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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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Points of Light 2023 Case Study 9
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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 4
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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.
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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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