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Passport Develops New Proprietary Technology To Support Accountable Care Organizations, Population Health Management

Date: June 16, 2013

Software Suites Align Patients, Providers, Payers at Every Episode of Care; Empower Patients to Make Informed Healthcare Decisions


FRANKLIN, Tenn. – New, innovative technology from Passport helps hospitals drive cost and quality improvements by taking a more active role in scheduling and monitoring patient activity throughout the continuum of care. The proprietary solutions integrate acute care and post-acute follow-up to ensure every episode of patient care complies with new payment arrangements between healthcare providers and Medicare and commercial payers, and enable patients to make better, more informed healthcare decisions.


”Our focus has always been helping healthcare organizations achieve Payment Certainty for Every Patient™, and that dynamic has changed with the Affordable Care Act,” said Passport CEO Scott MacKenzie. “Providers are figuring out how to develop and manage Accountable Care Organizations, adjusting to bundled payments and value-based reimbursements, and looking for ways to improve quality and avoid hospital readmissions. They are financially incented or penalized based on how well they perform against new requirements for population health management, so we are giving them solutions to synchronize every episode of patient care.”


 The combination of solutions bundled within Passport’s Population Health Management Suite and Patient Engagement Suite gives healthcare providers everything they need to meet the necessary guidelines under the ACA and empower patients to actively manage their care.


 CareCertainty™ and PatientSync™ are the newest solutions for Population Health Management. Together, the solutions are a set of real-time notifications to facilitate timely and orderly care transitions and promote patient alignment and engagement activity such as authorizations, clinical data exchange and proactive care collaboration. The Population Health Management Suite of solutions integrates the administrative, clinical, and financial workflow through the entire episode of care, from admission to payment.


  •  CareCertainty – Supports post-acute care planning during discharge and/or as part of registration and pre-service clearance. Passport presents the correct list of providers to initiate scheduling follow-up visits or care transitions to post-acute settings. Patients can make selections based on patient reviews, quality data and appointment availability for the clinicians appropriate for their insurance and population (e.g. ACO). Providers can respond to scheduling requests in real-time and get a complete and accurate referral.


“Discharge planning really should start at registration. Making a post-acute care plan before the service increases the likelihood of patients’ post-acute care follow-up, and allows hospitals to manage quality for patients where the insurance payment will be bundled or is pre-arranged with a specific set of providers. It’s better for patients, physicians and the healthcare system,” said MacKenzie.


  • PatientSync – Shares important clinical data between payers and providers assuming patient risk to feed quality reporting and alert when an episode of care is likely to lead to a denial. Providers govern who can access clinical data based on a real-time event trigger to ensure that the right information is available at the right time. Payers access useful data on an episode-by-episode basis for utilization and case management, and for assessing clinical denials.


“The goal is to implement an efficient information-sharing process grounded in the context of an actual event, as opposed to today’s cumbersome manual requests and searches through electronic medical record systems. Case nurses on both sides of the equation (providers and payers) need to have the right clinical data available at the right time to do their work,” said MacKenzie.


Other solutions in the Population Health Management Suite allow healthcare organizations to identify members in special populations, such as ACOs. Alerts help hospital personnel correctly interpret patients’ benefit information and identify the proper population during registration or pre-service clearance, without disrupting the typical Patient Access workflow.

MemberMatch, for example, notifies providers and payers of patient activity for an episode of care when the patient is identified during an eligibility and benefits check as a participant in an ACO or other special population. PatientRisk™ identifies high-risk and high-cost patients so providers can appropriately allocate case management staff and reduce their 30-day readmission rate.

Passport Analytics™ can be utilized to validate fee-for-value payments and help allocate bundled payments based on provider contracts and Medicare value-based payment and shared savings programs. The solution looks at claim data, quality data, contracts and patient satisfaction scores to confirm reimbursements are correct and flag discrepancies as they occur.


Passport’s Patient Engagement Suite allows patients to make informed decisions about their care with solutions for pre-registering online, scheduling follow-up care, and viewing lab results via an online patient portal, kiosk or mobile application. The Suite also allows patients to settle their bills and manage their accounts across multiple system locations. 


The Patient Engagement and Population Health Management Suites are available via Passport eCare™ NEXT, the first and only platform that creates a single exception-based, error-free workflow for the entire revenue cycle.


For more information about Passport and its products and services visit


Author: Passport Health Communications



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