How Health Plans Are Achieving Payer-Provider Interoperability Through Bidirectional Data Exchange

Healthcare organizations generate enormous volumes of clinical and administrative data every day, yet much of that information remains fragmented across electronic health records (EHRs), payer systems, and provider workflows. Without timely access to a complete picture of each member, health plans struggle to improve care coordination, close gaps in care, support quality initiatives, and deliver better outcomes.

Payer-provider interoperability has become a strategic priority as health plans seek to create a unified longitudinal health record, enable provider collaboration, and share actionable insights directly within clinical workflows. Achieving this level of interoperability requires more than simply exchanging data—it requires integrating information from multiple sources, normalizing diverse formats and standards, and delivering trusted clinical information where and when it is needed.

In this webinar, healthcare leaders from InterSystems and Medica Health Plan share how Medica is implementing scalable bidirectional data exchange with more than 27,000 providers serving 1.4 million members. Learn how the organization is building a unified source of clinical truth, integrating with Epic, and taking a phased approach to improving interoperability while delivering measurable value along the way.

• Building a Unified Clinical Data Strategy: Learn how Medica is creating a trusted longitudinal health record by integrating clinical and administrative information across multiple systems.
  
• Scaling Provider Connectivity: See how interoperability can be expanded across thousands of providers while minimizing implementation complexity.
  
• Integrating with Epic: Understand practical approaches for sharing timely payer insights directly within Epic provider workflows.
  
• Supporting Better Outcomes: Explore how bidirectional data exchange improves care coordination, provider engagement, quality performance, and operational efficiency.

Key Topics Covered

• Bidirectional data exchange between health plans and providers
• Building a unified source of digital truth
• Technical architecture for healthcare data integration
• Connectivity with providers using Epic EHRs
• Integrating disparate healthcare data formats and standards
• Sharing plan insights within provider workflows
• Improving care coordination
• Closing gaps in care
• Phased implementation strategies

Steven Berkow, Head of Value-Based Market Strategy, InterSystems
Kerry Lockart, MSN, RN. Customer Success Manager, InterSystems