How Health Plans Are Achieving Payer-Provider Interoperability Through Bidirectional Data Exchange

Health plans and providers share responsibility for improving outcomes, coordinating care, and managing healthcare costs. Yet the information they need often remains fragmented across payer applications, provider organizations, electronic health records, and disconnected workflows.

Claims information gives health plans an important view of member activity, but it does not always provide the clinical detail or timeliness required to support care coordination, quality improvement, and value-based care. Providers may also lack access to valuable information held by the health plan when making decisions at the point of care.

Bidirectional data exchange helps close this information gap by allowing authorized clinical information and actionable insights to move securely between health plans and providers.

In this on-demand webinar, healthcare leaders from Medica Health Plan and InterSystems discuss how Medica is implementing scalable bidirectional data exchange across more than 27,000 providers serving 1.4 million members.

What You’ll Learn:  Watch the webinar to explore how Medica is:
• Building a unified source of trusted clinical information
• Combining clinical and administrative data from multiple systems
• Scaling connectivity across a large and diverse provider network
• Supporting data exchange with providers using Epic and other electronic health records