Highmark Well being is working with Epic and Google Cloud to assist advance the coordination between payers and suppliers, the businesses introduced Monday at ViVE in Los Angeles.
Pittsburgh, Pennsylvania-based Highmark Well being has about 7 million members, of which greater than half are attributed to an Epic supplier. The corporate additionally has a 14-hospital supplier system referred to as Allegheny Well being Community.
By the partnership, Epic’s Payer Platform (which helps payers and suppliers collaborate) is being built-in with Highmark’s claims information on Google Cloud. Google Cloud’s information analytics applied sciences will be capable of present insights to supplier associate organizations that use Epic, in addition to Highmark well being plan workers and Highmark members. This can assist suppliers perceive sufferers’ well being higher, akin to their situations, well being plan advantages, insurance coverage claims, acute occasions and in- and out-of-network visits. Suppliers may also have a greater concept of what’s coated by sufferers’ well being plans.
“We curate the info and make it personalised in order that the medical doctors now are getting extra real-time actionable data. … The supplier has the scientific information. Now we have the claims information. We now put them each on this Google Cloud Platform. Now, the fragmented information is multi functional place,” mentioned Dr. Tony Farah, government vp, chief medical and scientific transformation officer at Highmark Well being, in an interview.
The collaboration may also streamline administrative duties like prior authorization, a apply utilized by well being plans to find out if they’ll cowl a medical service (although many suppliers say it creates harmful delays in affected person care). As well as, well being methods will be capable of automate the method for notifying a well being plan about affected person occasions, akin to emergency division visits.
This collaboration between Highmark Well being, Epic and Google Cloud comes at a time when healthcare information is siloed.
“Now we have over 700 billion information factors or bits round our members and as an business, healthcare is information wealthy and perception poor,” mentioned David Holmberg, president and CEO of Highmark Well being, in an interview. “That is beginning to give us insights.
“What we’re on the lookout for are insights that improve adoption charges by sufferers and members for the providers which might be obtainable to them. [We’re also looking for] growing the dimensions of the image and the way nice the image is by way of readability for the clinician in order that they’ve a greater image of who you’re and what’s happening with you.”
The brand new collaboration will go into impact within the third quarter of 2024. Highmark Well being anticipates saving $2.7 million yearly by working with Epic and Google Cloud.
Picture: LeoWolfert, Getty Pictures
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