# Payers ## One connection. Scalable access. Timely data for smarter payer-provider data exchange. Streamline clinical data exchange with EHR-agnostic innovation that is trusted by providers, delivering payers the discrete data they need. In a usable format. Every time. [Learn More](/content/payers/#bridge-gap-section/index.html) ## Why Moxe? You need data. No matter where the data lives, we get it for you. Not enough? We also make it usable and deliver it where and when you need it for more meaningful results. EHR agnostic. Fast. Accurate. Actionable. Privacy-Centric. That’s why. [Learn More](/content/payers/#bridge-gap-section/index.html) ## It starts with YOUR network We bring our established–and growing–connections and proven track record of engaging providers. You tell us your challenges, data gaps, members, and required sources. Together we develop a plan to build a network that works for you. #### Proprietary Provider Network Through our proprietary provider network, you connect directly with over 100 health systems to extract, manage, and deliver precise clinical data across payment and operations use cases. We have deep experience with the leading EHRs, including: #### Enterprise EHR Connections With our enterprise EHR connections, we streamline clinical data acquisition at scale with a single connection at the EHR level to opted in providers. Moxe has an enterprise level connection with ## Bridge the data gap: Automating clinical exchange for payer operations Moxe is the leading EHR-neutral interoperability solution. We digitally connect directly to the healthcare provider’s “source of truth”—the EHR—to extract, format, and deliver precise data that fits your exact workflow. The quality of data Moxe delivers is unmatched, reducing the need for secondary reviews and leading to improved outcomes. ##### Moxe activates clinical data to support: #### Risk Adjustment Whether you need data prospectively or retrospectively, Moxe’s API-based solution scales to deliver large volumes of discrete clinical data quickly Download a [blueprint](/content/digital-first-chart-retrieval-download/index.html) for Risk Adjustment teams seeking to streamline chart delivery #### Quality Improvement Close gaps in care sooner by partnering with Moxe for your quality measurement initiatives Check out this [case study](https://go.moxehealth.com/2024-klas-points-of-light) to see how AmeriHealth saw a 2-7% improvement in care gap closure rates [How Moxe helps close HEDIS® care gaps.](/content/payers/hedis-use-case/index.html) #### Payment Integrity Ensure the accuracy of services billed #### Care Management Inform programs and drive better outcomes with complete clinical data #### Payment and Operations Use Cases Moxe provides the data you need for payment and operations. Connect with us to learn more about how we can support your use case. **Additionally, Moxe can partner with your vendors to deliver data directly to them in the format they need to smooth out and speed up your processing.** [Moxe for Payers](/content/lp/moxe-for-payers-content-download-page/index.html) ## Clinical Data Exchange Moxe delivers the data you need in your precise format. We offer various models to get you data including: **Streaming Data** Instant, actionable data from the moment it enters the network. **Record Locator** Find and retrieve comprehensive records from any point of care. **Roster Exchange** Zero-effort clinical data retrieval for your entire member list. [Learn More About Clinical Data Exchange Learn More](/content/payers/clinical-data-exchange/index.html) ## Moxe provides complete, accurate clinical data for Risk Adjustment Health plans need access to complete clinical data that can withstand audit scrutiny. Emily Vander Heiden shares why her team trusts Moxe to deliver discrete clinical data on time, regardless of the EHR the provider use Moxe Health - Health Plan Testimonial - YouTube Tap to unmute [Moxe Health - Health Plan Testimonial](https://www.youtube.com/watch?v=CmUEmtXBWbo) [Moxe Health](https://www.youtube.com/channel/UC76o1VVGgU-tTBWazyG1yVw) Moxe Health9 subscribers ## Frequently Asked Questions: Digital Interoperability for Payers How does Moxe help health plans reduce provider friction?+ Moxe sits squarely in the middle of payers and providers to improve collaboration, reduce friction, and improve outcomes. Our FHIR-enabled clinical data exchange solution to efficiently extract, format, and deliver discrete clinical data in immediate usable formats. What is the average turnaround time for chart retrieval with Moxe?+ Moxe typically delivers requested clinical data in under 24 hours. How do payers request clinical data?+ No matter how you need data, Moxe has you covered: - Roster and retrieve: When you have an exact list of members you need data for from a specific health system, Moxe’s direct connection to the EHR is efficient and trusted. - Record locator: If you have a member you are looking to get data for, but are not sure what health system to look at, leverage the breadth of Moxe’s network with our Record Locator Service. - Streaming: Instant, actionable data from the moment it enters the network. Is Moxe Health HIPAA compliant and secure for payer data?+ Yes, Moxe is fully HIPAA compliant, SOC 2 Type II audited. We follow strict “minimum necessary” data philosophy, ensuring that only the specific data elements required for a use case (like Risk Adjustment or HEDIS) are extracted and shared. All data is encrypted both at rest and in transit using AES-256 and TLS 1.2 standards to ensure the highest level of security for Protected Health Information (PHI). How does Moxe improve HEDIS gap closure and Risk Adjustment accuracy?+ Moxe improves HEDIS® and Risk Adjustment outcomes by providing machine-readable supplemental data directly from the EHR. Instead of relying on self-reported data or lagging claims, payers receive high-quality clinical data in real-time. This leads to a 98% patient match rate, more accurate risk scoring, and the ability to identify and close care gaps much earlier in the measurement year. ## Ready for more on Moxe? Speak with one of our team members to learn more about how you can focus on driving better outcomes, not paperwork. [Schedule a Meeting](/content/consult/index.html)