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From silos to synergy: Uniting health plan and EHR insights to drive success in value-based care

From silos to synergy: Uniting health plan and EHR insights to drive success in value-based care

November 21, 2024Emily Holzman, MPHMedical EconomicsBest Practices & Strategies for Success,EMRs/EHRs, Clinical Documentation,Payers, Plans, & Claims

As the health care industry increasingly adopts value-based care (VBC) models, providers face the dual challenge of enhancing patient outcomes while controlling costs. To succeed in this environment, integrating health plan data — such as claims, enrollment and care gap information — into clinical and operational workflows is essential. By combining health plan data with traditional clinical information from electronic health records (EHRs), providers gain a comprehensive view of each patient’s health journey that neither source can provide individually. This broader perspective empowers providers to proactively address care gaps, improve patient engagement and streamline workflows, all of which are vital for meeting the demands of VBC. But how can providers effectively harness these data to truly transform patient care and operational efficiency?

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