Unlock the Power of Clinical Data
Health plans don’t have a data shortage, they have a clinical data usability problem: information is fragmented, delayed, and hard to apply to real workflows. InterSystems helps health plans unify clinical, claims, social and other data into a trusted longitudinal record - then put it to work through standards-based interoperability and automation.
Power your health plan strategy to:
- Meet CMS interoperability and prior authorization mandates with confidence
- Reduce administrative burden and provider abrasion
- Improve quality performance with more current, actionable clinical data
- Enable analytics, AI, and digital experiences with scalable data infrastructure
- Strengthen network operations with accurate provider information
Fragmented data slows decisions and increases risk
Clinical data is often delayed, incomplete, or difficult to use alongside claims and administrative data. That makes it harder to identify rising risk, coordinate care, and respond to gaps.
We help you:
- Bring clinical, claims, and other data together into a longitudinal member record
- Normalize and reconcile data so teams work from a consistent source of truth
- Govern access and consent so data sharing is safe
Learn about HealthShare Unified Care Record
Regulatory compliance is complex, and deadlines are real
Health plans face expanding requirements for member access, provider access, payer-to-payer exchange, and prior authorization transparency and automation. Manual processes create delays, rework, and frustration. They also limit your ability to use clinical context to make faster, more consistent decisions.
We help you:
- Implement the required FHIR-based APIs and workflows in a practical, phased way
- Align with industry implementation guides
- Modernize your interoperability foundation while supporting new mandates
- Streamline prior authorization with standards-based automation
- Reduce manual touchpoints with better clinical data access at decision time
- Improve turnaround time, consistency, and reporting readiness
Learn about InterSystems Payer Services
Quality improvement can't wait 90 days
Retrospective measurement makes it difficult to correct course. Health plans need more current clinical data to identify gaps and intervene sooner.
We help you:
- Use more timely clinical data to support continuous monitoring and improvement
- Reduce chart chase and manual abstraction by making clinical data easier to use
- Strengthen confidence in measurement with auditable data lineage
Learn about HealthShare Unified Care Record
Integration that scales is a challenge - from legacy systems to FHIR and everything in between
Health plans rarely start with a blank slate. InterSystems offers an enterprise-grade integration engine built for high-volume, mission-critical healthcare transactions -delivered on premises or as a managed cloud platform so teams can focus on connecting systems rather than managing infrastructure.
Learn about InterSystems Health Connect
Looking to connect to Epic Payer Platform? Learn about InterSystems Payer Connector.
Provider network performance depends on transparency and trust
Network strategies, value-based contracts, performance improvement, and collaboration, require consistent sharing of data and metrics across organizations.
We help you:
- Enable secure sharing of clinical context and performance insight
- Support a longitudinal view that improves coordination across settings
- Reduce friction with providers by making processes and data more predictable
Learn about InterSystems HealthShare Provider Directory
Integration that scales is a challenge - from legacy systems to FHIR and everything in between
Health plans rarely start with a blank slate. InterSystems offers an enterprise-grade integration engine built for high-volume, mission-critical healthcare transactions - delivered on premises or as a managed cloud platform so teams can focus on connecting systems rather than managing infrastructure.
Learn about InterSystems Health Connect
Looking to connect to Epic Payer Platform? Learn about InterSystems Payer Connector.