WNS-HealthHelp and Availity Join Forces to Transform Payer-Provider Collaboration
WNS-HealthHelp and Availity have announced a strategic collaboration to enhance healthcare management through integrated Utilization Management (UM) solutions. The partnership combines WNS-HealthHelp's AI-driven clinical engine and specialty programs with Availity's extensive healthcare network, which connects over 95% of payers and more than 3 million providers nationwide.
The collaboration will integrate WNS-HealthHelp's technology platform and specialty outpatient clinical guidelines into Availity's Intelligent Utilization Management solution, enabling near real-time decision recommendations for prior authorizations. This integration aims to streamline processes, reduce administrative burdens, and improve patient care while lowering healthcare costs.
WNS-HealthHelp e Availity hanno annunciato una collaborazione strategica per migliorare la gestione sanitaria attraverso soluzioni integrate di Utilization Management (UM). Questa partnership combina il motore clinico basato sull'intelligenza artificiale di WNS-HealthHelp e i programmi specializzati con la vasta rete sanitaria di Availity, che collega oltre il 95% dei pagatori e più di 3 milioni di fornitori a livello nazionale.
La collaborazione integrerà la piattaforma tecnologica di WNS-HealthHelp e le linee guida cliniche specialistiche per le cure ambulatoriali nella soluzione di Intelligent Utilization Management di Availity, consentendo raccomandazioni decisionali quasi in tempo reale per le autorizzazioni preventive. Questa integrazione mira a semplificare i processi, ridurre i carichi amministrativi e migliorare la cura dei pazienti, abbattendo i costi sanitari.
WNS-HealthHelp y Availity han anunciado una colaboración estratégica para mejorar la gestión sanitaria a través de soluciones integradas de Utilization Management (UM). La asociación combina el motor clínico impulsado por inteligencia artificial de WNS-HealthHelp y programas especializados con la extensa red de atención médica de Availity, que conecta a más del 95% de los pagadores y más de 3 millones de proveedores en todo el país.
La colaboración integrará la plataforma tecnológica de WNS-HealthHelp y las guías clínicas ambulatorias especializadas en la solución de Intelligent Utilization Management de Availity, permitiendo recomendaciones de decisiones casi en tiempo real para las autorizaciones previas. Esta integración busca simplificar procesos, reducir cargas administrativas y mejorar la atención al paciente, al mismo tiempo que disminuye los costos de atención médica.
WNS-HealthHelp와 Availity는 통합된 Utilization Management (UM) 솔루션을 통해 의료 관리 개선을 위한 전략적 협력 관계를 발표했습니다. 이 파트너십은 WNS-HealthHelp의 AI 기반 임상 엔진과 전문 프로그램을 Availity의 방대한 의료 네트워크와 결합하며, 이 네트워크는 95% 이상의 지불자와 300만 명 이상의 제공자를 연결합니다.
협력은 WNS-HealthHelp의 기술 플랫폼과 전문 외래 진료 지침을 Availity의 Intelligent Utilization Management 솔루션에 통합하여 사전 승인을 위한 거의 실시간 의사결정 추천을 가능하게 합니다. 이 통합은 프로세스를 간소화하고 행정적 부담을 줄이며 환자 치료를 개선하고 의료 비용을 낮추는 것을 목표로 합니다.
WNS-HealthHelp et Availity ont annoncé une collaboration stratégique pour améliorer la gestion des soins de santé grâce à des solutions intégrées de Utilization Management (UM). Ce partenariat combine le moteur clinique alimenté par l'IA de WNS-HealthHelp et des programmes spécialisés avec le vaste réseau de santé d'Availity, qui connecte plus de 95 % des payeurs et plus de 3 millions de fournisseurs à l'échelle nationale.
La collaboration intégrera la plateforme technologique de WNS-HealthHelp et les lignes directrices cliniques spécialisées pour les soins ambulatoires dans la solution Intelligent Utilization Management d'Availity, permettant des recommandations de décision quasi en temps réel pour les autorisations préalables. Cette intégration vise à rationaliser les processus, réduire les charges administratives et améliorer les soins aux patients tout en réduisant les coûts de santé.
WNS-HealthHelp und Availity haben eine strategische Zusammenarbeit angekündigt, um das Gesundheitsmanagement durch integrierte Utilization Management (UM) Lösungen zu verbessern. Die Partnerschaft kombiniert die KI-gesteuerte klinische Engine und die spezialisierten Programme von WNS-HealthHelp mit dem umfangreichen Gesundheitsnetzwerk von Availity, das über 95% der Leistungserbringer und mehr als 3 Millionen Anbieter landesweit verbindet.
Die Zusammenarbeit wird die Technologieplattform von WNS-HealthHelp und die spezialisierten klinischen Richtlinien für ambulante Behandlungen in die Intelligent Utilization Management-Lösung von Availity integrieren, was nahezu in Echtzeit Entscheidungsempfehlungen für vorherige Genehmigungen ermöglicht. Diese Integration zielt darauf ab, Prozesse zu optimieren, administrative Belastungen zu reduzieren und die Patientenversorgung zu verbessern, während die Gesundheitskosten gesenkt werden.
- Strategic partnership expands WNS-HealthHelp's market reach through Availity's extensive network
- Integration of AI-driven solutions promises operational efficiency improvements
- Access to 95% of payers and 3 million providers enhances service delivery potential
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Insights
This strategic collaboration between WNS-HealthHelp and Availity addresses a critical pain point in healthcare administration - utilization management and prior authorization processes. By integrating WNS-HealthHelp's AI-driven clinical engine and proprietary specialty outpatient guidelines with Availity's massive provider network (connecting 95% of payers and over 3 million providers), the partnership creates a solution that could significantly reduce administrative friction in healthcare.
The technical integration is particularly noteworthy as it combines clinical decision support with real-time network capabilities, enabling near-instantaneous authorization recommendations based on codified medical policies. This directly attacks what has historically been a major source of provider frustration, delayed care, and administrative waste in the U.S. healthcare system.
For WNS, this partnership dramatically expands the distribution and application of their healthcare IP without requiring capital-intensive expansion. By embedding their clinical guidelines and UM capabilities within Availity's widely-used network, WNS-HealthHelp gains access to a substantially larger customer base and positions itself within a critical healthcare workflow. This type of embedded integration creates 'stickiness' that could generate sustainable long-term value beyond typical service agreements.
This collaboration represents a strategic enhancement to WNS's healthcare vertical by significantly expanding its market reach without substantial capital investment. By integrating WNS-HealthHelp's specialized clinical capabilities into Availity's extensive network, WNS gains access to thousands of additional healthcare organizations that could potentially utilize their services.
The partnership follows the high-margin platform business model rather than WNS's traditional services approach. Instead of pursuing client-by-client expansion, this deal potentially scales WNS-HealthHelp's clinical IP across Availity's established customer base. This type of technology integration typically carries higher margins than traditional service offerings and creates more defensible market positioning.
While financial terms aren't disclosed, this collaboration should enhance WNS's competitive positioning in the healthcare vertical - a sector that typically commands premium pricing compared to generic business process outsourcing. The deal demonstrates WNS's evolution toward higher-value technology-enabled solutions rather than pure labor arbitrage. The focus on reducing administrative burden in healthcare aligns with industry cost pressures and regulatory trends, positioning WNS-HealthHelp's offerings within a growing market segment with substantial inefficiencies to address.
The collaboration unites two industry leaders to streamline Utilization Management (UM), expedite approvals, ease provider administrative burdens and enhance patient care. WNS-HealthHelp's advanced AI-driven clinical engine, business transformation capabilities and fully delegated specialty programs, in combination with Availity's extensive healthcare network, which connects over
WNS-HealthHelp’s technology platform and proprietary specialty outpatient clinical guidelines will be fully integrated into Availity's Intelligent Utilization Management solution, which transforms the prior authorization process by delivering near real-time decision recommendations based on codified medical policy and clinical documentation. Additionally, WNS-HealthHelp’s fully delegated UM programs and expert clinical resources across multiple specialties will be made available to Availity clients.
“We are excited to collaborate with Availity to deliver our proprietary specialty outpatient clinical guidelines, our industry-leading clinical expertise and UM program options to empower payers in a competitive landscape. WNS-HealthHelp embodies the perfect fusion of high-touch clinical expertise and high-tech automation in healthcare management. Together with Availity, we will extend our AI-led clinical solutions to a wider audience, focusing on enhancing member outcomes and reducing healthcare costs,” said Keshav R. Murugesh, Group CEO, WNS.
“We are thrilled to collaborate with WNS-HealthHelp to bring their platform led best-in-class clinical guidelines and clinical specialists to our network,” said Russ Thomas, CEO, Availity. “This collaboration aligns with our mission to simplify healthcare administration and improve the provider and patient experience. By integrating WNS-HealthHelp platform into our intelligent UM solution, we are taking a significant step toward reducing friction in the prior authorization process and enabling better care coordination,” he added.
About Availity
Availity empowers payers and providers to deliver transformative patient experiences by enabling the seamless exchange of clinical, administrative, and financial information. As the nation’s largest real-time health information network, Availity develops intelligent, automated, and interoperable solutions that foster collaboration and shared value across the healthcare ecosystem. With connections to over
About WNS- HealthHelp
HealthHelp, a unit within WNS, is a trusted healthcare technology platform for health plans’ clinical programs for over 25 years. Our unified suite of Advanced AI powered technology platform-based solutions simplifies medical complexity and workforce challenges, and enhances provider relations and member journeys (i.e., customer experiences). Our uniquely designed UM and clinical solutions were developed to fit into health plans’ existing clinical programs to advance outcomes and success. We work in partnership to understand health plan commercial and Medicare clinical programs, and determine where our solutions can advance outcomes and lower cost. There is no one size fits all, and we know how to expediently deliver the best tailored solution for a specific health plan’s needs.
For more information, visit www.healthhelp.com.
About WNS
WNS (Holdings) Limited (NYSE: WNS) is a digital-led business transformation and services company. WNS combines deep domain expertise with talent, technology, and AI to co-create innovative solutions for over 600 clients across various industries. WNS delivers an entire spectrum of solutions including industry-specific offerings, customer experience services, finance and accounting, human resources, procurement, and research and analytics to re-imagine the digital future of businesses. As of December 31, 2024, WNS had 63,390 professionals across 66 delivery centers worldwide including facilities in
For more information, visit www.wns.com or follow us on Facebook, Twitter, LinkedIn, and Instagram.
Safe Harbor Provision
This document includes information which may constitute forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, the accuracy of which are necessarily subject to risks, uncertainties, and assumptions as to future events. Factors that could cause actual results to differ materially from those expressed or implied are discussed in our most recent Form 20-F and other filings with the Securities and Exchange Commission. WNS undertakes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise.
View source version on businesswire.com: https://www.businesswire.com/news/home/20250402047149/en/
WNS CONTACT:
Investors:
David
EVP – Finance & Head of Investor Relations
WNS (Holdings) Limited
+1 (646) 908-2615
david.mackey@wns.com
Media:
Archana Raghuram
EVP & Global Head – Marketing & Communications
WNS (Holdings) Limited
+91 (22) 4095 2397
archana.raghuram@wns.com; pr@wns.com
AVAILITY CONTACT:
Media:
Matt Schlossberg
Director of Public Relations,
Availity
+1 630-935-9136
matt.schlossberg@availity.com
Source: WNS- HealthHelp
FAQ
What are the key benefits of the WNS-HealthHelp and Availity collaboration?
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What technology solutions are being integrated in the WNS-HealthHelp and Availity partnership?
How will the WNS-HealthHelp partnership improve prior authorization processes?
