Health Care Payer Platform
Listing Websites about Health Care Payer Platform
Health Plans Epic
(3 days ago) WebUsing Payer Platform, Mayo Clinic and BCBS MN reduced ADR denials by up to 75%; Baptist Health and Humana automatically exchanged 24,000 charts in one year; and Ochsner Health and Humana completed 53% of prior authorizations instantly.
https://www.epic.com/software/health-plans/
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Providers and Health Plans Connect to Fast Track Prior
(9 days ago) WebUsing Payer Platform, Mayo Clinic and Blue Cross Blue Shield of Minnesota (BCBS MN) reduced denials due to additional documentation requests (ADR) for hospital billing by 75% and for professional billing by 63%, Baptist Health and Humana automated the exchange of 24,000 charts in one year for more comprehensive health …
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Connecting providers and payers to improve care and reduce …
(4 days ago) Webby health plans that use Payer Platform. Reduce Manual Effort and . Promote Collaborative Care. Providers improve care coordination by . automatically sending payers the HIPAA-compliant information they’re required to share. WHAT OTHERS HAVE DONE. Worked with Humana to complete . 53 %
https://vendorservices.epic.com/Resources/payerplatformoverview/
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Healthcare Payer Solutions for Providers athenahealth
(8 days ago) WebOur Platform. athenaOne. An all-in-one solution that improves clinical effectiveness, patient experience, and financial performance. Healthcare Payers. Labs and Imaging Centers. Partners. Marketplace Partners. Developers. Resources. Thought Leadership. Diagnosis Gaps presented within our EHR can help reduce administrative burden for
https://www.athenahealth.com/who-we-serve/payers
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Press Release: Highmark Health and Epic to improve payer …
(8 days ago) WebPITTSBURGH and LOS ANGELES (February 26, 2024) — Highmark Health today announced its collaboration with Epic and Google Cloud to support coordination across payers and providers, and to identify insights that personalize the consumer experience and improve health outcomes. Epic's Payer Platform improves collaboration …
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What payer-led managed care models may look like
(9 days ago) WebIn these models, payers take a substantially more active role in the health and healthcare of their members through one of three approaches: provider enablement via a management-services …
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KLAS: Epic’s Payer Platform Generates High User Satisfaction
(9 days ago) WebNovember 13, 2023 - Healthcare organizations using Epic’s payer platform are satisfied with the product’s performance, including its ability to deliver meaningful information without
https://healthpayerintelligence.com/news/klas-epics-payer-platform-generates-high-user-satisfaction
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Healthcare Payor & Insurer Solutions Microsoft Industry
(4 days ago) WebDiscover healthcare payor and insurer cloud solutions to deliver trusted member experiences, optimize care management and health outcomes, accelerate workplace modernization and protect health information.
https://www.microsoft.com/en-us/industry/health/payors
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Epic Payer Platform Wellcare
(3 days ago) WebIt is available for health systems and providers on Epic. What are the features of Epic Payer Platform and how do they help? In our initial work with Payer Platform, we are live with clinical data exchange, which automatically releases appropriate clinical records to health plans. This helps reduce manual record requests, reducing
https://www.wellcare.com/providers/medicare-bulletins/epic-payer-platform
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Digital Payer-Provider Connections Save Time, Lower Costs
(Just Now) WebNorthShore implemented Payer Platform to connect with two of its large payers and send clinical documents electronically. This saves time and administrative overhead, reduces medical records requests from payers, and improves care coordination for …
https://www.epic.com/epic/post/digital-payer-provider-connections-save-time-lower-costs-2/
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EpicShare Share & Learn Providers and Health Plans Connect to …
(2 days ago) WebUsing Payer Platform, Mayo Clinic and Blue Cross Blue Shield of Minnesota (BCBS MN) reduced denials due to additional documentation requests (ADR) for hospital billing by 75% and for professional billing by 63%, Baptist Health and Humana automated the exchange of 24,000 charts in one year for more comprehensive health …
https://www.epicshare.org/share-and-learn/payer-platform-success-stories
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Healthcare Payer Solutions Cognizant
(1 days ago) WebCognizant named as a Leader in the Everest Healthcare Cloud-based Core Administration Platform Peak Matrix Assessments 2023 for its healthcare core administration platform offerings that provide comprehensive coverage across the healthcare value chain. Healthcare payers must take an adaptable approach to enabling new business rules …
https://www.cognizant.com/us/en/industries/healthcare-technology-solutions/payers
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Epic Systems Tool to Boost EHR Data Exchange for Payer, Providers
(1 days ago) WebThe Payer Platform is set to launch later this year with its Epic customers. “Our strong networks of community providers in our states is the reason we can help our members access high-quality, affordable health care,” wrote HCSC. “Our providers are on the front lines of care delivery, member health management, and member satisfaction.
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Healthcare Payer Solutions - Inovalon Payer Cloud Software
(6 days ago) WebHealthcare Payer Solutions, Powered by the Inovalon ONE® Platform Inovalon's Converged SaaS suite of healthcare payer solutions delivers member-centric insights and actions to help health plans measure, manage, and improve healthcare outcomes, economics, and quality of care.
https://www.inovalon.com/products/payer-cloud/
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Payer Platform - Nirvana Health
(5 days ago) WebMedical claims expenditure constitutes about 70% of premium dollars collected by Payers. Cognizant of this fact, nirvanaHealth developed a core claims platform for clients serving Medicare, Medicaid, Commercial, and Health Exchange lines of business that bear, manage, or administer health risk.
https://www.nirvanahealth.com/payer-platform/
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Healthcare Payers - Insurance Oracle
(Just Now) WebHealth insurance technology is essential to keep pace with the rapidly transforming industry. Discover how Oracle Health insurance cloud services offer rich functionality and flexibility for operational efficiency, an easy-to-manage health insurance platform for growth and scalability, and transparent member engagements. Get the ebook (PDF)
https://www.oracle.com/financial-services/insurance/healthcare-payers/
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Highmark Health and Epic to Improve Payer-Provider …
(2 days ago) WebIn addition to Epic's Payer Platform, Highmark Health is deploying a suite of tools to improve digital enablement of provider partners, including a new provider resource center and provider portal
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Nation’s Largest Member Owned Health Plan to Launch Epic …
(2 days ago) WebThe Payer Platform will launch later this year for select providers and health systems across HCSC’s five states who already use Epic. About Health Care Service Corporation. Health Care Service Corporation is the country’s largest customer-owned health insurer, with nearly 16 million members in its health plans in Illinois, Montana, …
https://www.hcsc.com/newsroom/news-releases/2020/epic-platform
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Salesforce Announces Health Cloud for Payers, Transforming …
(1 days ago) WebIntroducing Health Cloud for Payers. In 2016, Salesforce introduced Health Cloud to transform the way healthcare and life sciences organizations connect with patients. Today, the company is expanding the power of Health Cloud with new features specifically built for the health insurance industry that will allow these companies to …
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Digital Healthcare Payer—Healthcare Consumer Self-Service …
(1 days ago) WebCognizant Digital Healthcare Payer helps organizations thrive on the challenges of becoming a consumer-driven, value-based, on-demand provider. We combine automation, human-centered insights, and best-in-class industry processes and platforms to enable you to create new products, focus on customer experiences and develop strong competitive
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Epic connects with HCSC on payer data exchange platform
(5 days ago) WebHealth Care Service Corporation, a licensee of the Blue Cross and Blue Shield Association with some 16 million members covered by health plans in five states, announced this week that it is working with Epic to build a bi-directional exchange platform to connect payers with providers.
https://www.healthcareitnews.com/news/epic-connects-hcsc-payer-data-exchange-platform
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Building a Health Equity Focus into Value-Based Payment Design
(4 days ago) WebValue-based payment (VBP) models shift health care payment from rewarding volume of care provided (i.e., fee-for-service payment) to rewarding the delivery of higher value care. 1 As the health care system has increased its focus on health equity, many Medicaid payers, including state agencies and managed care organizations, see promise in aligning high …
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UHS Credits Tough Negotiating Stance with Payers for Favorable …
(3 days ago) WebPlaying hardball with payer rates has paid off for behavioral health behemoth Universal Health Services. Despite the challenging supply-demand dynamics during the pandemic, Universal Health Services demonstrated resilience and adaptability, reporting strong payer rates in its behavioral health business.
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Kristin Weir Joins MacroHealth Product Team as SVP of Product
(1 days ago) WebThe people of MacroHealth are on a mission to measurably improve healthcare cost, access, and quality by modernizing the healthcare marketplace. MacroHealth’s first-of-its-kind Intelligent Health Market-as-a-Service (IHMaaS) platform leverages data science and industry standard interoperability to enable Payers and Health Market Partners to
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