The EHR vendor and payer’s five-year collaboration will focus on integrating health plan data into anthenahealth’s EHR software with the aim of supporting clinical decision making and preventing gaps in care. The EHR vendor and payer’s five-year collaboration will focus on integrating health plan data into anthenahealth’s EHR software with the aim of supporting clinical decision making and preventing gaps in care.
- Per the collaboration, health plan data will be integrated into patients’ medical records, providing clinicians with a view of both the patient’s clinical and supplemental data. In addition to supporting clinical decision making, access to both types of data can help providers spot gaps in care.
- For example, diabetics need several annual appointments, including blood pressure screenings, blood sugar control tests, eye exams, and medication reviews. The integration of Humana’s data into athenahealth’s EHR software can be used to generate automatic appointment alerts, which providers can then use to make sure their diabetic patients do not miss medical visits, Brient said.
- To integrate Humana’s data into its software, athenahealth will rely on its application programming interfaces. Real-time, standards-based APIs will be used for data exchange wherever possible, and where standards do not yet exist or real-time calls are not necessary, athenahealth may use non-standards-based APIs, he added.
- The collaboration is a long-term one, with the initial agreement extending for five years. Further, the new collaboration builds on the payer’s use of athenahealth’s Real-Time Benefits Check, which enables providers to determine a Humana plan member’s prescription benefit coverage and their drug costs.
- The payer has been making significant investments in digital collaborations to improve member outcomes and experience. It recently partnered with digital health start-up Vida Health to offer Vida’s virtual diabetes management program to its Medicaid members in Kentucky.