Humana, athenahealth partnership to combine payer knowledge into EHRs


EHR vendor athenahealth, Inc., and well being insurer Humana Inc., have entered into a multi-year collaboration that may add well being plan knowledge to the seller’s software program, athenaClinicals.

The purpose of the partnership is to enhance well being outcomes for Humana’s members by giving suppliers the data they want on the level of care to assist them make knowledgeable selections for his or her sufferers, Paul Brient, chief product officer at athenahealth, mentioned through e mail.

“We additionally search to cut back the executive friction by automating typically guide duties comparable to pre-authorization,” he added.

Per the collaboration, well being plan knowledge might be built-in into sufferers’ medical information, offering clinicians with a view of each the affected person’s scientific and supplemental knowledge. Along with supporting scientific choice making, entry to each sorts of knowledge will help suppliers spot gaps in care.

For instance, diabetics want a number of annual appointments, together with blood stress screenings, blood sugar management assessments, eye exams and medicine opinions. The combination of Humana’s knowledge into athenahealth’s EHR software program can be utilized to generate automated appointment alerts, which suppliers can then use to verify their diabetic sufferers don’t miss medical visits, Brient mentioned.

“At Humana, we continuously attempt to assist suppliers ship higher outcomes to members and improve our suppliers’ healthcare expertise,” Alan Wheatley, Humana’s retail phase president, mentioned in a information launch. “Working intently with athenahealth permits us to enhance care high quality and simplify administrative processes for supplier organizations.”

To combine Humana’s knowledge into its software program, athenahealth will depend on its utility programming interfaces.

“athenahealth is without doubt one of the most open EHRs and is constructed utilizing an API-first methodology,” Brient mentioned.

Actual-time, standards-based APIs might be used for knowledge alternate wherever potential, and the place requirements don’t but exist or real-time calls will not be needed, athenahealth might use non-standards-based APIs, he added.

The collaboration is a long-term one, with the preliminary settlement extending for 5 years.

“Connecting payers and suppliers is a crucial step towards realizing our imaginative and prescient to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all,” Bob Segert, chairman and CEO of athenahealth, mentioned in a information launch.

Additional, the brand new collaboration builds on the payer’s use of athenahealth’s Actual-Time Advantages Verify, which permits suppliers to find out a Humana plan member’s prescription profit protection and their drug prices.

The payer has been making vital investments in digital collaborations to enhance member outcomes and expertise. It recently partnered with digital well being startup Vida Well being to supply Vida’s digital diabetes administration program to its Medicaid members in Kentucky.

Picture credit score: 9amstock, Getty Photographs


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