Humana and Providence Launch Innovative Data Exchange Collaboration to Advance Value-Based Care
Initiative Delivers Scalable Interoperability, Reduces Administrative Burden for Providers and Patients
Humana Inc. (NYSE:HUM) and Providence, a Washington-based health system, today announced a pioneering initiative to streamline and secure data exchange between payers and providers – setting a new standard for interoperability in support of value-based care.
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This collaboration establishes a scalable ecosystem for seamless, secure and standardized data sharing. By leveraging national HL7® Fast Healthcare Interoperability Resources (FHIR®) standards, Da Vinci Project Implementation Guides and modern APIs, the data exchange initiative empowers clinicians with timely, actionable insights while reducing administrative complexity and protecting patient privacy.
"True interoperability should serve clinicians, patients and payers," said George Renaudin, Humana's President of Insurance. "Together with Providence, we're enabling providers to deliver more effective care and helping our members spend less time on paperwork and more time on their health."
Historically, fragmented systems and manual processes have hindered payer-provider coordination and delayed access to critical patient data. With upcoming federal regulations – such as the Centers for Medicare & Medicaid Services Interoperability and Patient Access Rule (CMS-0057) – organizations will soon be required to provide standardized, secure access to health data.
Humana and Providence have long recognized the importance of interoperability and took early action to build the infrastructure needed – delivering measurable benefits today while aligning with federal priorities and accelerating industry-wide transformation.
"The healthcare industry is overwhelmed by fragmented, inconsistent data formats that make care coordination costly and slow," said Michael Westover, Vice President of Population Health Informatics at Providence. "Because we want to be successful in value-based care contracts, Humana and Providence are building a shared foundation of administrative, financial and clinical data using national standards and modern technology."
The first phase – automated member attribution for Humana Medicare Advantage members – will go live this month. This capability ensures providers can quickly and accurately identify which patients are under their care, eliminating manual processes and improving care coordination. Future phases will expand data exchange capabilities to further reduce administrative burden and enhance clinical decision-making. Both organizations anticipate their framework will be easily replicable, serving as a scalable model that can transform care across the healthcare industry.
This initiative aligns with federal interoperability priorities, including the White House's recent commitment to create a patient-centric healthcare ecosystem. Humana and Providence were among the 60 organizations – including five payers and 11 health systems – that pledged to adopt the CMS Digital Health Ecosystem and eliminate outdated, paper-based processes in favor of secure, digital data exchange.
About Humana:
Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we strive to make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
About Providence:
Providence is a national, not-for-profit Catholic health system comprising a diverse family of organizations and driven by a belief that health is a human right. With 51 hospitals, more than 1,000 physician clinics, senior services, supportive housing and many other health and educational services, the health system and its partners employ more than 123,000 caregivers serving communities across Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington, with system offices in Renton, Wash., and Irvine, Calif. Learn about our vision of health for a better world at Providence.
®HL7 and FHIR are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.
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Kelli LeGaspi
Humana Corporate Communications
e-mail: [email protected]
Michael Connors
Providence Communications
e-mail: [email protected]