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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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User Commentary

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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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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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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
||
(0)
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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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(0)
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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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(0)
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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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(0)
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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
||
(0)
 Thank you  Helpful

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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)
 Thank you  Helpful

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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
||
(0)
 Thank you  Helpful

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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
||
(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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Related Reports
Point of Light
KLAS article icon
Points of Light 2023 Case Study 9
13 April 23    |   Aurene Wilford and Boyd Stewart
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.
Point of Light
KLAS article icon
Points of Light 2023 Case Study 4
13 April 23    |   Aurene Wilford and Boyd Stewart
Claims data from payer organizations can give providers a more comprehensive view of a patient’s clinical history and thereby improve the quality of care they are able to deliver. Yet incorporating this information at the point of care can be expensive and challenging. To tackle this problem, the collaborators in this project worked to map the payer organization’s claims data so that it could be incorporated into provider workflows in real time at the point of care.
Point of Light
KLAS article icon
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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