How Coverage Finder streamlines front desk operations

Streamlining healthcare, one connection at a time. Epic’s latest update, Coverage Finder, is a powerful example of how automation and interoperability can reshape everyday healthcare operations. Traditionally, front desk staff spend hours manually collecting and verifying patients’ insurance information. This not only slows down registration but also leads to errors that ripple through billing, reimbursement, and even patient experience. By automatically pulling the required data from the Epic Payer Platform, Coverage Finder reduces administrative friction and speeds up access to care. Here’s why this matters for the broader healthcare ecosystem: 1. Reduced administrative burden: Frontline staff can spend less time on repetitive data entry and more time focusing on patients, improving both efficiency and job satisfaction. 2. Faster patient access to care: Quicker insurance verification means fewer delays at registration and smoother patient check-ins, especially critical for time-sensitive appointments. 3. Improved data accuracy: Automation minimizes human errors that often lead to claim denials, rework, or delayed reimbursements. 4. Enhanced payer–provider collaboration: With 13 major payers including UnitedHealthcare , Aetna, a CVS Health Company, and Humana already participating, this move signals growing alignment between payers and providers around real-time data sharing. 5. System-wide scalability: The platform now connects 143 health systems and has processed over 285,000 coverage shares in a single month, demonstrating both adoption momentum and the scalability of digital health infrastructure. Epic’s progress underscores a broader trend: the digitization of healthcare administration isn’t just about efficiency; it’s about creating a connected ecosystem where patients, providers, and payers work in sync. At WiBD AI for Healthcare, we’re encouraged by such advancements that bring us closer to a future where AI and data interoperability enable seamless, patient-centered care. #AIinHealthcare #HealthTech #Interoperability #DigitalHealth #Epic #WomenInBigData #HealthcareInnovation

Streamlining Registration with Epic’s Coverage Finder 🚀 Did you know? Coverage Finder automatically pulls the necessary data from the Epic Payer Platform, making it faster and easier to create coverage records. This means fewer manual steps, reduced errors, and a smoother registration experience for both staff and patients. As payer connections continue to evolve within Epic, tools like Coverage Finder are helping us move toward smarter, more efficient workflows. It's a great example of how technology can simplify complex processes and improve accuracy across the board.

Primary care in America is at a crossroads. Traditional fee-for-service models in primary care have led to rushed appointments, heavy administrative burden, and frustrated patients who struggle to access their own doctors. There's a better way: Direct Primary Care (DPC). DPC is a membership-based healthcare model where patients pay a transparent monthly membership fee directly to their primary care clinician. In return, they get: ▫️ Unlimited visits with no copays ▫️ Same-day or next-day appointments ▫️ 30–60 minute appointment times ▫️ Direct access to their doctor via phone/text ▫️ Transparent, upfront pricing Unlike traditional primary care, DPC clinicians operate independently and focus solely on their patients' best interests—not the competing priorities of insurance companies or hospital systems. This independence allows them to maintain smaller patient panels and spend meaningful time with each person, building lasting relationships and focusing entirely on what matters most: their patients' health outcomes. For employers, DPC represents a way to provide high-quality primary care while reducing overall healthcare costs through better prevention and chronic disease management. Over the next several weeks, we'll explore how DPC is transforming healthcare for members, clinicians, and employers. What questions do you have about Direct Primary Care? Drop them in the comments! #DirectPrimaryCare #PrimaryCare #EmployerHealthcare #HealthcareInnovation

Interested in learning more about Direct Primary Care? Our team put together this overview, and as I've seen firsthand in conversations with employers, this model is transforming how companies approach primary care benefits. Check the link in the comments to learn more about why employers are excited about DPC and how this shift towards direct primary care isn't just improving patients' health outcomes but business outcomes too.

📣 Big news: Cedar has officially launched Cedar Cover, the industry’s most innovative affordability solution, today at HLTH Inc. Healthcare providers are already under mounting financial pressure as patient responsibility rises and collection rates fall. And the OBBBA is only exacerbating this crisis. Cedar Cover is a financial safety net right embedded directly within the patient billing experience — giving patients one digital solution to access the coverage and resources they need, including: 📍 Medicaid Enrollment and Renewal 📍 Denials Resolution 📍 Medication Assistance Join leading providers who trust Cedar Cover to navigate an increasingly complex coverage landscape and see what a true digital safety net can do:https://lnkd.in/eVSArzhk

Humana and Providence launch a new data exchange collaboration to boost healthcare interoperability. The initiative streamlines access to patient information, reduces administrative burden, and strengthens value-based care. The first phase of automated member attribution for Humana Medicare Advantage members goes live this month, setting the stage for broader secure and standardized data sharing. Read more: https://lnkd.in/d_dfqNAx #Healthcare #HealthIT #Interoperability #ValueBasedCare #PatientCare #DigitalHealth #MedicareAdvantage

Denied claims are eroding hospital margins nationwide. In this Healthcare Business Today article, Adele Frias, MS-HCA, CRCS, Vice President of Specialty Revenue Cycle Solutions at EnableComp, explores why denials are rising and how smarter strategies and AI-driven technology can turn lost revenue into recovery. #healthcaredenials #complexclaims https://hubs.ly/Q03PPt010

Cotiviti's Katie Koester Sender, vice president of clinical and coding services, shares insights and recommendations for upcoming changes to ACA and Medicaid risk adjustment. Health plans should prioritize concurrent and prospective risk adjustment workflows by aligning provider documentation and electronic health record (EHR) systems to capture accurate member risk in real time, investing in provider education, and implementing process automation. More on how to formulate a strategy and adapt to new risk adjustment regulations. 👉 https://bit.ly/4qbUUkA

Here is a three-question test to see if you are ready for Medicare AEP: 1️⃣ Do you know exactly how many Medicare-eligible patients you have? 2️⃣ Do you have a licensed partner in place today who can offer Medicare plans to your patients? 3️⃣ What communication channels are you using right now to connect with those patients? If you cannot answer all three with confidence, it may be time to take another look at your strategy. At Alcar Health , we walk you through what a strong go-to-market AEP plan looks like so your center is ready to grow and retain patients. #MedicareAEP #HealthcareLeadership #HealthcareStrategy #AlcarHealth #MedicarePlans #GoToMarket Johanna Cazares

In a recent story for Becker's Healthcare, Alan Condon explores the complex mix of factors that jeopardize access to care in Pennsylvania communities and make it harder to sustain hospital care compared to other states. Among the top reasons for Pennsylvania's unique challenges: ❌ Chronic underpayment from Medicaid for the care hospitals provide patients ❌ Persistent health care workforce shortages ❌ The most out-of-balance medical liability climate nationally Read the story for insights from Nicole Stallings, Brian Devine, CPA, and Radha A. Savitala - https://lnkd.in/eCJzrZtW.