Anthem Enables Secure Exchange of Health Information to Enhance Healthcare Experience
May 19 2021 - 7:45AM
Business Wire
Anthem collaboration with Epic will give
healthcare providers more data-driven insights to help deliver
higher quality care
Anthem, Inc. (NYSE: ANTM) today announced an effort to
facilitate secure, bi-directional exchange of health information
between healthcare providers and Anthem’s affiliated health plans,
as a result of its collaboration with Epic. Increasing and
improving this communication aims to better leverage data-driven
insights in care decisions, simplify healthcare, and ultimately
improve health outcomes.
“As an organization committed to a digital-first approach, we
know that enhancing the interoperability of health data is critical
in redefining the future of healthcare,” said Ashok Chennuru, Chief
Data and Insights Officer at Anthem. “This effort helps bring the
industry into the next step of its evolution where the right
information gets to the right people at the right time – resulting
in a more seamless healthcare experience and consumers receiving
the care they need – where and when they need it. Our work with
Epic stands to benefit more than 14.7 million consumers served by
Anthem’s affiliated health plans who see clinicians using Epic’s
software.”
This initiative between Anthem, an innovation leader dedicated
to improving health, and Epic, a leading health information
company, leverages Epic’s Payer Platform. The secure and
bi-directional exchange of data using Payer Platform involves
clinical data as well as admissions, discharge, and transfer data
from hospital stays. Epic’s Payer Platform will be integrated with
Anthem’s Health OS, which is Anthem’s operating system to enable
seamless health plan-provider collaboration.
“By better bridging communications between providers and health
plans, this connection is making it possible for patients to
receive timely access to appropriate care,” said Alan Hutchison,
Vice President of Population Health at Epic. “This effort will also
give clinicians more time to focus on delivering care and improve
quality for consumers.”
This capability will help close clinical and medication gaps
that may exist in an individual’s care. To do this, Anthem will be
able to capture consumer health information provided by clinicians,
analyze that data, and develop data-driven insights. These insights
can then be delivered back to the care team – in near real-time –
to flag potential care needs and inform treatment decisions,
resulting in higher quality care.
The increased exchange of health data will also help enhance
many other aspects of the healthcare journey for providers and
consumers by:
- Streamlining administrative processes, such as prior
authorization: Providers will be able to send prior
authorizations through Epic instead of using phone or fax. Health
plans can then quickly make decisions and electronically
communicate back to the provider – lowering administrative burden
and freeing up staff to spend more time on care.
- Enhancing care management: With near real-time access to
consumer health data, clinicians will have additional insight into
preventive care recommendations and addressing care gaps, such as
medication adherence, to help them develop enhanced care plans that
are proactive and personalized.
- Notifying providers of significant health events:
Providers will be notified when their patients are discharged from
the hospital and encouraged to conduct more timely follow-up
care
Payer Platform is available to health systems and providers who
use Epic, such as an initial group of health systems that includes
The MetroHealth System, an essential system based in Cleveland,
Ohio, that operates four hospitals, four emergency departments,
more than 20 health centers and 40 additional sites. MetroHealth’s
initial focus on Payer Platform will be on care management and
improving follow-up care.
“Being able to better communicate and reduce the amount of time
we need to spend on administrative processes will allow our
clinicians to spend more time delivering care,” said David Kaelber,
MD, PhD, MPH, Chief Medical Informatics Officer at MetroHealth.
“Improving exchange and interoperability of data will help us give
consumers the healthcare experience they have come to expect.”
To advance digital health and as a part of its broader Health OS
strategy, Anthem will also integrate this near real-time data with
claims data and health information that Anthem receives from
sources such as health information exchanges, labs companies, and
other partners. This approach enables providers to have a
longitudinal view of a consumers’ health, helping clinicians make
more informed decisions.
About Anthem, Inc.
Anthem is a leading health benefits company dedicated to
improving lives and communities, and making healthcare simpler.
Through its affiliated companies, Anthem serves more than 116
million people, including more than 43 million within its family of
health plans. We aim to be the most innovative, valuable and
inclusive partner. For more information, please visit
www.antheminc.com or follow @AnthemInc on Twitter.
About Epic
Visit www.epic.com/about.
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Hieu Nguyen hieu.nguyen2@anthem.com (202) 510-8848
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