Troy Medicare, a Medicare Advantage plan based in Charlotte, North Carolina, has announced its partnership with nirvanaHealth to implement nirvanaHealth’s Medicare Advantage Platform-in-a-Box enterprise solution. The platform, which runs on Microsoft Azure, will be the backbone for Troy Medicare’s Payer operations, allowing for more efficient and cost-effective service to its members.
With nirvanaHealth’s Aria platform, Troy Medicare aims to improve operational efficiency and allocate more premium dollars directly to the overall healthcare needs of its members. The Aria platform leverages robotic process automation (RPA), machine learning (ML), and artificial intelligence (AI), providing a Patient 360° view to every care provider in the care continuum.
Ethan Lipkind, CEO of Troy Medicare, expressed excitement about the partnership and the potential benefits brought by nirvanaHealth’s Aria platform. By automating and managing health plan administrative and clinical operations, including claims adjudication, financial management, care management, and more, the Aria platform allows health plans to focus on high-value activities such as member healthcare experience and care management functions.
nirvanaHealth’s Medicare Advantage Platform-in-a-Box solution simplifies Medicare Advantage operations for health plans, ensuring compliance and reducing costs. The platform eliminates the need for multiple vendors and platforms, empowering health plans to manage risk and improve quality ratings. John Sculley, Chairman of nirvanaHealth and former CEO of Apple, noted that actionable intelligence can be directly shared with care providers, helping improve quality ratings and overall care.
nirvanaHealth is an innovative Payer and pharmacy benefit manager (PBM) platform provider that utilizes robotic process automation and cloud platforms to streamline medical, pharmacy, and behavioral services. With their one-stop-shop, cloud-native integrated platform, nirvanaHealth aims to reduce administrative, medical, and pharmacy costs while improving overall quality.
Troy Medicare, on the other hand, is a Medicare Advantage Prescription Drug plan that focuses on independent pharmacies as the hub of healthcare delivery. Through their proprietary application, Troy.AI, the plan engages with pharmacists to support member needs and improve member health and well-being.
The partnership between Troy Medicare and nirvanaHealth is poised to bring significant benefits to the Medicare Advantage space. By leveraging innovative technology and cloud-based platforms, the two companies aim to enhance the overall healthcare experience for members while improving operational efficiency and reducing costs.
