Tuesday, June 25

Highmark deals with Epic and Google to increase payer-provider information exchange

Highmark Health today revealed its partnership with Epic, hosting the IT giant’s Payer Platform on Google Cloud to allow more coordination and cross-collaboration in between payers and suppliers.

The goal with a cloud-based implementation is to allow much easier and more prompt sharing of insights from payers and companies to assist inform customers as they browse their care journeys, the business state, with a virtual platform offering faster decision-making or much better care.

“Epic’s Payer Platform is an effective resource that allows payers and service providers to work better together,” stated Dr. Tony Farah, primary medical and scientific improvement officer at Highmark Health, in a declaration. Dealing With Google Cloud, he stated, produces “another advance in attaining much better experiences for both customers and clinicians, while enhancing health results and reducing expense of care.”

For health systems, the objective is to assist service providers discover the very best care covered by their clients’ specific health insurance, according to the statement– allowing them to craft enhanced treatment strategies that can decrease out‐of‐pocket expenses while accelerating permissions.

Highmark states the Google Cloud-enabled automation can aid with jobs such as “developing a case for permission, triggering severe care concurrent evaluation, or starting transitional care,” through Epic’s Payer Platform.

Health systems looking for to enhance their population health management can utilize the platform to work with Highmark to close spaces in care, to prevent unneeded outreach and examine quality efficiency results — all while automating the payer alert procedure around admissions, discharges and transfers.

Highmark states that more than 7 countless its strategy members are presently seeing a minimum of one company utilizing Epic. In the brand-new statement, it states it prepares for closing possibly 2.5 care spaces immediately– a prospective 300 percent possible boost.

The health insurance points out the example of Allegheny Health Network, which anticipates $2.7 million in yearly cost savings from shared claims information that can be reallocated to other quality-improvement and patient-experience efforts.

“Highmark Health’s usage of Google Cloud will allow the company to produce an intelligence system geared up with AI to provide important analytics and insights to health care employees, clients, and members,” stated Amy Waldron, director of health care and life sciences method and services, Google Cloud. “Highmark Health’s financial investment in cloud innovation is providing real-time worth and streamlining interactions; it’s redefining the service provider and customer experience.”

“Leveraging automation for accountable information sharing is a game-changer, particularly when it concerns lowering the administrative problem of communicating scientific info in numerous instructions– to payers, companies and consumers,” included Richard Clarke, primary analytics officer, Highmark Health. “It assists in notified choices without the requirement for manual back‐and‐forth, all within the boundaries of Highmark’s safe and secure Google Cloud facilities.”

Mike Miliard is managing editor of Healthcare IT News
Email the author: mike.miliard@himssmedia.com
Health care IT News is a HIMSS publication.

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