Payers operate in a complex ecosystem.
As the backbone of the healthcare economy, payers work with a range of groups, from Accountable Care Organizations (ACOs), third-party administrators (TPAs), and Pharmacy Benefit Managers (PBMs) to a wide variety of digital health companies. Each of these partnerships relies on data. But a lack of standards and connectivity makes accessing, processing, and exchanging data with these organizations hard.
Drive results with 1upHealth
Access EHR data to assess quality goals of the ACOs within your network.
Meet all current FHIR® API mandates and future-proof your compliance strategy.
The power of 1upHealth FHIR® data solutions
1upHealth takes a standards-based, modern cloud, and API approach to data portability and governance. In partnership with 1upHealth, health plans can easily access, process, and exchange data to improve member experience and outcomes, share risk, carve out services, operate efficiently, and improve profitability.
1upHealth’s network effect
1upHealth for payers
1up Patient Connect
Empower members to access & share their health data with payers and digital health applications.
1up Population Connect
Drive better health outcomes and make better business decisions with patient population data imported from top EHRs.
Meet regulatory requirements for health data exchange.
Evaluate – and make better decisions – at the population level with efficient data exchange.
Unlock new insights & better outcomes by accessing healthcare data stored in FHIR® and integrating it into existing analytics systems.
Leading payers using 1upHealth
A regional health plan with three risk-based provider contracts uses 1upHealth to access EHR data in order to properly assess quality goals. This is the first time in its history that this payer has access to clinical data at scale.
One of the country’s largest health insurers together with a national health services organization uses 1upHealth to merge EHR data with other external and internal data, creating the backbone for prior authorization, analytics, and all care management and network interactions.