NASHVILLE, Tenn., July 19, 2021 /PRNewswire/ -- XSOLIS, the company
solving operational challenges in healthcare, is partnering with
Humana Inc., a leading health and well-being company, to offer its
real-time, predictive analytics platform for utilization review
processes between Humana and participating providers. Alongside and
in collaboration with participating XSOLIS client health systems,
Humana will be adopting Precision Utilization Management (Precision
UM), a process by which XSOLIS analytics identify and stratify a
subset of member cases for "touchless" status determinations for
medical inpatient treatment. These touchless determinations ensure
that clinicians at both hospital and health plan have more time to
focus on the person, not the process, ensuring appropriate care is
matched with the right coverage, each time.
![XSOLIS (PRNewsfoto/XSOLIS) XSOLIS (PRNewsfoto/XSOLIS)](https://mma.prnewswire.com/media/1164149/XSOLIS_Logo.jpg)
XSOLIS' SaaS platform, CORTEX®, extracts data
directly from the hospital electronic medical record and analyzes
the full clinical picture for each patient throughout their
hospital stay. CORTEX is available online and on-demand to staff at
both hospital and insurer and provides a complete, analytics-driven
view of patients. With CORTEX, providers can escalate certain cases
to Humana to be reviewed and approved in real time. CORTEX
facilitates interaction between payers and providers during the
utilization review process, eliminating the friction and much of
the administrative work typically experienced during review
activities.
"Our relationship with our providers is paramount," said
George Renaudin, Senior Vice
President at Humana. "XSOLIS offers us the opportunity to
significantly reduce provider abrasion, increase our review
effectiveness and streamline our efficiency in care management on
behalf of our team and health plan members. We were the first of
our peers to pilot this new approach to utilization management and
we are proud to engage a growing list of participating providers in
adopting this framework."
"We have an unprecedented opportunity to create a future where
each person – as a patient and a member – receives care that is
adequately and efficiently managed," said Joan Butters, Chief Executive Officer at XSOLIS.
"Our partners at Humana saw the opportunity to create this
change in the industry and together with their provider partners,
have made a leap forward with true innovation. Together, we are
seizing the opportunity to reframe how payers and providers
determine medical necessity and manage utilization to create a
smarter future for healthcare."
About Humana
Humana Inc. (NYSE: HUM) is committed to helping our millions of
medical and specialty members achieve their best health. Our
successful history in care delivery and health plan administration
is helping us create a new kind of integrated care with the power
to improve health and well-being and lower costs. Our efforts are
leading to a better quality of life for people with Medicare,
families, individuals, military service personnel, and communities
at large.
To accomplish that, we support physicians and other health care
professionals as they work to deliver the right care in the right
place for their patients, our members. Our range of clinical
capabilities, resources and tools – such as in-home care,
behavioral health, pharmacy services, data analytics and wellness
solutions – combine to produce a simplified experience that makes
health care easier to navigate and more effective.
More information regarding Humana is available to investors via
the Investor Relations page of the company's website at humana.com,
including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission filings
- Most recent investor conference presentations
- Quarterly earnings news releases and conference calls
- Calendar of events
- Corporate Governance information
About XSOLIS
XSOLIS is the healthcare technology firm creating an artificial
intelligence-based network for objective, data-driven utilization
management between payers and providers. To learn more, visit
www.xsolis.com.
View original content to download
multimedia:https://www.prnewswire.com/news-releases/xsolis-collaborates-with-humana-on-new-approach-to-utilization-management-301336790.html
SOURCE XSOLIS