Helps clinicians, care managers, and care teams strengthen coordination, enhance continuity of care, and improve patient engagement in under-served rural areas.
Helps clinicians, care managers, and care teams strengthen coordination, enhance continuity of care, and improve patient engagement in under-served rural areas.
Enabling firms to transform at scale, so they can increase customer satisfaction, adopt generative AI, maintain compliance, grow revenue, and optimize efficiency.
The fastest way for financial services firms to break down silos and transform disparate data into a single unified resource of actionable information.
As the leading provider of data solutions for industries with critical needs like healthcare, finance, and logistics, we realize that lives and livelihoods rely on our technology.
InterSystems and Google Cloud empower you to quickly build new apps or modernize existing ones to increase agility and reap the benefits of the multicloud.
Helps clinicians, care managers, and care teams strengthen coordination, enhance continuity of care, and improve patient engagement in under-served rural areas.
Helps clinicians, care managers, and care teams strengthen coordination, enhance continuity of care, and improve patient engagement in under-served rural areas.
Enabling firms to transform at scale, so they can increase customer satisfaction, adopt generative AI, maintain compliance, grow revenue, and optimize efficiency.
The fastest way for financial services firms to break down silos and transform disparate data into a single unified resource of actionable information.
As the leading provider of data solutions for industries with critical needs like healthcare, finance, and logistics, we realize that lives and livelihoods rely on our technology.
InterSystems and Google Cloud empower you to quickly build new apps or modernize existing ones to increase agility and reap the benefits of the multicloud.
Put Actionable Member Records at the Center of Your Enterprise Strategy
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
InterSystems has been working with healthcare interoperability and clinical data at scale for 45+ years. We know what it takes to connect disparate systems, normalize complex clinical data, and deliver reliable performance for mission-critical operations.
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
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
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.
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
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.
