Latest news with #athenahealth
Business Wire
17-07-2025
- Business
- Business Wire
Claritev Joins athenahealth's Marketplace Program to Empower Providers with Price Intelligence for Stronger Financial Outcomes
MCLEAN, Va.--(BUSINESS WIRE)--Claritev Corporation ('Claritev' or the 'Company') (NYSE: CTEV), a healthcare technology, data and insights company focused on making healthcare more affordable, transparent and fair for all, today announced an agreement with athenahealth, Inc. through the company's award-winning athenahealth ® Marketplace program. Now available to athenahealth's growing network of healthcare providers, the newly integrated CompleteVue™ enables financial impact through the power of publicly available price transparency data, actionable insights and powerful analytics. The athenahealth Marketplace empowers athenahealth customers to easily discover and implement solutions that meet their unique needs, fostering a more efficient and patient-centered approach to care. CompleteVue™ transforms complex price transparency data into negotiating power by: Delivering comprehensive market and rate analyses Providing real-time pricing simulations to predict revenue impact through a Revenue Impact Simulator Offering clinical normalization and proprietary Data Usability Ratings for confident data-driven insights Strengthening financial performance through the combination of market analytics and insights as well as collaboration with dedicated provider experts 'CompleteVue combines publicly available data, technology and deep expertise to deliver insights and powerful data analytics,' said Travis Dalton, Chairman, CEO and President of Claritev. 'This unique offering will bring much needed transparency to an opaque market and empowers healthcare organizations to optimize revenue while reducing costs. CompleteVue will deliver real and meaningful data analytics to help ensure optimal contract performance.' CompleteVue addresses critical challenges that healthcare providers face in contract negotiations by combining expansive, clean, and publicly available data with unparalleled analytics and data science expertise. This unique approach enables providers to identify impactful opportunities, insights, and clarity into their market position to strengthen their negotiation strategies with data-backed confidence. The availability of this powerful platform on the athenahealth Marketplace will make the transformative potential of public price transparency data and insights far more accessible to a whole new group of healthcare providers. As a new Marketplace partner, Claritev joins an expansive, open ecosystem that enables integration with third-party applications, services, and systems to make innovative solutions available to more than 160,000 providers on the athenaOne network. The Marketplace allows athenaOne customers the ability to access and efficiently integrate with solutions that augment the functionality of the athenaOne platform, helping providers and administrators eliminate friction for patients while working to improve practice outcomes and financial performance. To learn more about Claritev's new integrated application on the Marketplace, please visit the CompleteVue product listing page on the Marketplace. About Claritev Claritev, formerly known as MultiPlan, is a healthcare technology, data and insights company focused on delivering affordability, transparency and quality to the U.S. healthcare system. Led by a team of deeply experienced associates, data scientists and innovators, Claritev provides cutting-edge solutions and services fueled by multiple data sources and over 40 years of claims repricing experience. Claritev leverages world-class technology and AI to power a robust enterprise platform that delivers meaningful insights to drive affordability and price transparency and optimizes networks and benefits design. By developing purpose-built solutions that support all key stakeholders — including payors, employers, patients, providers and third parties — Claritev is dedicated to making healthcare more accessible and affordable for all. Claritev serves more than 700 healthcare payors, over 100,000 employers, 60 million consumers, and 1.4 million contracted providers. For more information, visit About athenahealth Marketplace The athenahealth Marketplace, one of the largest healthcare app stores, offers customers a diverse range of integrated solutions and innovative applications designed to enhance the athenaOne experience. Nearly 75% of athenahealth customers use Marketplace partner solutions to boost practice efficiency and engage patients in their own care. The Marketplace has over 500 solutions across more than 60 medical specialties and capabilities that are integrated with athenaOne, athenahealth's all-in-one solution that improves clinical effectiveness, patient experience, and financial performance. Learn more about our comprehensive Marketplace program at
Business Wire
12-06-2025
- Health
- Business Wire
athenahealth, Humana, and Your Health Closing Critical Gaps at the Point of Care While Reducing Administrative Burden on Clinicians
BOSTON--(BUSINESS WIRE)--athenahealth, a leading provider of network-enabled software and services for healthcare practices nationwide, in collaboration with key partners Humana (NYSE: HUM) and Your Health, a South Carolina-based primary care practice, have received a 2025 Points of Light Award from KLAS. This recognition is for the case study, ' Closing Care Gaps & Reducing the Administrative Burden Through Improved Data Sharing.' This recognition highlights how integrating timely and relevant information directly into the clinical workflow can help improve health outcomes for patients. "Facilitating collaboration between payer and provider organizations to improve care and eliminate administrative tasks is how we can deliver care experience that patients expect and deserve,' said Sam Lambson, VP of Product Management, Data and Ecosystem. 'At Your Health, our clinicians focus on delivering care that's preventative, personalized, and high-quality. This requires our staff to track patients and their health beyond the clinic and identify and address care gaps before they escalate to more serious or costly conditions,' said Will Stillinger, chief operating officer, Your Health. 'Humana and athenahealth have established an open and seamless information exchange that helps us deliver better care while eliminating administrative burden and costly interventions. We are excited by the opportunity for future care intervention pathways based on factors like Social Determinants of Health.' To accomplish this real-time data exchange, Humana and athenahealth partnered to implement athenaPayer's Care and Diagnosis Gaps solutions to identify and surface care and diagnosis gaps among Humana's Medicare Advantage members. Utilizing athenahealth's cloud-based, single instance platform, Your Health clinicians can now see relevant patient information ahead of visits, address identified gaps during the visit, and document diagnoses and care plans directly within athenaOne. Leveraging Da Vinci APIs, athenahealth automatically sends validated data back to Humana to appropriately document and report on the quality of care they provide to members. As the case study reports, athenahealth has uncovered an average of 4.8 additional care gaps and 4.7 additional diagnosis gaps per member among Humana's Medicare Advantage population, and Humana has been able to close 35% of its CMS Star gaps. Your Health clinicians now spend less time identifying care gaps with limited information, improving care while reducing documentation time. 'By investing in improving preventive care and management of chronic conditions, we're able to help our members stay healthier and out of the hospital. And that leads to lower costs for members themselves,' said Chris Walker, associate vice president of Enterprise Transformation and Interoperability, Humana. 'This partnership – and the positive results we've collectively achieved – is another example of how we are working together to improve patient care and deliver better health outcomes.' athenahealth continues to expand its work with payer organizations, boosting information sharing across its network of more than 160,000 providers and facilitating new pathways to improve patient outcomes. To date, athenahealth has surfaced information on more than 25 million care and diagnosis gaps across commercial, Medicare, Medicaid, and ACA lines of business. The company has additional solutions that support provider and payer collaboration, including electronic prior authorization, transition of care, and referral management capabilities. 'We are working to create a thriving healthcare ecosystem that delivers accessible, high-quality, and sustainable care for all,' said Sam Lambson, vice president of Product Management, Data and Ecosystem Platform for athenahealth. 'Our work with Humana and Your Health is an example of exactly what that ecosystem can look like when practices are equipped with purpose-built, innovative solutions that ease clinician burden and enhance patient outcomes. Facilitating collaboration between payer and provider organizations to improve care and eliminate administrative tasks is how we can deliver care experience that patients expect and deserve.' The KLAS Points of Light annual awards celebrate success stories achieved by payers, healthcare organizations, and healthcare IT companies who have partnered to reduce costs and inefficiencies and improve patient experience. The organizations are honored by the recognition and recently presented about their collaboration at the KLAS K2 Collaborative Summit, May 20-22 in Salt Lake City, UT. To learn more about the challenges, outcomes, and key lessons from this collaboration, please visit: About athenahealth, Inc. athenahealth strives to cure complexity and simplify the practice of healthcare. Our innovative technology includes electronic health records, revenue cycle management, and patient engagement solutions that help healthcare providers, administrators, and practices eliminate friction for patients while getting paid efficiently. athenahealth partners with practices with purpose-built software backed by expertise to produce the insights needed to drive better clinical and financial outcomes. We're inspired by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Learn more at About Humana Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at and at About Your Health Your Health is a leading healthcare organization and physician group committed to providing high-quality, patient-centered care across various specialties, including primary and specialty care for seniors in South Carolina, Georgia, and Florida. With 300 physicians, we deliver care in homes, local offices, facilities, and virtually, ensuring services are available wherever needed. Through continuous education and clinical excellence, Your Health aims to improve health outcomes and enhance community well-being. Our team collaborates closely with families and partners to provide coordinated, compassionate care that prioritizes patients. For more information, please visit
Yahoo
27-05-2025
- Business
- Yahoo
athenahealth Names Tom Cowhey Chief Financial Officer
Veteran executive joins athenahealth to help drive the company's next phase of strategic growth BOSTON, May 27, 2025--(BUSINESS WIRE)--athenahealth, a leading provider of network-enabled software and services for healthcare practices nationwide, today announced the appointment of Tom Cowhey as the company's new chief financial officer, effective June 9, 2025. Cowhey brings more than two decades of experience leading financial organizations for large, innovative care delivery organizations. He most recently served as Executive Vice President and Chief Financial Officer at CVS Health, where he was also a member of the investment committee for CVS Health Ventures. Prior to his time at CVS Health, Cowhey was the CFO at Surgery Partners, the largest independent operator of short-stay and ambulatory surgical facilities in the United States. From 2007 to 2018, Cowhey held various positions at Aetna, including as CFO of Aetna's U.S. health plan business. "Tom Cowhey brings a broad industry perspective, a deep understanding of the ambulatory care landscape, and first-hand knowledge of the value and impact of the athenahealth platform," said Bob Segert, chairman and chief executive officer at athenahealth. "His ability to integrate the customer perspective into his work will make him an ideal addition to our executive team, and his expertise managing key stakeholders will ensure the market understands our vision, strategy, and execution across athenahealth's lines of business." While at Surgery Partners, Cowhey participated in evaluating and implementing athenaOne, recognizing the platform's impact in reducing complexity and revenue cycle improvement. "I've long admired athenahealth for its mission to transform healthcare delivery for the ambulatory care market, and the leadership team's ability to execute on its strategy," said Cowhey. "I share the belief that the future of care will be delivered in settings that prioritize accessible, high-quality, and sustainable care, and I look forward to partnering with this exceptional leadership team to realize those ambitions and drive the next phase of growth for athenahealth." Tom Cowhey holds a B.A. in economics from Wesleyan University and an M.B.A. from Duke University with a concentration in health sector management. About athenahealth, Inc. athenahealth strives to cure complexity and simplify the practice of healthcare. Our innovative technology includes electronic health records, revenue cycle management, and patient engagement solutions that help healthcare providers, administrators, and practices eliminate friction for patients while getting paid efficiently. athenahealth partners with practices with purpose-built software backed by expertise to produce the insights needed to drive better clinical and financial outcomes. We're inspired by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Learn more at View source version on Contacts Iz ConroyMedia@
Business Wire
19-05-2025
- Health
- Business Wire
Leveraging Expertise Derived from Serving 20% of All Federally Qualified Health Centers in the U.S., athenahealth Further Expands its Investment, Introduces athenaOne ® for Community Health Centers
BOSTON--(BUSINESS WIRE)--athenahealth, a leading provider of network-enabled software and services for health care practices and systems nationwide, today announced athenaOne ® for Community Health Centers, an expansion of its already robust solution that serves more than 13,000 community health providers. This launch signals the company's continued commitment to improving equitable healthcare access for diverse populations and underserved communities nationwide. 'Our commitment to supporting equitable care is at the core of what we do and with athenaOne for Community Health Centers," said Chad Dodd, vice president of product management at athenahealth. With more than 15 years supporting community health providers on its network, athenahealth has a deep understanding of the dynamic nature of these organizations and the unique role they play in delivering accessible, high-quality care to the patients who need it most. athenaOne for Community Health Centers builds on this expertise and is a comprehensive solution that enables health centers in supporting whole-person care, with integrated medical, dental, women's health, and behavioral health workflows, among others. "As a Federally Qualified Health Center (FQHC), we depend on digital tools and advanced technologies to deliver comprehensive, accessible care to our growing patient populations. In these uncertain times, it's crucial to work with a partner that understands our model of care, and we value athenahealth's expertise and commitment to improving healthcare for all," said Jesse Suphan, director of revenue cycle at CHP Berkshires, a community health center with nine locations offering exceptional and compassionate care for patients of all ages across medical, dental, and behavioral health services. "athenahealth's approach to whole-patient care – integrating dental and medical workflows within the EHR – will be a game-changer in enabling us to provide the best care for our patients." With health centers facing challenges including larger patient loads and shifting regulatory and policy requirements, athenaOne for Community Health Centers will equip health centers with the tools they need to navigate this complex environment while focusing on delivering personalized, compassionate care. Among the range of features that support their unique needs: Integrated Patient Records: A complete patient record, pulling in data from various sources including from different care sites, EHRs, payer data, and more that provides the holistic view necessary to deliver informed and coordinated care, particularly for patients with complex needs and those facing social determinants of health. Value-Based Care Support: Tools to help health centers manage a variety of value-based care models that can support a more coordinated approach to patient care involving multiple care sites and services, improving patient outcomes and financial performance. Embedded AI Technologies: Continually evolving capabilities that aim to streamline processes, improve the patient experience, and reduce administrative burden. This includes Ambient Notes for clinical documentation as well as AI and automation tools to improve financial outcomes across RCM processes. Ongoing, Dedicated Support: Customer-success model with dedicated teams that provide health centers with timely onboarding, specific configurations, and best practice recommendations. These dedicated teams understand the complexities and needs of health centers that offer multi-layered services and require expertise in regulatory and performance reporting, for instance UDS. 'At Centerville Clinics, we prioritize our community and treat our patients like we would our family members. Moving to athenahealth gives us the autonomy to make decisions that are best for our patients, staff, and community,' said Barry Niccolai, CEO of Centerville Clinics, a network of medical facilities in southwestern Pennsylvania providing a wide range of healthcare services to over 40,000 patients. 'We unanimously selected athenahealth for their culture of partnership and look forward to modernizing our capabilities and improving the care experience for all.' As the future of care continues to evolve, so will athenahealth's investment in health centers, enabling these centers have the tools needed to thrive and provide better outcomes for every patient, regardless of their background or circumstances. These investments include enhancements that will help health centers capture eligible funds more accurately, expanded care manager workflows that will allow health centers to focus on population health management, and new features to enhance value-based care reporting and digital patient engagement. 'Health centers play a vital role in delivering essential healthcare to diverse populations who face access barriers, yet many are facing increasing pressures due to fluctuating funding, shrinking reimbursements, increased demand for value-based-care, and rising patient expectations,' said Chad Dodd, vice president of product management at athenahealth. 'Our commitment to supporting equitable care is at the core of what we do and with athenaOne for Community Health Centers, we are ensuring these centers have what they need to remain agile and forward-thinking while providing high-quality care to their community.' Learn more about athenaOne for Community Health Centers, the latest investment from athenahealth in developing purpose-built solutions for specialty organizations. Previously, the company released athenaOne for Women's Health, Urgent Care, Behavioral Health, and Orthopedics, and will announce additional solutions including athenaOne for ASCs later in the year. In addition to this new offering, athenahealth continues to support and invest deeply in the community health ecosystem, including through athenaGives which grants more than 400 free and charitable clinics with free EHR services. About athenahealth Inc. athenahealth strives to cure complexity and simplify the practice of healthcare. Our innovative technology includes electronic health records, revenue cycle management, and patient engagement solutions that help healthcare providers, administrators, and practices eliminate friction for patients while getting paid efficiently. athenahealth partners with practices with purpose-built software backed by expertise to produce the insights needed to drive better clinical and financial outcomes. We're inspired by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Learn more at
Yahoo
12-05-2025
- Health
- Yahoo
GRAIL and athenahealth Team Up to Offer Healthcare Providers Streamlined Ordering of GRAIL's Galleri® Multi-Cancer Early Detection (MCED) Test
MENLO PARK, Calif., May 12, 2025 /PRNewswire/ -- GRAIL, Inc. (Nasdaq: GRAL), a healthcare company whose mission is to detect cancer early when it can be cured, today announced a new partnership with athenahealth, a leading provider of network-enabled software and services for healthcare practices and systems nationwide. This collaboration will integrate ordering of GRAIL's Galleri® multi-cancer early detection (MCED) test into athenaCoordinator Core, a service designed to help streamline laboratory order transmission and care coordination for healthcare facilities. The integration will be provided through athenaOne, athenahealth's leading cloud-based electronic health record (EHR) solution. Integration with athenaCoordinator Core will allow over 160,000 U.S. clinicians on the athenahealth network to opt in to more seamlessly order Galleri directly in the EHR, reducing additional ordering steps. After the clinician's order is placed, the patient can take the Galleri test kit to a blood draw appointment. The Galleri test results will be made available automatically in the patient chart, reducing manual entry and administrative burden for the clinician's practice. "Cancer remains a public health crisis. There is a clear need to transform the way we screen for cancer while still asymptomatic, when it can be more easily treated," said Josh Ofman, MD, MSHS, president at GRAIL. "Integrating with athenaCoordinator Core will help simplify the Galleri test ordering process as part of routine exams and help increase patient access to multi-cancer early detection to screen for some of the deadliest cancers before they become symptomatic." Cancers growing in the body shed DNA into the bloodstream. These DNA fragments act like a unique "fingerprint" of cancer. With a single blood draw, the Galleri test screens for the "fingerprint" of many of the deadliest cancers before they become symptomatic, including those with no recommended screening tests today. It can also provide doctors with information on the cancer's origin to help predict the tissue type or organ associated with the cancer signal. The Galleri test is prescription only, recommended for adults with an elevated risk for cancer, such as those age 50 or older, and is to be used in addition to recommended cancer screenings. About GRAIL GRAIL is a healthcare company whose mission is to detect cancer early, when it can be cured. GRAIL is focused on alleviating the global burden of cancer by using the power of next-generation sequencing, population-scale clinical studies, and state-of-the-art machine learning, software, and automation to detect and identify multiple deadly cancer types in earlier stages. GRAIL's targeted methylation-based platform can support the continuum of care for screening and precision oncology, including multi-cancer early detection in symptomatic patients, risk stratification, minimal residual disease detection, biomarker subtyping, treatment and recurrence monitoring. GRAIL is headquartered in Menlo Park, CA with locations in Washington, D.C., North Carolina, and the United Kingdom. For more information, visit About Galleri®The Galleri multi-cancer early detection test is a proactive tool to screen for cancer. With a simple blood draw, the Galleri test can identify DNA shed by cancer cells, which can act as a unique "fingerprint" of cancer, to help screen for some of the deadliest cancers that don't have recommended screening today, such as pancreatic, esophageal, ovarian, liver, and others.* The Galleri test can be used to screen for cancer before a person becomes symptomatic, when cancer may be more easily treated and potentially curable. The Galleri test can indicate the origin of the cancer, giving healthcare providers a roadmap of where to explore further. The Galleri test requires a prescription from a licensed healthcare provider and should be used in addition to recommended cancer screenings such as mammography, colonoscopy, prostate-specific antigen (PSA) test, or cervical cancer screening. The Galleri test is recommended for adults with an elevated risk for cancer, such as those aged 50 or older. For more information, visit Sensitivity in study participants with –Pancreas cancer: 83.7% overall (61.9% stage I, 60.0% stage II, 85.7% stage III, 95.9% stage IV). Esophagus cancer 85.0% overall (12.5% stage I, 64.7% stage II, 94.7% stage III, 100% stage IV). Ovary cancer: 83.1% overall (50.0% stage I, 80.0% stage II, 87.1% stage III, 94.7% stage IV). Liver/bile duct cancer: 93.5% overall (100% stage I, 70.0% stage II, 100% stage III, 100% stage IV). Important Galleri Safety InformationThe Galleri test is recommended for use in adults with an elevated risk for cancer, such as those age 50 or older. The test does not detect all cancers and should be used in addition to routine cancer screening tests recommended by a healthcare provider. The Galleri test is intended to detect cancer signals and predict where in the body the cancer signal is located. Use of the test is not recommended in individuals who are pregnant, 21 years old or younger, or undergoing active cancer treatment. Results should be interpreted by a healthcare provider in the context of medical history, clinical signs, and symptoms. A test result of No Cancer Signal Detected does not rule out cancer. A test result of Cancer Signal Detected requires confirmatory diagnostic evaluation by medically established procedures (e.g., imaging) to confirm cancer is not confirmed with further testing, it could mean that cancer is not present or testing was insufficient to detect cancer, including due to the cancer being located in a different part of the body. False positive (a cancer signal detected when cancer is not present) and false negative (a cancer signal not detected when cancer is present) test results do occur. Rx only. Laboratory/Test InformationThe GRAIL clinical laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) and accredited by the College of American Pathologists. The Galleri test was developed — and its performance characteristics were determined — by GRAIL. The Galleri test has not been cleared or approved by the Food and Drug Administration. The GRAIL clinical laboratory is regulated under CLIA to perform high-complexity testing. The Galleri test is intended for clinical purposes. Forward Looking StatementsThis press release contains forward-looking statements. In some cases, you can identify these statements by forward-looking words such as "aim," "anticipate," "believe," "continue," "could," "estimate," "expect," "intend," "may," "might," "plan," "potential," "predict," "should," "would," or "will," the negative of these terms, and other comparable terminology. These forward-looking statements, which are subject to risks, uncertainties, and assumptions about us, may include expectations about or projections ease of ordering Galleri, potential increases in patient access, clinical impact, technology, clinical and real world studies, regulatory compliance, potential market opportunity, anticipated growth strategies, and other topics. These statements are only predictions based on our current expectations and projections about future events and trends. There are important factors that could cause our actual results, level of activity, performance, or achievements to differ materially and adversely from those expressed or implied by the forward-looking statements, including those factors and numerous associated risks discussed under the section entitled "Risk Factors" in our Annual Report on Form 10-Q for the period ended March 31, 2025 and our Form 10-K for the period ended December 31, 2024 (the "Form 10-K"). Moreover, we operate in a dynamic and rapidly changing environment. New risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results, level of activity, performance, or achievements to differ materially and adversely from those contained in any forward-looking statements we may make. Forward-looking statements relate to the future and, accordingly, are subject to inherent uncertainties, risks, and changes in circumstances that are difficult to predict and many of which are outside of our control. Although we believe the expectations and projections expressed or implied by the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance, or achievements. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Except to the extent required by law, we undertake no obligation to update any of these forward-looking statements after the date of this press release to conform our prior statements to actual results or revised expectations or to reflect new information or the occurrence of unanticipated events. View original content to download multimedia: SOURCE GRAIL, Inc. 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