TAMPA, Fla. (June 10, 2020) – The Health Plan Alliance, a national organization for provider sponsored
and independently owned health plan collaboration, today announced the addition of the Avalon
Healthcare Solutions (Avalon) Program to its Group Purchasing Organization (GPO). Avalon is the expert
in laboratory benefit management whose solutions are driven by evidence-based medical science.
Avalon’s core laboratory management program includes full delegation of Routine Testing Management,
Genetic Testing Management, and Independent Laboratory Network Management. Avalon manages all
outpatient lab spend across all lab testing types. Through Avalon’s solutions, Avalon delivers its customers
approximately 10%-18% annually in outpatient lab savings, or about $2-$3 per member per month.
“We are excited to add Avalon to our GPO,” said Jaime González, Alliance Chief Business
Development Officer. “The Avalon Program will provide Alliance member health plans with the most upto-date genetic and routine testing laboratory policies. Avalon’s technology will assist with closing any
gaps between current policies, and what is actually being enforced. Already Avalon is working with several
Alliance members to evaluate their savings opportunities.”
“Now that Avalon Healthcare Solutions is a part of the GPO, Alliance member health plans will have access
to exclusive pricing and value-added services,” said Barry Davis, Avalon Chief Growth Officer. “Avalon
evaluates new tests, codifies the findings into best-practice policy, and systematically deploys that policy
through claims edits. Our high-touch provider education has received positive praise from the health plan
and provider communities.”
Avalon drives high-quality care that results in reducing unnecessary tests and associated costs. Alliance
member health plans will benefit from Avalon’s process to ensure members are able to get the right test
at the right time. Avalon’s team of experts will translate complex and rapidly changing information, e.g.,
COVID-19 testing, so that Alliance member health plans can make the best choices for their business.
About Health Plan Alliance
The Health Plan Alliance is a national organization that brings provider sponsored and independently
owned health plans together with their health system and provider group leaders for unparalleled peerto-peer collaboration. For more than 20 years, Health Plan Alliance members have leveraged the collective
knowledge of our community to enhance their business acumen and advance the quality of health care
delivery in their communities. For more information, visit www.healthplanalliance.org.
About Avalon Healthcare Solutions
Avalon is a healthcare information technology company focused on medical benefits management. Avalon
currently provides two modules: a comprehensive laboratory program to facilitate the management of all
outpatient laboratory services, across all providers, and a clinical claim editing module. Both drive
considerable savings for health plans and individuals by automating existing plan policy adherence. In
addition, an independent Clinical Advisory Board has developed a suite of evidence-based laboratory
policies addressing all lab testing categories. Most of these policies impact high-volume, low-cost services,
and are administered through Avalon’s routine testing solution. The company serves more than 15M
health plan members nationwide. To learn more, visit www.avalonhcs.com.
Director, Learning and Communication
VP, Business Development
Director, Business Development