We are happy to announce the launch of the Nivano 24/7 automated phone system! At Nivano, we are constantly searching for the best technology solutions to help further streamline our business processes. By automating the most common and time-consuming calls such as checking claim and authorization status or verifying eligibility, we are allowing more time for our customer service team to assist callers with important care coordination needs. Nivano 24/7 is helping to improve our member care 24 hours a day!
SACRAMENTO, Calif., June 27, 2019 (GLOBE NEWSWIRE) -- One of Northern California’s leading Independent Physician Associations (IPA), Nivano Physicians, Inc., today announced the signing of a Medicare contract with Anthem BlueCross. Effective July 1, 2019, Sacramento County Medicare enrollees under the Anthem BlueCross managed care plan will have the option of selecting Nivano Physicians as their IPA with a coverage effective date of August 1, 2019.
Nivano Physicians boasts an expansive and diverse network of more than 900 primary care providers, specialists, hospitalists, and ancillary providers – experiencing a 30 percent growth from this time last year. “Our goal is to ensure that all of our new Medicare enrollees receive high-quality care through our network of providers anywhere in the county,” states Paul Dobrovolsky, Director of Network Operations for Nivano Physicians.
“We see this new endeavor as a great step for our company. Anthem BlueCross is one of our closest partners and we feel fortunate to have the opportunity to expand our relationship with them. Our agreement is truly a testament to how far we have come in the last 14 months as an organization,” says Sarath Artham, CEO for Nivano Physicians.
Mr. Artham goes on to state, “A primary reason Nivano Physicians has been successful in adding managed Medicare back into our business model is due to our comprehensive operations and technology infrastructure operated through MedVision’s QuickCap (QC7) platform and other inter-related technologies. Our ability as an IPA to manage STAR ratings, HEDIS scores and other such metrics gives our health plan partners peace of mind knowing that Nivano Physicians understands and has what it takes to succeed as a risk-based organization.”
About Nivano Physicians
Nivano Physicians is an Independent Physician Association (IPA) operating within Sacramento and surrounding counties. Nivano Physicians is a strong and committed advocate for the members within our community – ensuring that managed health care is actually “manageable.” The IPA educates and advises clients and physician participants and oversees their members’ managed health care needs. Learn more at www.nivanophysicians.com.
About Anthem, Inc.
Anthem is a leading health benefits company dedicated to improving lives and communities and making healthcare simpler. Through its affiliated companies, Anthem serves more than 78 million people, including over 40 million within its family of health plans. Anthem aims to be the most innovative, valuable and inclusive partner. For more information, please visit www.antheminc.com. In California, Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.
Deanna McQuillan, Director of Operations
The Yuba-Sutter- Colusa United Way Community Resource Fair has been rescheduled! We hope to see all of you there.
Yuba-Sutter-Colusa United Way
Community Resource Fair
“Assisting Those In Need”
Saturday, August 17, 2019
10:00 am - 1:00 pm
Location: Gauche Park (Wilbur Ave. and C St., Yuba City)
The Nivano Physicians mobile application was made to allow practice management and key decision makers within their organizations to make informative business decisions regarding their membership with Nivano. The mobile application features include claim aging summaries, membership totals by health plan, address lists, referral trends and our real-time HEDIS Report Card. By implementing this tool, providers are able to focus on patient care while successfully monitoring their bottom line.
Come join Nivano Physicians while we support the Kids Day in the Park in Rancho Cordova! The event features free family fun including rides, crafts, games, and more.
Saturday, April 27th from 11 am - 3 pm at Hagan Park
2197 Chase Drive, Rancho Cordova
Provider Organizations Require an Analytic Platform to Promote Physician Engagement Which Will Help Drive Quality Improvement and Cost Effectiveness
MIRAMAR, FLORIDA, USA, December 3, 2018 /EINPresswire.com/ -- MIAMI December 3, 2018 Qualmetrix, a leader in Advanced Analytics and Population Health, announced today that Nivano Physicians has selected its platform to help the California-based independent physician association (IPA) enhance the quality of care it delivers to its patient population. Qualmetrix quickly integrated the data provided by Nivano Physicians so that they were operational within 30-days following receipt of data.
The integration of the Qualmetrix Analytic Platform into the workflow of Nivano Physicians will allow enhanced population health management, drive physician performance, and improve control of cost and utilization within their organization
“Our team at Nivano Physicians has wholeheartedly embraced the Qualmetrix platform. We are finding that Qualmetrix’s ease of use provides a significant enhancement to our core platform and allows us to improve the quality of care we give to our patients. The ability to swiftly identify opportunities to improve the care of our patients in a cost-effective fashion is of paramount importance to us and the Qualmetrix platform allows that to happen,” said Sarath Artham, CEO and Chief Technological Officer, Nivano Physicians.
“The healthcare industry continues to experience the loss of billions of premium dollars to overutilization and inappropriate use of services. The Qualmetrix platform helps healthcare organizations like Nivano enhance the care delivered to its patients by identifying opportunities to engage its physicians with data to drive continued quality improvement.” said Lawrence Schimmel, M.D., Chief Medical Officer of Qualmetrix.
QualMetrix is an outcomes-driven analytics company, providing turnkey SaaS solutions that enable connected intelligence across the care continuum by transforming massive amounts of data into actionable insights. Our solution creates transparency enabling its clients to deliver impactful population health initiatives. Additionally, QualMetrix offers solutions that help you identify and limit overutilization, reduce unnecessary care and deviations from best practices to help control c
SACRAMENTO, Calif., Feb 18, 2019 (GLOBE NEWSWIRE via COMTEX) -- SACRAMENTO, Calif., Feb. 18, 2019 (GLOBE NEWSWIRE) -- Nivano Physicians, Inc., a California-based Independent Physician Association (IPA), today announced the signing of a Medi-Cal contract with Molina Healthcare effective February 1, 2019. Sacramento county managed care Medi-Cal enrollees under Molina Healthcare will now have the option of receiving their primary care and specialty care services through Nivano Physicians thanks to the newly-signed agreement. Nivano Physician boasts an expansive and diverse network of over 700 primary care providers, specialists, hospitalists and ancillary providers.
"Our team has been working around the clock with Molina to reach this agreement. We are thrilled for the opportunity to work with a progressive health plan like Molina, and we look forward to offering comprehensive coverage for Medi-Cal recipients in Sacramento county. The new Nivano - Molina contract is expected to benefit many thousands of Medi-Cal managed care enrollees in Sacramento County. We feel this will be welcomed news to the Sacramento community, as Nivano Physicians continues in its mission and vision to serve those in need with the best possible network of physicians," said Sarath Artham, CEO of Nivano Physicians.
About Nivano PhysiciansNivano Physicians is an Independent Physician Association (IPA) operating within Sacramento and surrounding counties. Nivano Physicians is a strong and committed advocate for the Medi-Cal community--ensuring that managed health care is actually 'manageable.' The association educates and advises clients and physician participants and oversees their managed health care needs. www.nivanophysicians.com
About Molina Healthcare
Molina Healthcare, a FORTUNE 500, multi-state health care organization, arranges for the delivery of health care services and offers health information management solutions to nearly five million individuals and families who receive their care through Medicaid, Medicare and other government-funded programs in fifteen states. www.molinahealthcare.com
For more information contact:
Operations & HR Manager | Nivano Physicians
916-407-2000 | firstname.lastname@example.org
Integration of Apollo Managed Care Guidelines into Nivano Physicians’ workflow will place the required criteria for managing care at providers’ fingertips within its network – improving care coordination
SACRAMENTO, Calif., Feb. 04, 2019 (GLOBE NEWSWIRE) -- Nivano Physicians, Inc., a California-based Independent Physician Association (IPA), today announced the expansion of its Apollo Managed Care guidelines, allowing their 700+ Primary Care and Specialist Physicians to directly access the guidelines through its integrated QuickCap administration platform provided by MedVision, Inc. Providers can get more immediate access to the identical guideline criteria that health plans and IPAs use in care coordination and referral authorization processes at the point of making any referral request. Quicker access to the criteria means more efficient approvals, which further enhances turn-around times and improves overall satisfaction for both patients and providers.
“Provider offices that were surveyed following the rollout of this important access ability have given us the positive feedback and acceptance we had hoped for from our network providers. Physicians and their staff feel that understanding in advance the various elements that make up the criteria for managing care and in how health plans and IPAs evaluate and approve referral requests is a timesaver, ultimately benefiting health plan members,” said Sarath Artham, CEO and Chief Technological Officer, Nivano Physicians. “The goal with our integrated technologies and single point of access is to mitigate or remove any potential roadblocks in service to our physicians and the populations we mutually serve each and every day.”
“This is yet another example of an improved, seamless approach of business workflow in healthcare. Applying proven administration components of QuickCap coupled with guidelines from Apollo Managed Care and implementing them with virtually immediate access for providers, Nivano Physicians sets itself apart as a very progressive managed care organization,” said Albert Sosa, CEO, MedVision, Inc.
“Physicians will be able to use these guidelines that provide essential information to assist in medically-necessary benefit determinations, streamline the authorization process, and improve management of medical and behavioral health care,” said Margaret Bischel, MD, CMO, Apollo Managed Care.
About Nivano Physicians
Nivano Physicians is an Independent Physician Association (IPA) operating within Sacramento and surrounding counties. Nivano Physicians is a strong and committed advocate for the Medi-Cal community—ensuring that managed health care is actually ‘manageable.’ The association educates and advises clients and physician participants and oversees their managed health care needs. www.nivanophysicians.com
About Apollo Managed Care
Apollo Managed Care has been providing the medical community with affordable review criteria and clinical guidelines since 1997. The comprehensive solution offers online access to more than 2,800 detailed clinical review criteria guidelines and evidence-based benefit interpretations that include benchmarks for commercial, Medicare and Medicaid populations. Apollo continues to be one of the industry’s most widely-trusted resources supporting medically necessary and evidence-based healthcare. http://apollomanagedcare.com/
About MedVision, Inc.
MedVision, Inc. is an innovative software solutions provider to the healthcare industry of intuitive and integrated products to help organizations operate efficiently and provide them with a competitive advantage. MedVision’s flagship product, QuickCap v7.0, is a complete health benefits software solution that leverages advanced technology to automate workflow, enable superior analytics, integrate business processes and improve patient outcomes while reducing operating costs. https://www.medvision-solutions.com/
For more information contact:
Nivano Physicians Selects PCG’s Flagship Software to Monitor and Enhance the Internal Claims Process
Nivano Physicians has partnered with PCG Software to roll out their flagship software product, Virtual Examiner®. Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. “Our team at Nivano Physicians has wholeheartedly embraced the Virtual Examiner system. We are finding VE’s ease of integration to our core platform and ability to swiftly apply millions of edit rules in adjudication, identifying issues prior to check-runs truly has helped minimize and practically eliminate problems of overpayment today,” said Sarath Artham, CEO and Chief Technological Officer, Nivano Physicians.
To read the full article, click this link: http://pcgsoftware.com/news/nivano-physicians-selects-pcgs-flagship-software-to-monitor-and-enhance-the-internal-claims-process/.
We are now live with our new Provider Portal through QuickCap!
To request access to sign in and view claims, request authorizations, and more, please go to https://nivano.quickcap.net. You will be directed to the login page where you can click "First time users, Click Here" to request access. Please see the screenshot below for further reference. Training for the new online portal can be provided by your provider representative, Sable DeGuzman, either online through WebEx or in person.