Highmark Well being is working with Epic and Google Cloud to assist drive 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, greater than half of that are attributed to an Epic supplier. The corporate additionally has a 14-hospital system referred to as Allegheny Well being Community.

The partnership integrates Epic's Payer Platform (which helps payers and suppliers work collectively) with Highmark's claims knowledge on Google Cloud. Google Cloud's knowledge analytics applied sciences can present insights to supplier accomplice organizations utilizing Epic, in addition to Highmark well being plan workers and Highmark members. It will assist suppliers higher perceive sufferers' well being, resembling their circumstances, 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 is roofed beneath sufferers' well being plans.

“We handle the info and personalize it in order that medical doctors now get extra real-time, actionable info. … The supplier has the scientific knowledge. Now we have the declare particulars. Now we have now positioned each of them on this Google Cloud Platform. Now the fragmented knowledge is multi function place,” says Dr. Tony Farah, government vp and chief medical and clinic transformation officer at Highmark Well being, in an interview.

The collaboration may also streamline administrative duties resembling prior authorization, a observe utilized by well being plans to find out whether or not they are going to cowl a medical service (though many suppliers participation it causes harmful delays in affected person care). Moreover, healthcare techniques will have the ability to automate the method of notifying a care plan about affected person occasions, resembling emergency room visits.

This collaboration between Highmark Well being, Epic and Google Cloud comes at a time when healthcare knowledge is being saved in silos.

“Now we have greater than 700 billion knowledge factors or bits round our members, and as an trade, healthcare is knowledge wealthy and insights poor,” stated David Holmberg, president and CEO of Highmark Well being, in an interview. “That is beginning to give us insights.

“What we're searching for are insights that improve affected person and member acceptance charges for the companies out there to them. [We’re also looking for] growing the size of the picture and the way advantageous the picture is by way of readability for the physician to allow them to get a greater concept of ​​who you might be and what’s going on with you.

The brand new partnership will take impact within the third quarter of 2024. Highmark Well being expects to save lots of $2.7 million yearly by partnering with Epic and Google Cloud.

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