Epic connects with HCSC on payer data exchange platform

Health and fitness Treatment Services Corporation, a licensee of the Blue Cross and Blue Shield Affiliation with some sixteen million members protected by health and fitness plans in five states, declared this week that it is performing with Epic to construct a bi-directional exchange platform to link payers with providers.

WHY IT Issues
The collaboration, which HCSC claims is the first such initiative amongst Epic and a big insurance provider, aims to create a protected and interconnected details exchange amongst insurers, providers and patients.

Collectively, HCSC and Epic will develop what they are calling the Payer Platform for two-way exchange of details amongst HCSC health and fitness plans and providers who use Epic – enabling them to critique affected person details, streamline administrative procedures such as prior authorizations, develop treatment-administration tactics and identify gaps in treatment.

The platform is scheduled to start afterwards this calendar year for pick providers and health and fitness systems throughout HCSC’s five states who currently use Epic – which is in position at two-thirds of providers nationwide and whose records go over 250 million people today.

THE Larger sized Craze
HCSC claims this collaboration presents the possibility to streamline treatment throughout the complete health and fitness ecosystem, specially as its community providers, medical center associates and system members carry on to grapple with COVID-19.

It claims the Payer System will boost interoperability and boost integration amongst insurers and providers on behalf of patients, helping to steer clear of duplication of tests and streamlining administrative responsibilities when streamlining treatment continuity and bettering excellent.

ON THE File
“This connection connects the company, the payer, and the affected person in a dependable community,” explained Alan Hutchison, vice president of inhabitants health and fitness at Epic. “It will permit a far more robust, details-pushed tactic to bettering affected person health and fitness. It will also streamline administrative procedures such as the authorization system for providers, so patients can get far more well timed obtain to suitable treatment.”

“Sharing insights amongst payers and providers at the position of treatment is a great way to make a real change in affected person treatment and decreased health and fitness charges,” explained Krishna Ramachandran, vice president of company effectiveness at HCSC. “This settlement will enable progress obtain to a certainly built-in value-centered treatment shipping method, when providing our providers and members actionable details to make far more educated treatment choices.”

Twitter: @MikeMiliardHITN
E-mail the author: [email protected]

Health care IT Information is a publication of HIMSS Media