Epic and Humana Enter Next Level of Collaboration with Proper Data

After almost two years of announcing a collaboration to enable more Data visibility across the care continuum and reduce the administrative burden, Epic and Humana say that they have completed the first stage of work together. They are now eyeing innovations to streamline prior authorization and claims processing.

In 2019, Humana first became the first insurer to work with Epic toward enabling value-based care advancements. It was when one of the significant steps was taken to integrate Humana’s check tool, IntelligentRx, into Epic’s e-prescribing workflows. After that, more than 50,000 providers have used the IntelligentRx, with clinical Data for more than 500,000 members of Humana. Companies said they shared the real-time prescription information across Epic’s customer base.

The companies plan to add more support for the automated prior authorizations and other member insights at the care point. It helps speedy access to care for patients as providers quickly access procedures’ coverage status. Such decision support will allow Humana Data in the Epic workflows. New Orleans-based Ochsner Health is the first to roll out the electronic prior auth tools to improve the clinical experience.

Dr. Philip Oravetz, Ochsner Health’s Chief Population Health Officer, said, “Having a comprehensive view of our patients’ medical history and health insights allows our clinicians to dedicate more time to addressing health concerns and setting a course for treatment.” Epic and Humana said that they plan to launch new tools in the year ahead. This will help lower costs by enabling a more manageable selection of in-network providers whenever possible.