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Providing timely care after an Emergency Department or hospital discharge related to mental health and substance use is a national challenge due to delays in claims processing. InterSystems, a creative healthcare data technology provider managing more than one billion health records globally, and Healthfirst, one of the nation’s largest not-for-profit health insurers, have been recognized by KLAS (klasresearch.com) for their collaboration to address this challenge by creating a real-time data exchange.
The Points of Light Awards spotlights payer-provider partnerships that advance value-based care, reduce inefficiencies, and drive better outcomes through technology innovation.
Healthfirst’s Health Information Exchange (HIE), was built and expanded using InterSystems technology. The exchange identifies members requiring care after an in-patient stay or Emergency Department visit pursuant to time-sensitive Healthcare Effectiveness Data and Information Set (HEDIS) measures. The real-time exchange began with a single measure and has been expanded to support seven additional time-sensitive measures.
In 2024, the program resulted in improvements across time-sensitive HEDIS measures when comparing follow-up care for acute events triggering an alert to those with no alerts. Results indicated that the alerts enabled clinicians to provide timely care to patients in need:
• Follow-Up After ED Visit for Mental Illness: 13 percentage point lift;
• Follow-Up After ED Visit for Substance Use: 8 percentage point lift;
• Transition of Care medication reconciliation: 9 percentage point lift.
In addition to improving post-discharge continuity of care, providers also saw reduced manual workload by embedding alerts directly into operational workflows.
About InterSystems
InterSystems (intersystems.com), a creative data technology provider, delivers a unified foundation for next-generation applications for healthcare, finance, manufacturing, and supply chain customers in more than 80 countries.
Our data platforms solve interoperability, speed, and scalability problems for large organizations around the globe to unlock the power of data and allow people to perceive data in imaginative ways. Established in 1978, InterSystems is committed to excellence through its 24×7 support for customers and partners around the world. Privately held and headquartered in Boston, Massachusetts, InterSystems has 38 offices in 28 countries worldwide.
About Healthfirst
Healthfirst (healthfirst.org) believes that every New Yorker deserves access to the best available healthcare. As one of New York’s highest quality not-for-profit health insurers serving two million New Yorkers, we make this a reality for our members.
Founded more than 30 years ago by the leading hospital systems in downstate New York, Healthfirst established a partnership model that enables hospitals, health systems, and physicians in our network to prioritize health outcomes over profits, placing the needs of our members and community first.
Healthfirst serves members in New York City, on Long Island, and in Westchester, Rockland, Sullivan, and Orange counties, offering market-leading products to suit every life stage. Our offerings include Medicaid plans, Medicare Advantage plans, Child Health Plus plans, Essential Plans, Long-Term Care plans, and Qualified Health plans.
Healthfirst PR Contact: Greg Flynn
E: pressinquiries[.]healthfirst.org.
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pr[.]intersystems.com 
