Collaborating for Success

Contributing experts: Bryony Winn and Ashok Chennuru

Contracting for outcomes with increasingly advanced value-based care models is critical, but not enough. To help us collectively succeed, we are committed to going beyond the contract to create a real impact on health — together. Doing this means:

Being better business partners by improving data connectivity, automating processes, speeding up claims processing, and reducing administrative burdens.
Being better clinical partners by building leading digital programs, providing direct clinical support, sharing more actionable data, and improving models of care.

The results of such collaboration are both meaningful and measurable when it comes to improving the care provider experience and in delivering whole health for their patients, our consumers.

Our Efforts by the Numbers

Being Better Business Partners

27.6 million

consumers' health data shared with 10,000 care providers through our Health OS digital platform, improving health outcomes¹

81 million

roster transactions processed through the industry's first artificial intelligence-enabled, digitized solution which significantly shortens turnaround times²

70,000

national provider identifiers benefiting from reduced administrative burden with our Digital Request for Additional Information process³

Being Better Clinical Partners

67% increase

in postpartum visit adherence for patients' whose doctors participated in both our Obstetrics Practice Consultant program and Obstetric Quality Incentive Program⁴

60% fewer

chemotherapy side-effect-related admissions for patients who were members of our Care Concierge program⁵

25% increase

in medication adherence for chronic conditions, such as diabetes and hypertension, in consumers whose care providers have access to patient data through our Health OS platform⁶

Collaborating for Success

Sophie Clarke, MD, Staff Vice President, Clinical and Strategic Partnerships, Elevance Health; and Dan Salinas, MD, Chief Medical Officer, Emory Healthcare, discuss how electronic medical records and data sharing have enabled payers and care providers to better collaborate on care.

Dr. Sophie Clarke:
Dr. Salinas, I would love to hear, you know, from your experiences practicing over the last 20 years, how has healthcare changed?

Dr. Dan Salinas:
A lot of it has to do primarily with the with the advent of the electronic health record. I think having an electronic health record allows more tools to be available at the point of care.

Also, we have more data now, and data gives us the power, if you will, to know where we are, in the given, in the care of any given patient.

The more data we have, the more we know that there might be gaps in care. So, in a typical EMR, you can pull a list of all of your patients with asthma and then look and see if they've had flu shots.

That was impossible to do before the advent of electronic health records. I shouldn't say it was impossible. It would have been very hard to do.

Sophie Clarke:
There's so much progress that's been made when it comes to, you know, doctors having a longitudinal view in the EMR.

But there's so much opportunity, many of which our teams are working together on, to kind of make that EMR, not just something accessible by doctors, but something, you know, shared for the benefit of the patient between payers and providers and between the, you know, between the patient themselves.

We'd love to hear your thoughts on the payer role in this kind of evolution of EMR and data sharing.

Dan Salinas:
So, the payer role in the data sharing aspects of patient care, I think it's really important because the one thing that the payer has fully is the claims history. So, not just medical claims, but pharmacy claims, laboratory. So, the amount of data that the payer has is so significant.

The key, one of the keys, is being able to mine that data together with a with a provider partner like ours, like Emory, to mine that data together and try to find the places for us to focus our efforts.

It's being able to focus and to be able to find, through the data, those patients that need our attention or our joint attention and effort. If it's not to close a preventive care gap, which is so critical, it's to help them through transitions that they may have in their own care.

1 Elevance Health, internal reporting (February 2024). 2 Elevance Health, RA Monthly Transaction Volume Report (December 2023). 3 Elevance Health, provider experience lifecycle program update (January 2024). 4 Elevance Health, 2023 Maternity Program Evaluation Results (May 2023). 5 Carelon Digital Platforms Israel, Concierge Care dashboard (October 2023). 6 Elevance Health, internal analysis (March 2023).

Being Better Business Partners

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