Blue Cross and Blue Shield of Vermont Announces New Laboratory Benefit Management Agreement with Avalon Healthcare Solutions
Partnership with Avalon Healthcare Solutions will improve access to diagnostic services and deliver cost savings for Blue Cross and Blue Shield of Vermont members
BERLIN, Vt., November 4, 2019—Blue Cross and Blue Shield of Vermont (Blue Cross) is pleased to announce an agreement to receive exclusive laboratory benefit management services from Avalon Healthcare Solutions (Avalon). Under the agreement, Avalon began providing network management and policy administration services to Blue Cross on August 1, 2019.
Featuring a broad national network of independent laboratory providers, the Avalon network will ensure access to high-quality, cost-effective laboratory services to Blue Cross and Blue Shield of Vermont’s fully and self-insured populations. Avalon’s leading-edge laboratory science application services further supports providers in performing appropriate diagnostic testing in the laboratory setting.
“We are pleased to bring our proven Laboratory Benefit Management platform to the Vermont market through this partnership,” said Dr. Bill Kerr, Chief Executive Officer at Avalon. “Blue Cross’s focus on improving member access to the broad range of routine to advanced laboratory diagnostic services and delivering savings to its members is perfectly aligned with Avalon’s mission.”
Brian Murphy, Director of Pharmacy & Vendor Management at Blue Cross and Blue Shield of Vermont, said Avalon represents the best and most comprehensive approach for managing the complex and growing laboratory market.
“The ability to provide members with access to all appropriate testing while addressing the cost challenge was a critical factor in our selection of Avalon as our laboratory services management partner moving forward,” Murphy said.
Under the agreement, Blue Cross members and in-network physicians will gain access to an expanded laboratory provider network. Additionally, members and providers will benefit from improved clinical care and cost savings from Avalon’s administration of evidence-based laboratory policies.
About Blue Cross and Blue Shield of Vermont:
Blue Cross and Blue Shield of Vermont is Vermont’s only local, not-for-profit health plan. For over 70 years, Blue Cross and Blue Shield of Vermont has been enhancing the health and well-being of the Vermonters by offering innovative plans to individuals, seniors and businesses. Blue Cross and Blue Shield of Vermont is dedicated to developing new ways to support high quality care and programs and events that promote wellness. Blue Cross and Blue Shield of Vermont is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit www.bcbsvt.com.
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About Avalon Healthcare Solutions
Avalon is a healthcare information technology and specialty benefit management company focused on laboratory testing. Avalon provides a comprehensive program to facilitate management of all outpatient laboratory services across all providers, including independent, physician office, and hospital-based laboratories. Using an independent Clinical Advisory Board, Avalon has developed a suite of science-based laboratory policies addressing all testing categories. The majority of these policies, reflecting high-volume, low-cost services, are administered through proprietary, automated technology, typically saving health plans 7 to 12 percent on outpatient laboratory spend. For more information about Avalon, please visit www.avalonhcs.com.