Welcome to Secure Exchange Solutions

Secure Exchange Solutions (SES) is a leading provider of interoperable, electronic clinical data exchange between plans and providers. We deliver structured clinical data exchange to support the real-time clinical data needs of risk adjustment, HEDIS/Stars, and care management programs. Our nationwide cloud-based clinical data exchange service captures, standardizes, exchanges clinical information and medical records, and through AI (Artificial Intelligence) and ML(Machine Learning), analyzes the information to enable more data control and active provider engagement, resulting in cost efficiencies and better outcomes.

SES eliminates tedious manual tasks by providing health plans with automated solutions that speed clinical data exchange, streamline provider requests, and deliver critical information within provider EMR workflows while reducing costs and abrasion between providers and payers.

The SES network includes 378,000+ provider endpoints and access to a network of over 2M+ connected providers, representing 1,500 hospitals, 92,000 provider organizations, 50+ health information exchanges, and 95 integrated EMR and HIT application partners. We provide our customers and health plan partners access to a vast trust network including DirectTrust, CareQuality/Commonwell, SHIEC HIEs, and direct to EMR relationships.

Streamline Electronic Record Retrieval for Risk Adjustment, HEDIS and Stars

• Save $$$ - Very competitive pricing, reduce per chart retrieval expenses
• Access to all Meaningful Use Certified EHRs – Epic, Cerner, Athena, etc.
• Leverages a nationwide network of 2M+ endpoints to support electronic clinical exchange
• Provider friendly – reduces abrasion
• Bi-directional exchange with providers’ workflow supports related use cases: prospective health assessments, gaps in care, etc.
• Works with internal teams or 3rd party vendors – augments existing retrieval methods

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The Interoperable Solution Suite

• SES FETCH simplifies the transition to value-based reimbursement by providing health plans with an automated risk adjustment solution to speed clinical data exchange, streamline provider requests, and eliminate manual practices.
  
• SES NOTIFY reduces preventable readmissions by alerting providers and the care team in near real-time about a patient/member health encounter. Encrypted notifications are sent, using Direct, to the provider’s practice EHR and can be delivered to the patient’s primary care physician, case manager or others on the care delivery team. 
  
  During the COVID-19 crisis, managing high-risk patient activity is critical for providers and plans to ensure optimal patient care, while containing cost. SES Notify real-time alert notifications inform care teams of patient status, lab information, care transitions and follow-up care to protect vulnerable patients during this difficult time.
• SES SPOT accelerates the transition to value-based reimbursement by providing health plans with an efficient and cost-effective approach to managing the labor-intensive process of validating clinical information from medical records.
• SES DIRECT enables healthcare payers to collaborate with providers in real-time, streamlining claims processing while easing administrative burden, reducing risk and lowering costs.

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