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Month: September 2020

HealthAxis and Toney HealthCare Collaborate to Support Health Plans and Their Members

Organizations collectively provide clinical resources and business process solutions to improve care quality while lowering costs. 

Tampa, Florida – August 30, 2020 – Two Tampa-based companies, HealthAxis Group, LLC (HealthAxis), and Toney HealthCare Consulting (THCC), are collaborating to meet the unique needs of government-sponsored and commercial health insurance companies and their members.  As experts in their respective areas of healthcare, the organizations draw upon each other to bring creative solutions to health plans to help them drive efficiencies, lower costs and improve health outcomes.

The arrangement brings together THCC’s advisory and medical management-focused service solutions with HealthAxis’ full-service third-party administration (TPA) services and claims and benefits management technology.  THCC will provide leadership and guidance on clinical strategy and best practices in clinical operations, quality improvement, accreditation and regulatory compliance to joint customers.  In addition, THCC deploys to health plans seasoned doctors, nurses, clinical social workers and therapists to manage and execute essential health management functions on an interim basis or for longer periods of time.  These clinicians help individuals with care authorizations, coordination of care across various healthcare providers, and assistance in navigating the healthcare system.

THCC’s specialized services will complement HealthAxis’ business process and administrative services, the HxOps component of their end-to-end, fully integrated healthcare operations solution, HxOne. HxOps includes benefits enrollment, member management, billing, provider credentialing and claims processing.  HealthAxis provides web portals for providers and members along with many other back-office and third-party administration capabilities.  In addition, the HxOne solution generates quality and performance metrics, identifies and prevents improper claims, supports compliance and more, powered by the most advanced claims system on the market.

“We are excited to be engaging with Toney HealthCare Consulting to bring even more innovative and robust solutions to our customers, and most importantly, help them best serve their members,” said Jason Patchen, president of HealthAxis.  “Together, we can bring our clinical, technical and business process resources to the forefront to drive efficiencies, improve outcomes and lower costs.”

The organizations individually and together serve Medicare Advantage, Medicaid and Commercial populations nationwide.

“We have known of HealthAxis and the good work they do for many years.  We are pleased to be collaborating with them in a complementary way to meet the needs of health plan customers,” said Sam Toney, M.D., CEO of Toney HealthCare.  “There are times in customer engagements when we recognize opportunities to further support customers’ objectives.  Our agreement with HealthAxis enables us to draw on each other to deliver creative solutions.”

Torina Gavin, Claims Specialist

This month we speak to Torina Gavin, Claims Specialist, about her team and experience working for HealthAxis Group.    
Tell us about your team in the Claims Department.   

I love my team; we all work so well together. Each member works very hard and plays an important role in the overall company picture. We value one another’s opinions, support one another, and focus on the important task of providing excellent service to the clients.   

 

How do you spend your day?   

I work hard every day to support our customers. My time is filled with processing claims, responding to emails, and other requests. I interact with our IT team and member services for support and guidance. We are currently working from home due to the pandemic; our team supervisor has provided excellent resources to ensure a balanced day and workload.    

What do you value most about our company culture?   

I appreciate the fairness within the company. What I mean is the workload is distributed evenly, and there are equal opportunities for advancement for everyone within the company in all departments. 

 

A New Approach to Health Plan Operations

HealthAxis releases an advanced all-in-one solution to administer claims, third-party services, and data analytics for Health Plans 

Tampa, FL, (September 23, 2020): HealthAxis takes health plan claims administration software and services to the next level with the release of HxOne; an end-to-end, fully integrated healthcare operations solution. HxOne combines advanced claims system technology, flexible front and back-office services, and actionable analytics.

HxOne encompasses:

HxPro, a next-generation, claims administration platform that helps streamline healthcare claims processing and health plan management.

HxOps, a series of business processing services that aid in accelerating productivity and delivering first-rate services and quality care to members.

HxLogic, a powerful data warehouse and analytics solution that drives real-time decisions through pre-built, self-service, and predictive capabilities.

“We have been looking forward to this launch for quite a while,” said Shilen Patel, Chairman and CEO. “Over several years, we have developed and acquired key capabilities to embody our HealthOps™ philosophy, managing care and benefits through the holistic interplay between technology, operations, and analytics. From this philosophy, HxOne was born. This sophisticated solution equips clients for the endlessly shifting terrain of healthcare delivery.” 

“This was a major endeavor spanning years of effort and investment. There is no way to short cut building a comprehensive and dynamic next-generation system,” said Jason Patchen, President. “Collaborating with our clients to address claim workflow challenges, medical management dynamics, complex provider data issues, appeals and grievances, and analytics, we built a better wheel. The partnership model of development has led us to re-imagine a scalable, efficient platform capable of supporting millions of lives in any line of business. We are excited to share this market disrupting platform, HxOne, with the industry.”

One solution, eliminating multiple vendors, and the need to maintain several different systems is an aspiration of many health plans. HxOne supports all types of health plans, including commercial insurance, Medicare, Medicaid, self-funded plans, IPAs, and ACOs. It uses modern technology and is deemed the most advanced claims system on the market. The design is scalable, modifiable, and interoperable to support limitless expansion, sophisticated partner collaboration, timely evidence-based decisions, and superior customer service at a lower cost.  HealthAxis invites you to experience the power of one, HxOne.