February 16, 2025

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Epic connects with HCSC on payer data exchange platform

Overall health Care Company Company, a licensee of the Blue Cross and Blue Defend Affiliation with some 16 million users included by overall health ideas in 5 states, introduced this 7 days that it is working with Epic to develop a bi-directional exchange platform to link payers with companies.

WHY IT Matters
The collaboration, which HCSC says is the 1st these initiative among Epic and a massive insurance provider, aims to produce a secure and interconnected information exchange among insurers, companies and individuals.

Together, HCSC and Epic will build what they are calling the Payer Platform for two-way exchange of information among HCSC overall health ideas and companies who use Epic – enabling them to review affected individual facts, streamline administrative processes these as prior authorizations, build care-management methods and recognize gaps in care.

The platform is scheduled to launch later this calendar year for pick out companies and overall health techniques across HCSC’s 5 states who presently use Epic – which is in area at two-thirds of companies nationwide and whose information include 250 million people.

THE Much larger Craze
HCSC says this collaboration presents the option to streamline care across the entire overall health ecosystem, particularly as its network companies, clinic partners and system users carry on to grapple with COVID-19.

It says the Payer System will raise interoperability and promote integration among insurers and companies on behalf of individuals, assisting to keep away from duplication of tests and streamlining administrative jobs while streamlining care continuity and enhancing quality.

ON THE History
“This connection connects the service provider, the payer, and the affected individual in a trustworthy network,” explained Alan Hutchison, vice president of populace overall health at Epic. “It will empower a much more robust, facts-driven method to enhancing affected individual overall health. It will also streamline administrative processes these as the authorization course of action for companies, so individuals can get much more well timed access to suitable care.”

“Sharing insights among payers and companies at the issue of care is a wonderful way to make a actual variation in affected individual care and lower overall health costs,” explained Krishna Ramachandran, vice president of service provider general performance at HCSC. “This settlement will support advance access to a actually integrated value-dependent care supply program, while providing our companies and users actionable information to make much more educated care decisions.”

Twitter: @MikeMiliardHITN
Email the author: [email protected]

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