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Epic Payer Platform Commentary
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Jaren Day
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KLAS Research Director - Jaren Day
 
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VP/Other Executive

Relationship, Product, Value

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

Dec 2025
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VP/Other Executive

Relationship

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

Dec 2025
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VP/Other Executive

Operations

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

Dec 2025
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VP/Other Executive

Product

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

Dec 2025
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Manager

Loyalty, Value

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

Oct 2025
||
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Manager

Relationship

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

Oct 2025
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Manager

Relationship, Value

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

Sep 2025
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Manager

Product

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

Sep 2025
||
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Manager

Value

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

Sep 2025
||
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VP/Other Executive

Culture

With the contracting process or the payer-provider relationship, what people think it is and what it...

Mar 2025
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VP/Other Executive

Relationship, Product

The part of Epic Payer Platform that I struggle with is the execution of things that Epic already...

Mar 2025
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VP/Other Executive

Product

If I were starting over, I would probably slow-walk Epic Payer Platform more than we have done...

Mar 2025
||
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VP/Other Executive

Relationship

I’m optimistic about the overall attention from Epic. I can't have a BFF call with Epic and not talk...

Mar 2025
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VP/Other Executive

Operations

The implementation for Epic Payer Platform is pretty good. The health plan hands users off to an...

Mar 2025
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VP/Other Executive

Loyalty, Product

Instead of just facilitating and supporting medical prior-authorization transactions through Epic...

Mar 2025
||
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VP/Other Executive

Loyalty, Product

Using Epic Payer Platform is not a huge lift. Nothing that we have done today with the clinical data...

Mar 2025
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VP/Other Executive

Relationship

Epic’s support team is actually good because we got them on the phone, and they are engaged with us...

Mar 2025
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(0)
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VP/Other Executive

Relationship

Epic doesn't promise much, and when they promise something, they say they will put it on the road...

Mar 2025
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(0)
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VP/Other Executive

Product

A plan can be on Epic Payer Platform but not for all service needs. Most of the plans have a few...

Mar 2025
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VP/Other Executive

Relationship

My recommendation of Epic Payer Platform depends on which plans the potential customer is looking...

Mar 2025
||
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VP/Other Executive

Product

I haven't seen anything new coming forward as it relates to Epic Payer Platform’s functionality. I...

Mar 2025
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VP/Other Executive

Product

With Epic Payer Platform, we are starting to implement other key components that are interesting....

Mar 2025
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VP/Other Executive

Product

Judy Faulkner and Epic are at the mercy of the payers in terms of whether the payers are going to...

Mar 2025
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VP/Other Executive

Product

When we go live with Epic Payer Platform, there are different parts of Epic Payer Platform that we...

Mar 2025
||
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VP/Other Executive

Operations, Product

With Epic Payer Platform, because of some expansion of coverage, there is an easier implementation....

Mar 2025
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VP/Other Executive

Operations

Nowadays, Epic Payer Platform's upgrades are not too terrible of a lift, so we don't rely on Epic's...

Mar 2025
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VP/Other Executive

Product

Epic Payer Platform is pretty straightforward when it works and is wired up. We don't have any...

Mar 2025
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VP/Other Executive

Loyalty

With Epic Payer Platform, I push on adoption. We are planning to go live with a new payer, but we...

Mar 2025
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VP/Other Executive

Product

I want Epic Payer Platform to give me multiple endpoints because it is all or nothing. If I light up...

Mar 2025
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Director

Operations, Product

I love Epic Payer Platform, and we have been really big on pushing it. We don't like having to...

Mar 2025
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Director

Operations

The lift for implementing Epic Payer Platform was pretty light. There was some lift, but it just...

Mar 2025
||
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Director

Product, Value

Epic Payer Platform is free from a provider perspective, and there are definitely savings from using...

Mar 2025
||
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Director

Relationship, Operations

There are lots of webinars that Epic makes available, and anytime we have asked to meet with the...

Mar 2025
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Director

Product

When we get the authorization notification for an inpatient, Epic Payer Platform doesn't attach the...

Mar 2025
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Director

Product

On the preauthorizations, most of the payers subcontract a lot with other vendors. For example, if...

Mar 2025
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Director

Product

If something is a mental health diagnosis, payers can't access it in Epic Payer Platform, and that...

Mar 2025
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Director

Product

One thing that Epic could do is design a standardized Epic Payer Platform report card. I don’t know...

Mar 2025
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Director

Culture

We are going live with a certain payer on Epic Payer Platform mainly because there is a limited...

Mar 2025
||
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Director

Product

One thing Epic could focus on with Epic Payer Platform is the value equation. It needs to be...

Mar 2025
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Director

Product

A lot of the lift is on the payer side. I know the patient, the plan, what I'm asking for, and the...

Mar 2025
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Director

Product

If Epic is going to do Epic Payer Platform, they should at least deploy it leveraging reusable parts...

Mar 2025
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Director

Relationship, Product

In managing their payer customers, Epic really needs to say that if a payer wants to access Epic...

Mar 2025
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Director

Relationship, Product

There is a lot of mistrust in the payer-provider world regarding the ability to report and...

Mar 2025
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Director

Relationship, Product

We turned on a few different Aura sites, and one of them was querying regularly for basically any...

Mar 2025
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(0)
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Director

Relationship, Product

Epic put out something called Blue Ribbon, which says they are at least calling out payers to...

Mar 2025
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(0)
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Director

Product

There is an overall concern of access and having Epic sell to payers to have access to their...

Mar 2025
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(0)
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Director

Loyalty, Product, Value

Epic Payer Platform has been very beneficial in our relationship with providers. Our providers are...

Mar 2025
||
(0)
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Director

Culture, Relationship

As far as keeping promises goes, that depends on what the promises are. But overall, Epic has been...

Mar 2025
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(0)
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Director

Operations, Product

We have had some challenges around the implementation, mainly because of some of the constraints and...

Mar 2025
||
(0)
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Director

Product, Value

With Epic Payer Platform, we have been able to get comprehensive data from our providers with...

Mar 2025
||
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Director

Loyalty, Product

athenahealth has a web-based platform, and they have an opt-out model when it comes to data sharing...

Mar 2025
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(0)
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Director

Relationship, Product, Value

There is definitely room for improvement with Epic Payer Platform. If we are connecting with a...

Mar 2025
||
(0)
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Director

Loyalty, Relationship

We have an assumption that our relationship with the organizations we are sharing data with is going...

Mar 2025
||
(0)
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Director

Culture, Relationship, Product

One of the tougher pieces of getting Epic Payer Platform up and running is that there are a lot of...

Mar 2025
||
(0)
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Director

Culture, Relationship

There was one newer feature that Epic was rolling out, and we told them what we wanted it to do....

Mar 2025
||
(0)
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Director

Culture, Value

There have been a couple of times when I thought things were going to be part of our agreement with...

Mar 2025
||
(0)
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Director

Loyalty

Epic Payer Platform is going to solve many of our problems for much of our population. But it isn't...

Mar 2025
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(0)
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Director

Loyalty, Relationship

I can directly contact some people at Epic. Also, there have been a number of times when we have...

Mar 2025
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(0)
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Director

Product

I am extremely satisfied with the things that we are getting from Epic Payer Platform. For all the...

Mar 2025
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Director

Loyalty

We expect Epic Payer Platform to be a very high-value piece of software. We see it as being one of...

Mar 2025
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Director

Value

I have talked with other organizations, and for the first year or year and a half, Epic Payer...

Mar 2025
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(0)
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Director

Loyalty, Product

I would love to see Epic expand their integration with Epic Payer Platform to other EHRs. That...

Mar 2025
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(0)
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Director

Relationship, Product

Epic has been very good at basically saying how Epic Payer Platform is going to benefit the provider...

Mar 2025
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(0)
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Director

Operations

We have a lot of unique ways of going about things internally, so there were a lot of operational...

Mar 2025
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(0)
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VP/Other Executive

Product

Vendors spend most of their time on interoperability in integrations. Interoperability is the market...

Mar 2025
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(0)
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VP/Other Executive

Product

No vendor has solved the multitenant situation well. The use of more directly integrated FHIR...

Mar 2025
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(0)
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VP/Other Executive

Value

The main benefit of Epic Payer Platform is that we generally get what we expect. If we are...

Mar 2025
||
(0)
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VP/Other Executive

Operations

Epic exceeded my expectations with their involvement in the technical implementation of Epic Payer...

Mar 2025
||
(0)
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VP/Other Executive

Loyalty, Product

I haven't seen any issues with Epic Payer Platform, and we are not manually working on some things...

Mar 2025
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(0)
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VP/Other Executive

Product

Epic is constantly expanding their functionality, and there is additional functionality that we...

Mar 2025
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(0)
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VP/Other Executive

Loyalty

We are an Epic shop, so once we started hearing about Epic Payer Platform, we started to think about...

Mar 2025
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(0)
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VP/Other Executive

Product

Large files are a challenge because they get stuck, but our solution for that is to break them up....

Mar 2025
||
(0)
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VP/Other Executive

Product

The cons with Epic Payer Platform are the limitations in multitenant EHR situations or multiple...

Mar 2025
||
(0)
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VP/Other Executive

Culture, Product

Epic Payer Platform works as promoted pretty darn well. What we do with it is the key. We can get...

Mar 2025
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(0)
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VP/Other Executive

Loyalty, Product

Epic is doing a pretty good job of deciding where this product should go. The ID card can be part of...

Mar 2025
||
(0)
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VP/Other Executive

Operations

Epic’s training is basic to their foundation system and isn't specific to our organization or our...

Mar 2025
||
(0)
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VP/Other Executive

Loyalty

The data-sharing process has impacted our relationship with the organization that we are exchanging...

Mar 2025
||
(0)
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VP/Other Executive

Loyalty, Value

We have to change our processes on both sides. We are turning a barge and changing the way a lot of...

Mar 2025
||
(0)
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VP/Other Executive

Relationship

Epic is pretty good about proactive service. Our technical coordinator is awesome. They are always...

Mar 2025
||
(0)
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VP/Other Executive

Loyalty

I do expect our satisfaction to go up. We are also going to implement more features. We are not...

Mar 2025
||
(0)
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VP/Other Executive

Loyalty, Product

There are features available that we haven't implemented, but with the features we have implemented,...

Mar 2025
||
(0)
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VP/Other Executive

Value

The biggest challenge is pricing. Epic captures every little dollar. That is a barrier to...

Mar 2025
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(0)
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VP/Other Executive

Loyalty, Value

Whether we have received our money’s worth is something we are looking at right now. We are looking...

Mar 2025
||
(0)
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VP/Other Executive

Operations

We had a phenomenal implementation. However, we can get some people from Epic who are just learning,...

Mar 2025
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(0)
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CEO/President

Relationship

The team meets with Epic regularly to talk about opportunities for awareness around things we would...

Mar 2025
||
(0)
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CEO/President

Product, Value

The data-sharing process that we have utilized with our providers has improved our relationship with...

Mar 2025
||
(0)
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CEO/President

Operations

The vendor's implementation services aren't perfect, but they are good. What could be improved is...

Mar 2025
||
(0)
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CEO/President

Loyalty, Operations, Product

We just haven't done the implementation for the prior authorization piece yet. We are trying to...

Mar 2025
||
(0)
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CEO/President

Operations

When it came to implementation on the health plan side, Epic Payer Platform wasn't a heavy lift. It...

Mar 2025
||
(0)
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VP/Other Executive

Loyalty, Product

I have been to Epic Payer Platform sessions at UGM for the past few years with both payers and...

Mar 2025
||
(0)
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VP/Other Executive

Product

The rules of the road don’t have language that keeps Epic Payer Platform from being a phishing...

Mar 2025
||
(0)
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VP/Other Executive

Product, Value

One thing that I like in Epic Payer Platform is the gap closure for stuff like screening. That is...

Mar 2025
||
(0)
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VP/Other Executive

Value

When we went live with Epic Payer Platform, I thought for sure that it was going to not just reduce...

Mar 2025
||
(0)
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VP/Other Executive

Culture, Product

There are some gaps in the way Epic represented the product compared to the reality of the product....

Mar 2025
||
(0)
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VP/Other Executive

Product

When we look at the electronic medical prior authorization (eMPA) dashboard that Epic houses...

Mar 2025
||
(0)
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VP/Other Executive

Relationship, Product

Epic drives a lot of strategic road maps, and they can do a lot of good. We want Epic to make their...

Mar 2025
||
(0)
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VP/Other Executive

Product, Value

Financial recovery is still heavy on everyone's mind, and the capabilities that we need are net new....

Mar 2025
||
(0)
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VP/Other Executive

Value

Epic can do more in terms of utilizing standards-based implementation guides for leveraging USCDI....

Mar 2025
||
(0)
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VP/Other Executive

Relationship, Product

Epic has gone above and beyond to deliver standard APIs before the regulations were drawn up. They...

Mar 2025
||
(0)
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VP/Other Executive

Relationship, Operations

I have a lot of faith in Epic. They are important and are the operating system of the future, so we...

Mar 2025
||
(0)
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VP/Other Executive

Relationship, Product

Epic has a quarterly newsletter that highlights ongoing projects. Many road maps decisions are...

Mar 2025
||
(0)
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VP/Other Executive

Product

Epic Payer Platform lacks the capability to identify which coverage ID is needed for an...

Mar 2025
||
(0)
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VP/Other Executive

Product, Value

I wouldn't buy Epic Payer Platform again. Using standard interoperability with the payer is more...

Mar 2025
||
(0)
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VP/Other Executive

Relationship

Epic needs some think-tank people, not just CIOs who aren't doing things or trying to experiment....

Mar 2025
||
(0)
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VP/Other Executive

Product

The functionality for bulk data pulls does exist, but it doesn't work. We have had to go back to...

Mar 2025
||
(0)
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VP/Other Executive

Loyalty, Relationship, Product

Something that we have heard is on Epic’s road map is the ability to ingest data using FHIR APIs,...

Mar 2025
||
(0)
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VP/Other Executive

Loyalty, Product

In late 2025 and early 2026, the vendor will be developing an application interface for non-Epic...

Feb 2025
||
(0)
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VP/Other Executive

Product

Some of the information that providers receive goes into analytics, and some goes to financial folks...

Feb 2025
||
(0)
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VP/Other Executive

Loyalty, Product

Operational effectiveness for inbound and outbound data is a big thing for payer platforms. Plans...

Feb 2025
||
(0)
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VP/Other Executive

Product

Beyond Epic, we have partnerships with other vendors we exchange data with, and it is harder to work...

Feb 2025
||
(0)
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VP/Other Executive

Relationship

Epic is very careful about what they commit to, so they tend to keep the commitments they make, but...

Feb 2025
||
(0)
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VP/Other Executive

Value

There are unexpected costs with Epic Payer Platform. Everything comes at a cost that some might...

Feb 2025
||
(0)
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VP/Other Executive

Product

For the providers that have opted into the Epic Payer Platform network and that we have connected...

Feb 2025
||
(0)
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VP/Other Executive

Relationship

Proactive service has been challenging. My team has proactively alerted Epic about bugs in some of...

Feb 2025
||
(0)
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VP/Other Executive

Product

The lift to implement Epic Payer Platform depends on the use case, the payer, and their relative...

Feb 2025
||
(0)
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VP/Other Executive

Loyalty, Value

The major limiter to receiving our money’s worth is the engaged provider network. I don't know that...

Feb 2025
||
(0)
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VP/Other Executive

Product

Each provider configures their own instance of Epic a little differently, so we aren't always...

Feb 2025
||
(0)
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VP/Other Executive

Product

A couple of use cases have been a big miss. Epic has some gaps on the prior authorization front. We...

Feb 2025
||
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Submitting and following up on requests for prior authorization is often a manual, time-consuming process, creating administrative burden for both payer and provider organizations and potentially delaying needed care for patients. The stakeholders in this collaboration worked to streamline the process by automating the submission and follow-up for authorization requests, enabling providers to complete these tasks from within their EMR workflow. Results include faster turnaround times, reduced administrative workload, and fewer denials.
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Points of Light 2023 Case Study 1
12 April 23    |   Aurene Wilford and Boyd Stewart
Seeking to ease the administrative burden created for both sides by manual denial and prior authorization processes, the collaborators in this case study first identified common pain points and then established shared goals. One of their initial projects was to reduce the need for Payer Organization 1’s clinicians to request additional information from Healthcare Organization 1 during claims review. To accomplish this, they utilized the Clinical Document Exchange within Epic Payer Platform to give the clinicians in-workflow access to members’ clinical data. The results have been improved efficiency, a significant reduction in denials, and a more trusting relationship.



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