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Prior authorization process should be streamlined with a more efficient exchange of data
Anthem Inc. is collaborating with Epic to facilitate secure, bi-directional exchange of health information between providers and Anthem health plans. More than 14.7 million patients are served by Anthem health plans who see clinicians using Epic software. The data exchanged includes clinical data as well as admissions, discharge, and transfer data from hospital stays.
This collaboration will help close clinical and medication gaps that may exist in an individual’s care, according to Anthem. To do this, Anthem will be able to capture consumer health information provided by physicians, 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.
The increased exchange of health data will help:
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, lab companies, and other partners. This approach enables providers to have a longitudinal view of a consumers’ health, helping physicians make more informed decisions.