The Health Plan Serving Over 200,000 Covered Lives Selects NantHealth’s NaviNet® Open to Drive Provider Engagement Strategy

New Partnership to Enable Cost Savings and Rapid ROI Across the Continuum of Care


NantHealth, Inc. (NASDAQ: NH), a next-generation, evidence-based, personalized healthcare company, today announced its partnership with The Health Plan, a clinically driven, technology-enhanced and customer-focused health maintenance organization, to increase operating efficiency, lower costs and improve provider satisfaction via the full suite of NaviNet® Open Multi-Payer Portal applications.

The Health Plan is one of the largest locally managed care organizations in West Virginia and Ohio, serving over 200,000 covered lives, and is committed to providing high quality, comprehensive and cost-effective healthcare to members.

NaviNet Open is a leading payor-provider collaboration platform, enhancing communication between health plans and providers to increase operating efficiency, lower costs, improve provider satisfaction and enable expansion. As organizations develop more value-based product lines to support the transition to value-based care, provider alignment and actionable data prior to care delivery becomes critical. To enable these capabilities, health plans and providers need a flexible, extensible infrastructure that fosters collaboration and encourages interoperability. NaviNet Open delivers vital administrative and clinical information to providers in real-time, so they can quickly and easily communicate across multiple health plans.

"NantHealth’s NaviNet Open delivers an easy-to-use full-service application capable of reducing customer service calls and manual processes," said Jason Landers, Senior Vice President Provider Delivery Services, The Health Plan. "Considering that 85% of our provider networks are active NaviNet Open users, we’ll immediately have the ability to securely and quickly obtain both clinical and administrative functions, with minimal provider adoption effort. This alone is a huge differentiator for us, and we’re projecting a positive ROI in the first year of usage."

Under terms of the partnership, NaviNet Open will drive The Health Plan’s provider engagement strategy through the NaviNet Open portal, comprised of Eligibility and Benefits, Claims Status Inquiry, Claims Management, Authorizations, Referrals and Document Exchange. The portal will enhance communications by building trust, boosting provider satisfaction, and more closely aligning to value-based outcomes.

"We’re excited to be working in partnership with The Health Plan to enable a direct connection with their provider networks with an outcome of impressive cost savings, ongoing support, product improvements, and enhanced communications," said Mark Mozley, Senior Vice President, Global Sales & Marketing, NantHealth. "NaviNet Open will continue to drive towards The Health Plan’s overarching goals to achieve instant ROI with decreased administrative costs and an improved provider network collaboration."


About The Health Plan:

The Health Plan (, a not-for-profit, West Virginia-based organization that employs over 550 people and insures over 200,000 individuals across the country, is a clinically driven, technology-enhanced, and customer-focused health maintenance organization that manages and improves the health and well-being of its members. Established in 1979, the West Virginia-based company, with offices in Wheeling, Charleston and Morgantown, West Virginia and Massillon, Ohio offers a complete line of managed care products and services designed to provide health care systems and clients with innovative health care benefits and plans at a reasonable cost across the mid-Atlantic region and nationally.

Nice Insight

Nice Insight, established in 2010, is the research division of That’s Nice, A Science Agency, providing data and analysis from proprietary annual surveys, custom primary qualitative and quantitative research as well as extensive secondary research. Current annual surveys include The Nice Insight Contract Development & Manufacturing (CDMO/CMO), Survey The Nice Insight Contract Research - Preclinical and Clinical (CRO) Survey, The Nice Insight Pharmaceutical Equipment Survey, and The Nice Insight Pharmaceutical Excipients Survey.


NantHealth, a member of the NantWorks ecosystem of companies, provides leading solutions across the continuum of care for physicians, payors, patients and biopharmaceutical organizations. NantHealth enables the use of cutting-edge data and technology toward the goals of empowering clinical decision support and improving patient outcomes. NantHealth’s comprehensive product portfolio combines the latest technology in payor/provider platforms that exchange information in near-real time (NaviNet and Eviti), connected care solutions that deliver medical device interoperability (DCX device connectivity platform and VCX patient vitals software) and molecular profiling services that combine comprehensive DNA & RNA tumor-normal profiling with pharmacogenomics analysis (GPS Cancer®).