Renton, Wash.-based Providence and Humana are collaborating on a new data exchange model to boost value-based care.
The 51-hospital system and payer giant say they plan to go live in October with automated member attribution for Humana Medicare Advantage members before expanding into other data exchange functions to reduce administrative burden and elevate clinical decision-making. They hope their efforts will serve as models for providers and payers across the country.
“The healthcare industry is overwhelmed by fragmented, inconsistent data formats that make care coordination costly and slow,” said Michael Westover, vice president of population health informatics at Providence, in an Oct. 20 news release. “Because we want to be successful in value-based care contracts, Humana and Providence are building a shared foundation of administrative, financial and clinical data using national standards and modern technology.”
Providence and Humana say their partnership will allow them to comply with an upcoming CMS rule to speed up prior authorizations. They were among the 11 healthcare providers and five payers that signed on to the Trump administration’s new interoperability pledge in July.
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