Articles from nirvanaHealth

nirvanaHealth, the first to deploy an integrated Payer and PBM platform across all departments, announces the launch of its digital Transaction-as-a-Service (TaaS) solution on AWS designed for health plans and PBMs to substantially reduce operating costs with a digital workforce. Powered by nirvanaHealth’s cloud-native Aria platform, the TaaS model enables Payers and PBMs to offload all transactional functions across the fully-insured, ASO, and PBM administrative and care continuums to a fully automated digital workforce, significantly reducing operating costs while allowing human capital to focus on transaction exception handling. With Aria, Payers and PBMs can not only reduce current operating costs by over one-third, but also rapidly expand value-based care networks, new markets, and product innovation for all lines of business.

Oxbridge Health (“Oxbridge”) will leverage nirvanaHealth’s Aria Payer & PBM platform to administer its innovative Episode Benefit plans, an entirely new category of health insurance plan design that integrates familiar features of PPO and HMO plans, while using episode allowances to drive radical levels of cost transparency. The new plans will begin enrolling self-funded employers starting in 2024.

nirvanaHealth and Troy Medicare announce their partnership to implement nirvanaHealth’s Medicare Advantage Platform-in-a-Box enterprise solution that runs on Microsoft Azure. These solutions run on Aria, nirvanaHealth’s integrated Payer & PBM cloud-native platform with built-in artificial intelligence (AI). Troy Medicare is a Medicare Advantage plan based in Charlotte, North Carolina that leverages its network of independent pharmacies to improve outcomes and coordinate care. Troy Medicare will be migrating onto nirvanaHealth’s Aria Payer platform.

nirvanaHealth announces that Aria, the Payer & PBM business suite that will empower Payers & PBMs to design their own business solutions, will be available on Microsoft Azure and in the Azure Marketplace with a “try and buy” mode. nirvanaHealth is modernizing complex administrative & clinical operations for Payers & PBMs by offering thirty different modules as a one-stop-shop Payer & PBM business suite. Aria for Microsoft Azure is a build-your-own centralized digital workspace for Payer & PBM operations.

Antidote Health, a leading telehealth company, has chosen nirvanaHealth’s Aria platform to power its backend operations as it transforms the future of health care. With nirvanaHealth, Antidote Health will be able to support its ambitious mission to provide accessible and affordable healthcare to all Americans. nirvanaHealth will provide Antidote Health with payer business services and operate as its full-service pharmacy benefit manager (PBM), enabling Antidote Health to expand its current telemedicine services to include a novel, virtual-first insurance offering on the ACA Exchange.

nirvanaHealth surpasses expectations and implements payer platform, PBM platform, and associated services for HealthTeam Advantage (“HTA”), a 5-Star Medicare Advantage plan, in a record-breaking eight months. Implementation began mid-April, after announcing their partnership to make HTA the first health plan to integrate their Payer and PBM operations on a single platform, leveraging nirvanaHealth’s Medicare Advantage-in-a-Box and PBM enterprise solution. HTA’s operations will run on Aria, nirvanaHealth’s cloud-native platform that deploys digital workforce across Payer and PBM operations.

nirvanaHealth, the first integrated Payer and PBM robotic process automation (RPA) platform provider, secures another $60 million in growth capital from inside investors and appoints Sidd Pagidipati, proven healthcare entrepreneur, and Prakash Patel, M.D., notable healthcare executive, to its Board of Directors. “We are ecstatic to add two successful, innovation-focused, healthcare thought leaders to our Board,” says Ravi Ika, CEO of nirvanaHealth.

nirvanaHealth simplifies health insurer exchange participation to empower payers to expand their reach into the exchange, while also reducing admin costs up to 40%. Named ‘Aria Exchange’, nirvanaHealth introduces its marketplace-ready enterprise platform on AWS, designed to handle the complexity of exchange implementation and operation for both state and federal exchanges simultaneously. Almost a decade ago, the United States health care system transformed with the passage and implementation of the ACA. By making high-quality and affordable healthcare coverage more accessible, the ACA changed the lives of millions of Americans and reduced the percentage of uninsured and underinsured. With such an overwhelming impact on its large target market, it is clear that the exchange is here to stay, with several insurers joining or expanding their reach into the exchange every year. However, due to the challenges associated with not only the changing regulatory guidelines but also the inconsistency and complexity that results from the mix of federal exchange rules and state-based exchange rules, many also choose to leave or reduce their participation instead of incurring additional cost to continue participation each year.

nirvanaHealth launches PBM-in-a-box on Amazon Web Services (AWS) to empower the adoption of Cost-Plus and 100% auditable pass-through pharmacy benefit management (PBM) models. With this platform, any pharmacy benefit administrator—including pharmacy chains wishing to enter the Cost-Plus PBM model space, state Medicaid Fee-for-Service organizations, states moving onto single PBM contracts, as well as employer groups and payers seeking a fully transparent or Cost-Plus PBM model—can offer innovative PBM solutions. Initially debuting as a full-service PBM, nirvanaHealth now opens the doors so anyone can leverage their platform to disrupt the drug benefit ecosystem.

With the Baby Boomer generation aging into Medicare and the increasing average lifespan due to modern medicine, the total number of Medicare-eligible Americans is growing. This means that having cost-effective and high-quality Medicare plans is becoming even more important. To meet this growing demand, nirvanaHealth launches Medicare Advantage-in-a-box, Aria Medicare, on Amazon Web Services (AWS).