InterSystems and Premera Blue Cross bring together claims and clinical data

June 20, 2018

InterSystems announced a collaboration with Premera Blue Cross, a not-for-profit Blue Cross Blue Shield licensee in Alaska and a Blue Cross licensee in Washington State.

Premera is using InterSystems HealthShare to bring together clinical data from health information exchanges, provider group electronic medical records (EMRs), along with claims to build a complete picture of each of its members. By doing so, Premera can more effectively manage risk and utilize data to support its purpose of “improving customers’ lives by making healthcare work better.”

“By combining claims and clinical data, we enable providers to better understand a patient’s health issues in real time,” says Colt Courtright, Director of Corporate Data and Analytics at Premera. “For example, a doctor knows what prescriptions have been written, but not if they have been filled. Combining clinical and claims data in real time fills that gap and gives doctors a much more complete picture of their patients’ health, empowering a richer care experience.”

Premera and InterSystems began their initial partnership in 2017, when they used HealthShare to connect to the Alaska health information exchange, healtheconnect Alaska, to bring in 150,000 patient records from across the state. Premera then expanded the services to add its Washington-based customers, and then later to 11 other states. To date, Premera receives Inpatient and Emergency Department (ED) alerts from contracted data sources across these 11 U.S. states from more than 400 EMRs to drive efficient and holistic care to its customers.

BusinessWire has the full release

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