After cooperating for 18 months on data streaming between patients, health plans, and providers, Humana and Epic are on their way to move to the next level of partnership: involving electronic prior authorization(EPA) and reduce delays in care delivery. The partnership’s first phase had prophesied positive outcomes by enabling real-time data exchange for guiding beneficial information.
- At this level, Humana and Epic would plan to grasp automatic prior authorization for decreasing the lag when the provider prescribes treatment and receives confirmations from the patient’s payer regarding whether the plan will be covered or not.
- Alan Wheatley, President of Humana’s Retail Segment said, “ Humana is taking a proactive approach to improving the appointments of patients and physicians with partners like Epic. By increasing the ability of health plan interaction and delivering valuable health insights at the point of care, we increase physicians ability to provide efficient, quality care”.
- The two partners will also meditate on member insights at the point of care. Member insights will envelop information such as delayed preventive service, medication adherence records, care coordination for chronic disease management. Having this data at their fingertips when the member is in front of them will help providers’ treatment and decision–making.
- Alan Hutchison, Vice President of Population Health at Epic said, “ the past year has shown us how significant it is to share data so that we can understand the health of the patients and members, communicate with their providers to address chronic conditions, understand gaps in care and reduce obstacles to getting that care”.