NextGen Healthcare and Availity Introduce Health Plan/Physician Data Sharing Program

NextGen Healthcare and Availity Introduce Health Plan/Physician Data Sharing Program

Integrated EHR Environment to Foster Collaborative Coordinated Care

HORSHAM, Pa.--(BUSINESS WIRE)-- NextGen Healthcare Information Systems, LLC., a wholly owned subsidiary of Quality Systems, Inc. (NAS: QSII) and a leading provider of health care information systems and connectivity solutions, today announced the introduction of a collaborative care project with Florida's largest health insurer, Florida Blue, and Availity, a top health information network to improve health care delivery for Florida residents.

The program enables physicians to exchange clinical data and patient care summaries with the health plan through integration with the NextGen® Ambulatory EHR. The organizations are joining to make patient-specific clinical information accessible at the point of care to both providers and payers concurrently, helping them more effectively coordinate care for patients by flagging potential care gaps and care opportunities.

Three provider groups—Family Care Partners (Jacksonville), HeartWell, LLP (Miami) and Baptist Health South Florida—have agreed to implement the joint project to improve health care delivery and foster collaborative coordinated care for all Florida residents.

The goal of this program is to help providers better coordinate care for their patients by identifying potential gaps in care, lack of coordination among providers that might lead to less-than-effective provision of care, and the identification of other opportunities that would mitigate unnecessary care if certain pro-active measures are taken earlier in the plan of care for a particular patient.

Physicians will access the NextGen Ambulatory EHR to view patient care summaries and care reminders from Availity—information that gives physicians a more holistic view of the patient's medical history, at an opportune time in the patient encounter.

Additionally, the program will automate the exchange of care summaries back to the health plan for quality improvement reporting. The two-way integration at the EHR level automates the costly, manual exchange between providers and payers of critical clinical information necessary to support today's care delivery, as well as revenue cycle and emerging payer driven value-based payment models and quality improvement programs.

"Together with NextGen, Availity enables health plans and physicians to easily meet the dynamic clinical information exchange requirements for new value-based care models, while reducing the administrative cost of business between providers and health plans. Our strong partnership with NextGen will focus on delivering value to Florida Blue, physicians, hospitals, and most importantly, patients, while driving sustainable innovation in the delivery of health care, said Russ Thomas, chief executive officer for Availity."

"This project is an important step toward meaningful payment reform for both providers and commercial insurers. Together with NextGen and Availity, we are working to provide more cost-effective, better quality, patient-centric care to our patient population," said Daniel Choquette, director of information technology for Family Care Partners.

"Baptist Health South Florida is very pleased to be partnering with NextGen and Florida Blue to explore and assist in architecting what may be the future of health care with regards to patient management and data sharing," said Mimi Taylor, corporate vice president and chief information officer, information technology for Baptist Health South Florida.

"This program is a truly integrated, collaborative and strategic approach to providing more efficient, cost-effective care to our patient population," said Jeffrey Kaplan, chief operating officer for the Miami multi-site cardiology practice HeartWell, LLP. "We are pleased to be one of the medical groups chosen by Florida Blue to participate and look forward to working with NextGen Healthcare in this joint program to better identify a patient's health care needs while eliminating duplicative testing."

"We are very pleased to be supporting our clients in a path-breaking strategy to share data between payer and provider in an automated manner. Our hope is that patient care will be improved and providers' professional lives will be more organized," said Charlie Jarvis, Senior Vice President, Health Reform for Quality Systems Inc., NextGen Healthcare. "We are anxious to quickly move this demonstration into a network-wide and a future nation-wide strategy with all payers who support our client base."

About Availity

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights, and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. To learn more, visit

About NextGen Healthcare

NextGen Healthcare Information Systems, LLC, a wholly owned subsidiary of Quality Systems, Inc., provides integrated clinical, connectivity and financial solutions, including revenue cycle management services for ambulatory, inpatient and dental provider organizations. For more information, please visit and Follow NextGen Healthcare on Twitter at, Facebook at or LinkedIn at

This news release may contain forward-looking statements within the meaning of the federal securities laws. Statements regarding future events, developments, the Company's future performance, as well as management's expectations, beliefs, intentions, plans, estimates or projections relating to the future (including, without limitation, statements concerning revenue and net income), are forward-looking statements within the meaning of these laws and involve a number of risks and uncertainties. Management believes that these forward-looking statements are reasonable and are based on reasonable assumptions and forecasts, however, undue reliance should not be placed on such statements that speak only as of the date hereof. Moreover, these forward-looking statements are subject to a number of risks and uncertainties, some of which are outlined below. As a result, actual results may vary materially from those anticipated by the forward-looking statements. Among the important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are: volume and timing of systems sales and installations; length of sales cycles and installation process; the possibility that the products will not achieve market acceptance; seasonal patterns of sales and customer buying behavior; the development by competitors of new or superior technologies; the timing, cost and success or failure of new product and service introductions, development and product upgrade releases; undetected errors or bugs in software; product liability; changing economic, political or regulatory influences in the health-care industry; changes in product-pricing policies; availability of third-party products and components; competitive pressures including product offerings, pricing and promotional activities; the Company's ability or inability to attract and retain qualified personnel; possible regulation of the Company's software by the U.S. Food and Drug Administration; uncertainties concerning threatened, pending and new litigation against the Company including related professional services fees; uncertainties concerning the amount and timing of professional fees incurred by the Company generally; changes of accounting estimates and assumptions used to prepare the prior periods' financial statements; general economic conditions; and the risk factors detailed from time to time in Quality Systems' periodic reports and registration statements filed with the Securities and Exchange Commission. A significant portion of the Company's quarterly sales of software product licenses and computer hardware is concluded in the last month of the fiscal quarter, generally with a concentration of such revenues earned in the final ten business days of that month. Due to these and other factors, the Company's revenues and operating results are very difficult to forecast. A major portion of the Company's costs and expenses, such as personnel and facilities, are of a fixed nature and, accordingly, a shortfall or decline in quarterly and/or annual revenues typically results in lower profitability or losses. As a result, comparison of the Company's period-to-period financial performance is not necessarily meaningful and should not be relied upon as an indicator of future performance. The Company undertakes no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise.

Copyright © 2013 NextGen Healthcare Information Systems, LLC. All rights reserved.

NextGen is either a registered trademark or trademark of QSI Management, LLC, an affiliate of NextGen Healthcare Information Systems, LLC.All other names and marks are property of their respective owners. Patent pending.

NextGen Healthcare
Michelle Rovner, 215-657-7010

KEYWORDS: United States North America Florida Pennsylvania


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