Health Care Provider Corporation, a licensee of the Blue Cross and Blue Shield Affiliation with some 16 million associates covered by health and fitness strategies in 5 states, announced this week that it is doing the job with Epic to develop a bi-directional trade platform to join payers with suppliers.
WHY IT Matters
The collaboration, which HCSC says is the very first these kinds of initiative among Epic and a large insurer, aims to produce a safe and interconnected data trade among insurers, suppliers and sufferers.
Collectively, HCSC and Epic will establish what they are calling the Payer Platform for two-way trade of data among HCSC health and fitness strategies and suppliers who use Epic – enabling them to critique affected person facts, streamline administrative procedures these kinds of as prior authorizations, establish treatment-management techniques and determine gaps in treatment.
The platform is scheduled to start later this yr for decide on suppliers and health and fitness techniques throughout HCSC’s 5 states who currently use Epic – which is in spot at two-thirds of suppliers nationwide and whose information protect 250 million men and women.
THE Larger sized Pattern
HCSC says this collaboration delivers the chance to streamline treatment throughout the whole health and fitness ecosystem, primarily as its network suppliers, healthcare facility associates and program associates continue to grapple with COVID-19.
It says the Payer System will improve interoperability and market integration among insurers and suppliers on behalf of sufferers, supporting to stay clear of duplication of screening and streamlining administrative tasks when streamlining treatment continuity and improving quality.
ON THE Document
“This romance connects the service provider, the payer, and the affected person in a trusted network,” stated Alan Hutchison, vice president of inhabitants health and fitness at Epic. “It will help a far more strong, facts-pushed strategy to improving affected person health and fitness. It will also streamline administrative procedures these kinds of as the authorization approach for suppliers, so sufferers can receive far more timely obtain to correct treatment.”
“Sharing insights among payers and suppliers at the level of treatment is a fantastic way to make a actual distinction in affected person treatment and lessen health and fitness costs,” stated Krishna Ramachandran, vice president of service provider performance at HCSC. “This settlement will help progress obtain to a truly integrated value-dependent treatment supply procedure, when providing our suppliers and associates actionable data to make far more informed treatment choices.”
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