September 13, 2022 – Cardinal Health is launching a new, robust suite of revenue cycle management (RCM) solutions and consulting services to help specialty physician practices simplify payer contracting, streamline prior authorization and maximize financial performance. These solutions will help practices achieve their financial goals and create efficiencies so staff members can increase their focus on patient care. Initially, the RCM suite will be offered to rheumatology and ophthalmology practices, with plans to expand to other therapeutic areas in the future.
Cardinal Health is collaborating with PayrHealth and eBlu Solutions to offer a payer contracting solution and prior authorization solution respectively. The full RCM suite will build on technology that Cardinal Health already offers to customers. Advanced Practice Analytics combines clinical, financial, and operational data to provide actionable insights through up-to-date dashboards with drill down capabilities, allowing practices to isolate root cause issues that impact revenue cycle performance. This comprehensive data helps providers improve their operational processes, cash flow, reimbursement performance and payer negotiations.
“Payer contracts and prior authorization processes are complicated, and specialty physician offices spend significant time navigating changing requirements, gathering data for payer contract negotiations, supporting prior authorizations, and keeping track of where the process stands for each payer and each patient,” said Amy Valley, vice president, Clinical Strategy & Technology Solutions at Cardinal Health. “We are very excited to partner with PayrHealth and eBlu Solutions – companies that keep patients at the heart of what they do – to bring meaningful efficiencies and cost savings to practices so they can focus on patient care.”
Delivered in collaboration with PayrHealth, this new offering leverages deep expertise across specialties, as well as robust data from Cardinal Health’s Advanced Practice Analytics to manage the entire payer contracting process on the practice’s behalf.
Cardinal Health’s new prior authorization solution is offered in collaboration with eBlu Solutions. It leverages a single cloud-based portal that automates medical benefits investigation and prior authorization. This enables specialty practices to get their patients the therapy they need more quickly, minimize denials and delays, and keep patients on therapy.
Cardinal Health’s RCM optimization suite also includes new revenue cycle consulting services, through which Cardinal Health experts work with practice staff to identify and close gaps in their revenue cycle performance. Cardinal Health RCM consultants will use data from Advanced Practice Analytics to benchmark the practice’s performance in key areas and target opportunities for improvement, enhancing workflows and helping practices employ mitigation strategies that improve cash flow and reduce operational write-offs.