SOURCE: NaviNet, Inc.

NaviNet, Inc.

December 09, 2013 09:00 ET

QualCare, Inc. Signs Agreement to Become a NaviNet Open Beta Program Customer

BOSTON, MA--(Marketwired - Dec 9, 2013) - NaviNet, America's largest healthcare network community, announced that long-time partner QualCare, Inc., one of the leading managed care organizations in New Jersey, has agreed to be a Beta Program Customer for NaviNet Open. Celebrating its 20th anniversary this year, QualCare enjoys the reputation of being at the forefront of the changing landscape of healthcare.

With more than 700 employees throughout the Northeast, QualCare serves over 100 acute, specialty, and rehabilitation hospitals, as well as 29,000 physicians and other ancillary providers at 33,000 locations across New Jersey, Pennsylvania, and New York. Given that QualCare is provider-owned, the company is closer to providers than most traditional payers. Through this hybrid model, QualCare's status as a trusted hospital advisor, and with healthcare reform pushing payers and providers closer together, QualCare is able to more easily introduce innovation such as NaviNet Open into the market.

NaviNet Open is a SaaS-based enterprise-class software product line designed to serve payer customers and provider users. It is a tunable, configurable network that empowers health plans and delivery systems to pursue any of the many reform strategies that depend on robust, flexible, and managed communications between all the people and systems who are, in fact, the healthcare community. It consists of a series of layers: a platform, a set of network services, a suite of applications that actually deliver the business and clinical value, and a set of tools that customers can use to configure and customize the system.

"QualCare is proud to be part of this exciting program with such an innovation-driven partner," said Karthik Ganesh, Executive Vice President and Chief Operating Officer at QualCare, Inc. "We look forward to growing this relationship and further discussing our provider sponsorship and commitment to optimizing provider engagement."

"By choosing to become a NaviNet Open Beta Program Customer, QualCare is demonstrating its commitment to innovation, its provider network, and member community," said Chuck Digate, Senior Vice President, Sales and Business Development, NaviNet, Inc. "Through this partnership, we will be able to work closely with QualCare to deliver the transformative power of NaviNet Open to its physician office network so that they can leverage the value-added power of this new collaborative solution. We are proud that it joins another longtime NaviNet partner, Blue Cross Blue Shield of Nebraska, in the NaviNet Open Beta Program." 

About QualCare
QualCare, Inc. is a full-service managed care organization servicing more than 800,000 members and covering over 100 acute, specialty and rehabilitation hospitals as well as close to 30,000 physicians and other ancillary providers at 33,000 locations across New Jersey, Pennsylvania & New York. Headquartered in Piscataway, New Jersey, QualCare is owned by 16 non-profit hospitals and physician-hospital organizations, with a clientele that spans health systems, unions, local governments, school boards, and other commercial employers.

For over twenty years, QualCare has offered the following services: self-funded PPO, HMO network, point of service (POS) network, open access health plans, third party administration (TPA) services, provider network access, care management services, a workers' compensation product and ACO consultative services and infrastructures. For more information, visit www.qualcareinc.com.

About NaviNet
NaviNet is America's largest healthcare network community. The company's flagship multi-payer provider communications platform offers immediate access to the desktops of more than 350,000 administrative and clinical staff in more than 70% of the nation's provider organizations. The network is sponsored largely by healthcare payers, who benefit from the efficient communication of common provider-to-payer interactions, such as insurance verification, reimbursement investigation, referrals, and authorizations. NaviNet Open is a SaaS-based enterprise-class software product line designed to serve payer customers and provider users. It consists of a series of layers: a platform, a set of network services, a suite of applications, and a set of tools that customers can use to configure and customize the system. For more information, please visit www.NaviNet.net.

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