Highmark Health to host Epic's Payer Platform on Google Cloud, which will reduce administrative burden, support more holistic care, and improve health outcomes

Highmark Health将在谷歌云上托管Epic的付款人平台，这将减轻行政负担，支持更多的整体护理，并改善健康状况

PITTSBURGH and LOS ANGELES, Feb. 26, 2024 /PRNewswire/ -- Highmark Health today announced its collaboration with Epic and Google Cloud to support coordination across payers and providers, and to identify insights that personalize the consumer experience and improve health outcomes.

匹兹堡和洛杉矶，2024年2月26日/PRNewswire/--Highmark Health今日宣布与Epic和谷歌云合作，以支持支付方和提供商之间的协调，并确定个性化消费者体验和改善健康结果的见解。

Epic's Payer Platform improves collaboration between health insurers and health providers. Now, by connecting to Google Cloud, the insights shared with payers and providers can be used to inform consumers of the next best actions in their care journeys. Epic's Payer Platform enables a new level of payer-provider collaboration by driving automation, faster decision-making, and better care—while reducing burden and fragmentation at every touchpoint..

Epic的付款人平台改善了健康保险公司和健康提供者之间的合作。现在，通过连接到谷歌云，与付款人和提供者共享的见解可以用于告知消费者在护理过程中的下一个最佳行动。Epic的付款人平台通过推动自动化、更快的决策和更好的护理，同时减少每个接触点的负担和碎片化，实现了新级别的付款人-提供商协作。。

'Epic's Payer Platform is a powerful resource that enables payers and providers to work more effectively together. Pairing that resource with Google Cloud's technology gives Highmark Health the ability to change the paradigm,' said Tony Farah, MD, executive vice president, chief medical and clinical transformation officer, Highmark Health.

“Epic的付款人平台是一个强大的资源，使付款人和提供商能够更有效地合作。Highmark Health执行副总裁、首席医疗和临床转型官托尼·法拉（TonyFarah）医学博士说，将这些资源与谷歌云技术相结合，可以让Highmark Health改变这种模式。

'It's another step forward in achieving better experiences for both consumers and clinicians, while improving health outcomes and lowering cost of care.'.

“这是在改善健康状况和降低护理成本的同时，为消费者和临床医生提供更好体验的又一步。”。

Google Cloud data analytics technologies, like BigQuery and Healthcare Data Engine, will facilitate  insights shared with provider partner organizations that use Epic, Highmark health plan staff, and Highmark members through other integrated digital channels such as the My Highmark member portal.

谷歌云数据分析技术，如BigQuery和医疗保健数据引擎，将通过其他集成数字渠道（如My Highmark member portal），促进与使用Epic、Highmark health plan员工和Highmark成员的提供商合作伙伴组织共享见解。

'Google strives to help billions of people live healthier lives. For Google Cloud, this means helping healthcare organizations accelerate their digital transformations to support personalized health journeys,' said Amy Waldron, director, healthcare and life sciences strategy and solutions, Google Cloud.

谷歌努力帮助数十亿人过上更健康的生活。谷歌云医疗保健和生命科学战略与解决方案总监艾米·沃尔德伦（AmyWaldron）说，对于谷歌云来说，这意味着帮助医疗保健组织加速其数字转型，以支持个性化的健康旅程。

'Highmark Health's use of Google Cloud will enable the organization to create an intelligence system equipped with AI to deliver valuable analytics and insights to healthcare workers, patients, and members. Highmark Health's investment in cloud technology is delivering real-time value and simplifying communications; it's redefining the provider and consumer experience.'.

Highmark Health使用谷歌云将使该组织能够创建一个配备人工智能的智能系统，为医护人员、患者和成员提供有价值的分析和见解。Highmark Health对云技术的投资正在提供实时价值并简化通信；它重新定义了提供者和消费者的体验。”。

From a clinician's perspective, payer-derived insights delivered to existing provider workflows in Epic give a more complete view of a patient's health. These insights can include a patient's conditions, history of in- and out-of-network visits, health plan benefits and programs available, insurance claims, alerts for acute events, decision support, and care management..

从临床医生的角度来看，Epic中向现有提供者工作流程提供的付款人衍生的见解可以更全面地了解患者的健康状况。这些见解可以包括患者的病情、网络内外访问的历史、可用的健康计划福利和计划、保险索赔、急性事件警报、决策支持和护理管理。。

These insights also help providers identify high-quality care covered by their patients' health plans. When providers have accurate information about coverage during referral selection and at scheduling, surprise out‐of‐pocket costs can be avoided, and service authorizations can be expedited.

这些见解还可以帮助提供者确定患者健康计划所涵盖的高质量护理。当提供者在推荐选择和安排期间获得有关覆盖范围的准确信息时，可以避免意外的自付费用，并且可以加快服务授权。

Further, automated information sharing can trigger actions to improve health outcomes, such as creating a case for authorization, prompting acute care concurrent review, or initiating transitional care. Using enhanced analytics to improve population health performance, health systems working with Highmark can leverage health plan-calculated care gap statuses to initiate actions that achieve gap closure, to avoid unnecessary outreach, and to understand quality performance outcomes from the health plan's perspective..

此外，自动化信息共享可以引发改善健康结果的行动，例如创建授权案例，促使急性护理并发审查或启动过渡护理。使用增强的分析来改善人口健康绩效，与Highmark合作的卫生系统可以利用卫生计划计算的护理差距状态来启动行动，以实现差距缩小，避免不必要的外联，并从卫生计划的角度了解质量绩效结果。。

In tandem, health systems can automate the process of notifying a health plan about current or upcoming patient encounters. Notification can occur when a patient has an event, such as an arrival to the emergency department, an admission, a patient class change, or a discharge. Health plans often request to be notified when a member has been admitted to or discharged from a hospital.

同时，卫生系统可以自动通知健康计划当前或即将遇到的患者。当患者发生事件时可能会发出通知，例如到达急诊室，入院，患者类别改变或出院。健康计划通常要求在成员入院或出院时发出通知。

Without technology such as Epic's Payer Platform, health systems administrators typically engage in time-consuming points of connection, like making phone calls or sending faxes..

如果没有Epic的付款人平台等技术，卫生系统管理员通常会参与耗时的连接点，例如打电话或发送传真。。

'Leveraging automation for responsible data sharing is a game-changer, especially when it comes to reducing the administrative burden of relaying clinical information in various directions—to payers, providers and customers,' said Richard Clarke, PhD, senior vice president, chief analytics officer, Highmark Health.

Highmark Health高级副总裁兼首席分析官Richard Clarke博士说：“利用自动化实现负责任的数据共享是一个改变游戏规则的因素，尤其是在减少向付款人、提供者和客户传递各个方向的临床信息的管理负担方面。”。

'It facilitates informed decisions without the need for manual back‐and‐forth, all within the confines of Highmark's secure Google Cloud infrastructure.'.

“它有助于做出明智的决策，而无需手动来回，所有这些都在Highmark安全的谷歌云基础设施的范围内。”。

More than half of Highmark's 7 million members are currently attributed to an Epic provider. For every attributed member, Highmark anticipates closing approximately 2.5 care gaps automatically, with upwards of 300 percent potential increase in care gaps closed.

Highmark的700万会员中，有一半以上是由Epic提供商提供的。对于每个归因成员，Highmark预计会自动缩小约2.5个护理缺口，并且护理缺口可能会增加300%以上。

Highmark Health's 14-hospital provider system, Allegheny Health Network, estimates this shared claims data will amount to $2.7 million in annual savings, which can be reinvested into quality clinical care and patient experience.

Highmark Health的14家医院提供者系统阿勒格尼健康网络（Allegheny Health Network）估计，这些共享的索赔数据每年将节省270万美元，可以再投资于优质的临床护理和患者体验。

In addition to Epic's Payer Platform, Highmark Health is deploying a suite of tools to improve digital enablement of provider partners, including a new provider resource center and provider portal powered by Availity.

除了Epic的付款人平台之外，Highmark Health正在部署一套工具来改进提供商合作伙伴的数字支持，包括一个新的提供商资源中心和由Availability提供支持的提供商门户。

About Highmark Health

关于Highmark Health

Highmark Health, a Pittsburgh, PA-based enterprise that employs more than 42,000 people who serve millions of Americans across the country, is the parent company of Highmark Inc., Allegheny Health Network, enGen, and Helion. Highmark Inc. and its subsidiaries and affiliates provide health insurance to 7 million members in Pennsylvania, West Virginia, Delaware, and New York, as well as dental insurance, and related health products through a national network of diversified businesses.

Highmark Health是一家总部位于宾夕法尼亚州匹兹堡的企业，拥有42000多名员工，为全国数百万美国人提供服务，是Highmark Inc.，阿勒格尼健康网络，enGen和Helion的母公司。Highmark Inc.及其子公司和附属公司通过全国多元化业务网络为宾夕法尼亚州、西弗吉尼亚州、特拉华州和纽约州的700万会员提供健康保险，以及牙科保险和相关健康产品。

Allegheny Health Network is an integrated delivery network in western Pennsylvania comprised of 14 hospitals, more than 2,600 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions.

阿勒格尼健康网络（Allegheny Health Network）是宾夕法尼亚州西部的一个综合服务网络，由14家医院、2600多名附属医生、门诊手术中心、一家聘用医生组织、家庭和社区健康服务机构、一家研究所、一家团购组织以及健康和健康馆组成。

enGen is focused on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge, and integrated cloud-based platforms. Helion works with payers to cultivate high-performing networks while empowering providers to operate at their best.

enGen专注于通过提供经验证的业务流程、专家知识和基于云的集成平台，满足Highmark Health enterprise的信息技术平台和其他业务需求，以及非附属健康保险计划。Helion与付款人合作，培养高性能网络，同时授权提供商以最佳方式运营。

To learn more, visit www.highmarkhealth.org..

To learn more, visit www.highmarkhealth.org..

SOURCE Highmark Health

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