Healthcare DIVE December 2, 2024
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Payer-provider clinical data exchange plays a critical role in payer operations, helping streamline workflows and improve patient care. Traditionally, this exchange was manual and time-consuming, increasing administrative burdens and error rates. However, advancements in real-time clinical data exchange can significantly benefit payers, providers, and patients alike.

Improve Patients’ Care Coordination

Effective management of patient care requires seamless exchange of healthcare service information between payers and providers. Payers often possess comprehensive insights into patients’ care histories, enabling them to play a vital role in treatment planning.

Timely access to medical records also accelerates coverage decisions, such as determining medical necessity and granting prior authorization for treatments. This rapid access improves patient outcomes by ensuring care delivery is not delayed.

Enhance Quality...

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Topics: Health IT, HIE (Interoperability), Insurance, Payer, Technology
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