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Uniting Payers and Providers
in EHR Workflows

Making clinically appropriate healthcare decisions depends on having the most current information readily available at the point of care. DrFirst has the tools to make it all possible … now.

Enrich Each Encounter with a Holistic View of Your Member

Interoperability and the real-time exchange of clinical information and health benefits between payers and providers are key innovations at the heart of the 21st Century Cures Act. To fulfill this vision, payers need to gather patient-specific encounter-based data from multiple clinical sources and deliver that insight to providers directly into the EHR. A more holistic medical record and benefits enables providers to make more informed care decisions and achieve better outcomes.

Clinical Information Exchange Solutions

Patient information from multiple payers delivered to providers in clinical workflows in a standardized format. That’s DrFirst’s Clinical Information Exchange solutions.

We need to exchange current patient health histories and coverage with our network to help keep our members at their healthiest, control medical costs, and reward contracted doctors for good outcomes.

Difficulty accessing medical records and lack of adequate information/previous health history are two of the biggest reasons providers cite for ordering unnecessary services that contribute billions of dollars in wasted healthcare spend annually.

According to the Institute of Medicine, healthcare waste in the US may be as high as $935 billion with unnecessary services being the biggest contributor. But there is good news. The projected potential savings from complete interoperability of healthcare information country-wide could be as high as $78 billion.

DrFirst bridges information gaps with tools that enable the exchange of patients’ up-to-the-minute medical histories and benefit information within electronic health record (EHR) workflows at the point of care so patients can get the care they need more quickly and affordably.

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Our provider clients leave our clinical workflow to get patient information from multiple payer portals. We need to deliver that information, in real-time, with one connection through our EHR.

Administrative simplicity can save US healthcare billions of dollars and help drive success in value based care. When an EHR is perceived to be more usable and user-friendly, providers can spend more time on their patients rather than on their technology. And that leads clinicians to rate their interactions with their patients better, associate their EHR-experience with improved patient care, and garner higher patient satisfaction.

An outstanding way to simplify care delivery is for EHRs to connect providers with patient information from multiple payers through a single implementation in real-time. With CareComplete from DrFirst, EHRs can display patient-specific health histories, medical and pharmacy benefits, gaps in care, prior authorization information, and pricing transparency at the right time and place within the clinical workflow.

Reducing clicks and keystrokes and eliminating numerous log-ins to numerous payer portals can save providers and their staff hours in every day while gaining deep patient insights that improve overall healthcare value.

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I don’t have time to log into multiple payer portals and search for limited information on my patients. I need up-to-the-minute patient health histories and benefit information within my EHR to focus on my patient’s health.

Almost 90% of providers report spending 24 minutes or less with patients with most doctors reporting seeing as many as 20 patients per day. They also estimate that for every hour of direct patient contact, physicians spend an additional 2 hours working on reporting and desk work. It’s no wonder that doctors increasingly city administrative burdens and distractions as a significant source of burnout.

Bringing encounter-based medical information from multiple sources together with patient-specific benefits information from payers directly into the electronic health record simplifies access to current health histories and provides a holistic view of the care journey so you can spend less time searching for updates from other clinicians and more time on patient care.

 

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Duplicating tests or procedures for patients can cost us thousands of dollars when a claim is rejected, and a patient can’t afford the care. Getting a holistic view of a patient’s health history will help us stay financially sound.

Increasing hospital expenses and declining margins are a reality for hospitals. When doctors repeat tests or procedures because they don’t have access to real-time patient information, the impact to a hospital’s revenue can be significant.

DrFirst’s CareComplete delivers the digital integration hospitals and providers need to exchange a complete view of a patient’s health history and benefits with payers without having to rely on phone calls, faxes, or logging into multiple payer portals.

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