 * athenaGives
   athenaGives
   athenaGives
    * 
   
    * Helping expand healthcare accessibility for all
      
      athenaGives is our social impact platform for supporting expanded access
      to high-quality healthcare for everyone. Our efforts currently include
      philanthropy, volunteering, donations, and supporting STEM education
      opportunities.

 * Leadership
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      accessible, high-quality, and sustainable healthcare for all.

 * Contact Us
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 * 

 * Helping shape the future of healthcare
   
   We partner with healthcare organizations of all sizes and provide them with
   the technology, insights, and expertise to help them drive better clinical
   and financial results.
   
   Learn more about athenahealth

 * CAREERS AT ATHENAHEALTH
   
   Help us make the healthcare system healthier for everyone.

 * CULTURE
   
   We’re collaborative and strive to build inclusion into all we do. 

 * TEAMS
   
   Get to know the teams that bring our work to life.

 * LOCATIONS
   
   Our offices span the U.S. and India. Find the closest one to you.

 * STUDENT OPPORTUNITIES
   
   Solve real business challenges, and experience our culture firsthand.

 * Ready to join the team?
   
   Help us create a thriving ecosystem that delivers accessible, high-quality,
   and sustainable healthcare
   for all.
   
   Explore athenahealth jobs

 * THE NEWSROOM
   
   From media mentions to relevant data-driven insights, this is the home of
   athenahealth in the news.

 * PRESS RELEASES
   
   Read the latest on how we’re helping support sustainable healthcare for all.

 * NEWS
   
   Browse the latest athenahealth related headlines.

 * DATA INSIGHTS
   
   Knowledge gleaned from the largest, single, connected network in healthcare.

 * GOVERNMENT RELATIONS
   
   Read our comments on current proposals for healthcare-related legislation.

 * PRESS KIT
   
   Get up-to-speed on the history, people, and vision of athenahealth.

 * 

 * Helping expand healthcare accessibility for all
   
   athenaGives is our social impact platform for supporting expanded access to
   high-quality healthcare for everyone. Our efforts currently include
   philanthropy, volunteering, donations, and supporting STEM education
   opportunities.
   
   Explore the athenaGives program

 * 

 * Our Leadership Team
   
   Meet the dedicated professionals leading us in our pursuit of delivering
   accessible, high-quality, and sustainable healthcare for all.
   
   Meet the team

 * CONTACT US
   
   For contact information and answers to frequently asked questions.

 * OUR HEADQUARTERS
   
   We’re located at 311 Arsenal Street, Watertown, MA 02472.

 * SALES
   
   Answers to FAQs about our products and pricing.

 * CUSTOMERS
   
   For current customers with athenaNet issues or who are seeking support.

 * PATIENTS
   
   If you’re looking for your patient portal, you’ll need to get the correct web
   address by contacting your medical provider directly.

Resources
 * Our Insights
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    * Connections by athenahealth
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    * Financial Performance
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    * Healthcare Technology
   
    * Patient Experience
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    * Partner Content

 * Webinars
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    * 
   
    * Webinar Hub
      
      Insights from our network on trends that could impact your practice’s
      daily operation and future goals.

 * Case Studies
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    * 
   
    * Case Studies Hub
      
      See how practices are going from surviving to thriving with the help of
      our solutions.

 * Whitepapers
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    * 
   
    * Whitepapers
      
      Strategies for improving your healthcare outcomes and business performance
      based on insights from the industry’s largest, single, connected network.

 * CONNECTIONS BY ATHENAHEALTH
   
   Explore healthcare insights unlocked using data from the athenahealth
   network.

 * CLINICAL TRENDS AND NEWS
   
   Here are the current industry trends and news we think you should know about.

 * FINANCIAL PERFORMANCE
   
   Insights and tools for driving financial stability and success.

 * PRACTICE MANAGEMENT
   
   Strategies for supporting your staff and practice’s health and welfare.

 * HEALTHCARE TECHNOLOGY
   
   Check-in on today’s trends and the innovations of tomorrow.

 * PATIENT EXPERIENCE
   
   Insights into the evolving needs and expectations of today’s patients.

 * VALUE-BASED CARE
   
   Strategies and tips to keep your practice thriving on the way to VBC.

 * PARTNER CONTENT
   
   Insights from our Marketplace partners on innovations in healthcare
   technology.

 * 

 * Webinar Hub
   
   Insights from our network on trends that could impact your practice’s daily
   operation and future goals.
   
   Explore our Webinars

 * 

 * Case Studies Hub
   
   See how practices are going from surviving to thriving with the help of our
   solutions.
   
   Read our Case Studies

 * 

 * Whitepapers
   
   Strategies for improving your healthcare outcomes and business performance
   based on insights from the industry’s largest, single, connected network.
   
   Read our Whitepapers



Article


THE WHOLE HEALTHCARE CONTINUUM BENEFITS WHEN PAYERS AND CLINICIANS COLLABORATE

By Carley Thornell | January 19, 2022



Putting the decision-making and economic purchasing power in the hands of
patients used to mean that the health industry focused more on simple,
consumer-friendly technology solutions. But that’s changing. In a recent survey
of provider, health plan, and life sciences executives, more than 9 out of 10
said improving the clinician experience was among their top priorities,
according to PricewaterhouseCooper’s Health Research Institute (HRI). Clinician
satisfaction is especially important as the nation’s battle with COVID-19
continues – and exacerbates physician burnout in many instances.

But the pandemic may have opened up opportunities, not just challenges.
Seventy-three percent of executives surveyed by HRI said they were starting to
or have plans to collaborate with other care providers and payers as a result of
the pandemic. Such collaboration will ultimately benefit the whole healthcare
continuum, yielding healthier consumers, more informed clinicians, and cost
savings.


INFORMATION ABOUT COSTS IS “CRITICAL” AT POINT OF CARE, SAY CLINICIANS

The cost of medical care and transparency surrounding it is top of mind for Dr.
Paul Carlan, president of Valley Medical Group in Massachusetts. He recently
shared his insights as part of an athenahealth symposium centered on the future
of payer-provider collaboration. “Information about cost of care is critical to
have at the point of care,” he said. “When we refer a patient to a specialist,
or when we send someone for an imaging study, we don’t know what that costs. And
our patients are extraordinarily sensitive to that.”

Physicians like Carlan have seen progress recently when it comes to estimating
out-of-pocket medication costs. Medication abandonment contributes to nearly
$300 billion in avoidable healthcare costs and 125,000 potentially avoidable
deaths; one of the main reasons patients abandon treatment is the out-of-pocket
price tag on medications. Digital partnerships across the healthcare continuum
like real-time benefits checks for patient-specific prescription pricing
information promote better adherence — and better experiences for patient and
provider alike. The downstream effect is a reduction in administrative tasks
that contribute to burnout, like pharmacy callbacks and prior authorization
approvals. Clinicians can keep encounters focused on patients’ clinical
wellbeing instead of their financial health.



If you really think about how 50 percent of the downstream cost of care comes
from the primary care physician, arguably the most important shopper for care is
the primary care physician.
Michael Palantoni, athenahealth vice president of platform services



New regulatory requirements that go into effect soon could offer even more
traction when it comes to increasing cost transparency and reducing friction
across the healthcare continuum. Requirements of payers in the Transparency in
Coverage Final Rule include disclosing to the public in-network provider
negotiated rates and historical out-of-network allowed amounts. They also
require disclosure of cost-sharing information including an estimate of a
participant’s cost-sharing liability for covered items via an online tool and on
paper, or by telephone. The former goes into effect mid-year and the latter
requirement will be phased in by specific items and services starting in January
2023.

The Rule follows the Hospital Price Transparency final rule, which requires
hospitals to make public a variety of pricing information. Organizations like
Hollywood, Fla.-based Memorial Healthcare System rolled out patient-facing price
estimation capabilities in 2014, which provides out-of-pocket cost information
for 300-plus outpatient procedures, diagnostic services and physician visits
(and what’s included in the quote). Matt Muhart, Memorial's executive vice
president and chief strategy officer, says an analysis of 300 quotes yielded
$1.5 million in revenue. While that can’t be fully attributed to the tool,
Muhart believes the functionality engaged patients and provided a better
consumer experience — and may have even brought in patients who otherwise would
not have considered MHS.


TECHNOLOGY WILL HELP CREATE A MORE INFORMED, CURATED EXPERIENCE

Michael Palantoni, a symposium presenter and vice president of platform services
at athenahealth, believes the clinician experience is intrinsically linked to
that of the healthcare consumer. “If you really think about how 50 percent of
the downstream cost of care comes from the primary care physician, arguably the
most important shopper for care is the primary care physician,” he said, citing
McKinsey research. Palantoni says that enhancing clinicians’ experiences to pull
in costs, quality, and network guidance – especially within native workflows —
needs to be a priority.

Transitioning from data dumps to the proper balance of transparency and
information curation were among clinicians' top goals shared with athenahealth
and payers. Rick Foerster, senior vice president for value-based operations at
Privia Health, says that clinicians can lack a complete picture as to where they
are sending their patients. “That information is really not easily available,
and it’s hard to get to, even sometimes as a patient,” he said. “We're trying to
create a more informed experience, where that doctor, when they're making their
referral, they understand that network status, quality, and cost status. For
doctors, that better experience resonates with them a lot.”

Taking the onus of that homework off clinicians so they can focus on visits
ultimately makes for a better encounter, whether someone sits on or beside the
exam room table. HRI finds that 73 percent of provider executives and their
organizations are working on improving the clinician experience by automating
administrative tasks. They are not alone. The think tank expects more investment
by payers in process automation, citing automated provider contracting and/or
credentialing. Enhanced portals will give clinicians insight into claim
processing, or straight-through processing to automate handoffs between
different systems, they write.

As for now, the pandemic has accelerated some payers’ efforts to reduce
administrative burden. Louisville, Kentucky-based Humana has prioritized easing
up on prior authorizations (an initiative the company was already working on).
They also made claims processing “easier and faster” for providers to get paid
more speedily. Administrative burden among the company’s employees is a focus as
well, and Humana uses artificial intelligence and automation so that bots can
help associates serve members more quickly and easily.

It’s clear that no matter what one’s role is in the healthcare continuum,
everybody wins when the pace of innovation matches the speed of need to so
rightfully right the ship, and make the clinician-patient relationship a top
priority.

RELATED TOPICS

 * Healthcare Technology

Solutions

 * Electronic Health Records
 * Medical Billing
 * Patient Engagement
 * Care Coordination
 * Enterprise Revenue Cycle
 * Telehealth
 * Mobile Capabilities
 * Advisory Services

Who We Serve

 * Who We Serve
 * OBGYN
 * Orthopedics
 * FQHC
 * Health Plans
 * Member-Centric Organizations
 * Start-Ups
 * Ancillary Service Organizations

Why Choose Us

 * Interoperability
 * The athenahealth network
 * Customer support
 * Improved efficiency
 * Master MACRA and MIPS
 * Cost and value

About

 * Who We Are
 * Careers
 * Newsroom
 * Marketplace Partners
 * athenaGives
 * Contact Us
 * Leadership

Resources

 * Our Insights
 * Real-Time Care Notifications
 * Webinars
 * Case Studies
 * Whitepapers
 * Developer Portal
 * Marketplace

Schedule a 1:1 meeting

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800.981.5084

Solutions
 * Electronic Health Records
 * Medical Billing
 * Patient Engagement
 * Care Coordination
 * Enterprise Revenue Cycle
 * Telehealth
 * Mobile Capabilities
 * Advisory Services

Who We Serve
 * Who We Serve
 * OBGYN
 * Orthopedics
 * FQHC
 * Health Plans
 * Member-Centric Organizations
 * Start-Ups
 * Ancillary Service Organizations

Why Choose Us
 * Interoperability
 * The athenahealth network
 * Customer support
 * Improved efficiency
 * Master MACRA and MIPS
 * Cost and value

About
 * Who We Are
 * Careers
 * Newsroom
 * Marketplace Partners
 * athenaGives
 * Contact Us
 * Leadership

Resources
 * Our Insights
 * Real-Time Care Notifications
 * Webinars
 * Case Studies
 * Whitepapers
 * Developer Portal
 * Marketplace


Schedule a 1:1 meeting

Privacy PolicyTerms of UseDisclaimersDo Not Sell My Personal Information Code of
ConductTransparency in CoverageCookie Preferences

Call us anytime 800.981.5084



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These cookies allow us to count visits and traffic sources so we can measure and
improve the performance of our site. They help us to know which pages are the
most and least popular and see how visitors move around the site. All
information these cookies collect is aggregated and therefore anonymous. If you
do not allow these cookies we will not know when you have visited our site, and
will not be able to monitor its performance.

TARGETING COOKIES

Targeting Cookies

These cookies may be set through our site by our advertising partners. They may
be used by those companies to build a profile of your interests and show you
relevant adverts on other sites. They do not store directly personal information
but are based on uniquely identifying your browser and internet device. If you
do not allow these cookies, you will experience less targeted advertising.

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