Case Study: Premera Blue Cross achieves real‑time clinical and claims integration to improve care and reduce costs with InterSystems HealthShare

Premera Blue Cross Combines Claims and Clinical Data to Improve Care and Business Performance

Premera Blue Cross, a not‑for‑profit Blue Cross Blue Shield licensee serving Alaska and Washington, faced the challenge that retrospective claims data alone could not support the shift to value‑based care. To make timely care and business decisions, the plan needed a near real‑time, complete view of members’ clinical and claims information across fragmented provider systems.

Premera implemented InterSystems HealthShare to aggregate and normalize clinical feeds from health information exchanges and more than 400 EMRs and combine them with claims data—going live in 120 days and scaling from 150,000 records to over a million members. The integrated platform delivers real‑time alerts and richer patient records that help close gaps in care, improve HEDIS quality measurement and coding accuracy, enable proper risk adjustments, and reduce waste and costs while improving provider collaboration.

Premera Blue Cross

Colt Courtright

Director of Corporate Data and Analytics