Improve Payer-Provider Collaboration—Without Disrupting the Provider Workflow

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Blog Posts  |  07 April 2022

There are numerous reasons payers must be able to reach healthcare providers (HCPs) at the point of patient care. Whether it’s to proactively identify and communicate care gap closure opportunities or to communicate information to help providers manage patient quality of care, payers often need to engage providers.

However, to make payer-provider data exchange usable, it must occur without disrupting the provider’s workflow. For providers, this exchange of information must be convenient, simple, and easy-to-use. Ideally, a solution for payer-provider data exchange should fit into the normal documentation process of a patient visit, to will maximize provider utilization. Unfortunately, traditional payer-provider data exchange has been a time-consuming and labor-intensive process.

In this article, we share solutions that can help you facilitate payer-provider collaboration, and the data exchange it requires, without disrupting the provider’s workflow.

The value of improving payer-provider collaboration

There are many reasons streamlining payer-provider collaboration can benefit payers, providers, and—most importantly—patients. For instance:

You can read more about the benefits of streamlining payer-provider data exchange in our article, Making Payer-Provider Clinical Data Exchange as Smooth as Possible.

Veradigm eChart Courier™

Veradigm offers solutions that can help facilitate payer-provider collaboration for your practice or organization. One of these is Veradigm eChart Courier™.

Manual retrieval of patients’ medical charts is a time-consuming and resource-intensive process for both providers and payers. Medical practices must designate staff to sort through charts and respond to requests, diverting resources that could be better used to support patients. Typically, charts are pulled individually. They are frequently delivered to payers via mail or fax; once delivered, health plans must read through the charts manually to gain the data relevant to their request—for 160,000,000 medical charts a year.

However, Veradigm eChart Courier is an easy-to-use solution that automates the medical chart retrieval process. It enables HCPs to share patients’ medical records with payers in a seamless and secure fashion, eliminating the need for manual chart retrieval. It communicates patient information in a secure encrypted format that is accessible only to intended users.

Using eChart Courier saves time for practice staff. It also increases efficiency: eChart Courier operates through the practice’s electronic health record (EHR) system, so charts can be accessed without changing the provider’s workflow.

In addition, eChart Courier is available to providers at no additional cost: available with Practice Fusion EHR, Allscripts TouchWorks® EHR, and Veradigm EHR™.

Streamlining the process

Payer-provider collaboration is less likely to be successful, and less likely to happen at all, if the process is complicated and resource intensive. However, payers know things that providers don’t know and vice versa: collaboration is essential for optimal operations and optimal patient care.

That’s why Veradigm offers solutions that streamline the process, enabling providers to collaborate with payers without disrupting provider workflow:

Contact us to learn how you can take action toward improving payer-provider collaboration, in a way that will avoid upheaval to the provider’s workflow.

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