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Payer Platform (Payer/Provider Data Exchange) Commentary
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Subject Expert
Cris Ludwig
Associate Engagement Partner
KLAS Associate Engagement Partner - Cris Ludwig
 

Commentary Summary

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User Commentary

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VP/Other Executive

We're trying to do a bunch of Epic things. We're leveraging what we can. As we get more access to...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

We'd love to use more of the stuff Epic has in their hub with the payers, but with many of the...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

In the revenue cycle space, my general experience is that Epic comes to the table in due time, but...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

Our challenge with Payer Platform is that the last couple of payers we've added have been really...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

Epic tried getting a group of clients together to work with a payer to implement something, but that...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Director

Chart retrieval is one area where Payer Platform helps because our HIM staff doesn't have to do as...

Comment Tone Positive
Pillars Loyalty, Product, Value
Evaluation Unrated

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Director

When we identify a third party doing things better, we feel like a stronger level of engagement from...

Comment Tone Negative
Pillars Relationship, Product, Value
Evaluation Unrated

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Director

I don't see any cost savings from Payer Platform at the moment. The overhead has been significant...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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Director

I think there's a lot of opportunity for us to improve our relationship with Payer Platform and with...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

Our data is always 100% accurate, so the data flowing out of our system is accurate. The key word...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

HIPAA compliance has always been important. We've always been really protective of our patients'...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

Epic's support team is always there. If we reach out for help, they always get somebody assigned to...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

I can't think of another vendor that gives us as much visibility into the cases we have open and the...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Payer Platform meets our HEDIS needs. We have care gaps, and it helps with those. We're also getting...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

Our operational leadership is committed to having one central source and having Epic be the source...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

The potential of Payer Platform is great. Does it meet our needs? I want to say no because we've got...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

Once we roll out other Payer Platform modules, we need training specific to the workflow for...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Director

I haven't seen a road map lately, but Epic does have a vision. Epic will uphold their end, but the...

Comment Tone Negative
Pillars Loyalty, Relationship
Evaluation Unrated

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Director

I can sense some pushback from various leaders because they're not seeing the benefits of Payer...

Comment Tone Negative
Pillars Loyalty
Evaluation Unrated

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Director

There are some features and modules where Epic gives us an application coordinator or an application...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

We've been on Payer Platform for several years now, but we're pretty much at the base level with...

Comment Tone Negative
Pillars Product, Value
Evaluation Unrated

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Director

There are a number of benefits and features available within Payer Platform, but not everybody is...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Director

I feel like Payer Platform is disjointed. When we implement Epic modules and work directly with the...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Other C-Suite

I think the interest in Payer Platform seems to be fading because the people who have gone on it in...

Comment Tone Negative
Pillars Loyalty, Product
Evaluation Unrated

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Other C-Suite

The only positive thing I've heard about Payer Platform is that with a value-based risk arrangement,...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Other C-Suite

With Payer Platform, we deal with different people from the payer organizations. We are dealing with...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Other C-Suite

The platform is working. I've not heard anything about it being so slow. And I've not heard about...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Other C-Suite

We pretty much had to learn Payer Platform on our own. We have to reach out and get Epic to train us...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Other C-Suite

Epic seems to really sell Payer Platform, and they make us think this could be the answer to fixing...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

Epic’s training is very good, but they're missing some training opportunities for business users so...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

Overall, Epic is a really good vendor partner. They work well with us. Their resources are super...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

As far as cost savings go, our value for Payer Platform has blown everybody's initial estimations...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Manager

I didn't buy Payer Platform, but at the time, it was the right solution for us. That might have been...

Comment Tone Negative
Pillars Loyalty, Value
Evaluation Unrated

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Manager

Epic is really good about rising to the challenge when we want to move forward with something that...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Manager

Our team is big on relationship building, and with Payer Platform, we've been able to build strong...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Manager

One thing that we're sometimes challenged with is the early adopter phase of a new functionality and...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

Sometimes I get the sense that Epic is trying to expand in too many directions at once with their...

Comment Tone Negative
Pillars Loyalty, Relationship, Product
Evaluation Unrated

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Other C-Suite

One of the material strengths for Payer Platform is the neutrality between the payers and the...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Other C-Suite

The partnership after the implementation with Epic has been better than the partnership with anybody...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

Payer Platform is included in the contract fees, so there aren't any hidden charges. I am pressing...

Comment Tone Positive
Pillars Culture, Value
Evaluation Unrated

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Manager

I rate Payer Platform high on the speed and volume of data flowing because of the volume being in...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

I have worked with Epic for a number of years, and there are a lot of different avenues to reach...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

Payer Platform is still developing. A couple of the features should be pretty simple, but there are...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

In terms of the accuracy of data flowing, from what I've seen, I would give Payer Platform a top...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

With the cost savings and value return, it's been a little difficult on the provider side to...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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Manager

There is nothing major we need from Payer Platform in terms of its impact on our relationship with...

Comment Tone Negative
Pillars Loyalty, Product
Evaluation Unrated

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Manager

Epic is working on things, and they're sharing what they're working on. But it'd be nice if they...

Comment Tone Negative
Pillars Loyalty, Relationship
Evaluation Unrated

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Manager

Epic really didn't have any training for a while, but they came up with something recently. I did it...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

In terms of complying with CMS interoperability and data exchange, there isn't that functionality...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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VP/Other Executive

The baseline configuration for Payer Platform shares a massive portion of the EHR. There were around...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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VP/Other Executive

The data being shared through Payer Platform is still based on CCDs, which vary by organization. The...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

I know some providers are excited about Payer Platform. My question is whether they understand what...

Comment Tone Positive
Pillars Loyalty, Product
Evaluation Unrated

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VP/Other Executive

If a payer wanted data that we didn't want to provide, Epic tries not to get involved. Epic intends...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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VP/Other Executive

Payer Platform isn't part of our long-term plans. It's a short-term solution that we want to...

Comment Tone Negative
Pillars Loyalty
Evaluation Unrated

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VP/Other Executive

Epic needs a way to share the same type of data with non-Payer Platform payers. I would like to see...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

Payer Platform is free to providers, but I think we all know what that means. It means we are the...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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VP/Other Executive

We have business use cases, such as clinical quality measures, risk profiles, and the data we need...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

I asked Epic how we were expected to get data out of their system for non-Payer Platform payers. The...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

Epic said there are three options to share data. We can use Payer Platform, TEFCA, or point-to-point...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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VP/Other Executive

I hate this product, and I don't say that lightly. I hate Payer Platform so much that I want to go...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

Epic provides essentially no support for our interoperability strategy. I believe the company is...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

Payer Platform is sharing a massive amount of data. It also takes the provider out of the ability to...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

We're looking at the number of chart pulls we've implemented with a couple of payers using Payer...

Comment Tone Negative
Pillars Product, Value
Evaluation Unrated

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Other C-Suite

The most frustrating part when it comes to Payer Platform is that we don't allow the payers'...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Other C-Suite

Payer Platform is not a true real-time eligibility tool today, but it has the ability to be that in...

Comment Tone Positive
Pillars Loyalty, Product
Evaluation Unrated

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Other C-Suite

With Payer Platform, payers are required to actually participate at a meaningful level. For our...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Manager

Somebody would be screaming if data weren't going to Epic Payer Platform, and I'm not hearing any...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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VP/Other Executive

We are doing a real cost-value review and are interested in seeing what the impact of the solution...

Comment Tone Positive
Pillars Loyalty, Value
Evaluation Unrated

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VP/Other Executive

We have pretty good relationships with the big Epic providers.

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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VP/Other Executive

Most other plans that put in Epic Payer Platform view it as an IT project, but they don’t think...

Comment Tone Positive
Pillars Loyalty, Product
Evaluation Unrated

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VP/Other Executive

We have varied degrees of excitement from the providers about the solution. The providers that have...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

There wasn't a time when we just had Epic Payer Platform; we went live with Tapestry at the same...

Comment Tone Positive
Pillars Operations, Product
Evaluation Unrated

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VP/Other Executive

Reporting from the solution could be better. Adoption is the stumbling block with the solution, not...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

Concurrent reviews cannot be done because providers delay things for revenue cycle purposes.

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

We're in the process of developing a road map. I would like to move faster, but we have to align our...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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VP/Other Executive

Epic doesn’t give us any training for Epic Payer Platform. In fact, I feel like Epic is a little too...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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VP/Other Executive

Epic Payer Platform is good, but it needs more participation around the CMS rules for prior...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

Epic needs to continue to innovate by finding more ways to surface clinical data across the provider...

Comment Tone Negative
Pillars Relationship, Product, Value
Evaluation Unrated

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Director

Luckily, in our area, we have a large population that has Epic's solutions, but there are some...

Comment Tone Negative
Pillars Product, Value
Evaluation Unrated

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Director

Epic is actively engaged in helping develop solutions for the prior authorization component of the...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

There is really no other vendor that compares with Epic in terms of what they do. A lot of providers...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

When payers first initiated Epic Payer Platform, they were primarily focused on increasing their...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Director

Aetna is using Epic Payer Platform for claims prepayment. Some payers are using Epic Payer Platform...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

Sometimes the delays are on our end, but with Epic Payer Platform, the supplemental data files are...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

I definitely think Epic Payer Platform is worth the value. I’m surprised when I hear of large...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Director

Anytime we’ve asked Epic to join a call to help us, they have been very supportive. They are always...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Epic has been very collaborative because we’re both trying to maximize quality scores and risk...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

We’re trying to get more ownership internally for Epic Payer Platform. We’re also working to have...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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VP/Other Executive

I would like Epic to develop the right clinical decision support tools at the point of care. They...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

I would still buy Epic Payer Platform again, but I would go in with better expectations or...

Comment Tone Negative
Pillars Product, Value
Evaluation Unrated

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VP/Other Executive

I would recommend Epic Payer Platform, with the caveat that using it is a multiyear investment...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

A lot of the self-service training modules from Epic aren’t built around payers right now. We're...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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VP/Other Executive

In the first several months with Epic Payer Platform, we had some surprises from a pricing and cost...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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VP/Other Executive

Epic Payer Platform is pretty strong in terms of speed. The volume has been good. One complaint from...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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VP/Other Executive

I have had a few excellent account managers from Epic; they are on top of things and advocate for...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

We have signed the CMS interoperability pledge and some broader capabilities, but Epic isn't fully...

Comment Tone Negative
Pillars Loyalty, Relationship, Product
Evaluation Unrated

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Director

Epic has done some work with the Pulse dashboard. It is not new to Epic's system, but it is new in...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Director

The big levels, like risk and quality, have been met with Epic Payer Platform. The data exchange is...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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Director

In terms of how satisfied we are with the patient experience, there’s a member experience package as...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

Epic Payer Platform’s accuracy of data flowing is very high, but there's definitely still some work...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

We use Epic Payer Platform for claims statusing, which is more like revenue cycle support. And...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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Director

We've worked very directly with Epic on complying with CMS requirements. We're very satisfied there....

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Director

There's always some improvement needed in terms of training, just because of some of the details...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Director

I would rate Epic’s support with a top score because there's a lot of innovative stuff going on, and...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

The system definitely helps improve our relationship with providers. For prior authorizations and...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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Director

In a value-based care world, we've been talking about eliminating data silos for as long as I've...

Comment Tone Positive
Pillars Loyalty, Product
Evaluation Unrated

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Director

We’re very satisfied with the investment. The system has been good for payer-provider relations....

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

There's a lot of detail to get the quality reporting perfect, but once we dial it in, we get a lot...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

We wish that we could get everybody on board with Epic Payer Platform and spend a lot more time...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Director

The payer needs an ROI. They're making an investment with Epic, and the leaders who have given us...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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Director

Epic has the Blue Ribbon program with the platform, and it has been quite elusive for all payers. A...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

The system has been positive with providers. The vendor enjoys working through the system because it...

Comment Tone Positive
Pillars Relationship, Product, Value
Evaluation Unrated

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VP/Other Executive

Epic is a provider-first organization. When we need support and ask them for something, they will...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

The lift for implementing the Epic Payer Platform was extremely heavy. The implementation was...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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VP/Other Executive

Epic's system can get us clinical data at a high fidelity. The system also has fast turnaround, and...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

Epic Payer Platform doesn't cost us anything, and it has brought a lot of value. It has really...

Comment Tone Positive
Pillars Loyalty, Value
Evaluation Unrated

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Manager

I have never dealt with anything related to Epic where they haven't met my expectations. I have been...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

Epic overcharges for Epic Payer Platform. At the end of the day, Epic is a for-profit business. I...

Comment Tone Negative
Pillars Relationship, Value
Evaluation Unrated

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Manager

With Epic Payer Platform, we are trying to do something different in our industry. Ultimately, Epic...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

The way Epic works is that the only time there is an additional cost to us is if there is...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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