Elevance Health today announced advancements in its Health OS platform, a secure data system designed to streamline clinical review and create a simpler, faster, and more connected experience for care providers and members. The platform connects health information across electronic health records (EHRs), labs, and health information exchanges to support more informed and timely clinical decisions while reducing administrative burden. By integrating with healthcare data systems, including Epic’s Payer Platform, Health OS helps reduce manual steps and deliver clearer clinical insights.

Health OS represents a shift from fragmented, manual processes to a connected, intelligent ecosystem, said Ashok Chennuru, Chief Data and Digital Transformation Officer at Elevance Health. The system enables faster decisions and reduces administrative work by applying advanced analytics and embedding data-driven insights directly into workflows between care providers, payers, and other partners. Elevance Health was the first to collaborate with Epic in leveraging the Epic Payer Platform for inpatient concurrent reviews, which historically relied on manual documentation submissions leading to delays.

Early results from health systems using Health OS-enabled workflows demonstrate meaningful improvements in efficiency and accuracy. A key outcome includes a 61% reduction in prior authorization denials due to insufficient clinical information. Additionally, nearly 60% fewer cases were designated pending because of the need for additional information. The platform also drove up to a 51% reduction in follow-up reviews, including appeals and peer-to-peer discussions, by ensuring more complete information upfront. Care providers reported saving approximately 15 minutes of administrative time per case, along with a more transparent and efficient process.

Impact on Prior Authorization

Health OS is transforming prior authorization for medical services by integrating it into provider workflows and allowing secure information sharing between providers and the health plan. This approach significantly reduces reliance on phone, fax, and paper submissions while improving speed and consistency. More than 30 health systems are actively participating in Elevance Health’s program for electronic prior authorization for medical services.

Results from this participation highlight the platform's impact. In 2026 through the end of April, more than 250,000 prior authorization requests for medical services were processed. Of these, more than 42% of decisions were completed in one minute or less. For providers, this translates to reduced administrative burden and a more intuitive experience that aligns with existing workflows. For members, it means faster access to approved treatments and a more predictable care journey.

"Much of the waste and complexity in healthcare could be reduced by simply making the right information available to the right stakeholders," said Alan Hutchison, Vice President at Epic. He noted that Epic’s Payer Platform has enabled meaningful reductions in administrative burden with measurable reductions in denials, peer-to-peer reviews, and appeals, resulting in less work for providers and faster access to care for patients. Elevance Health remains focused on expanding its capabilities to advance a future where utilization management is faster, simpler, and more aligned with patient care.

Elevance Health (NYSE: ELV) has invested $640 million in affordable housing over the past five years, building on a total commitment of more than $1 billion over nearly two decades. These investments support more than 40,000 housing units across approximately 400 properties in 45 states, the District of Columbia, Puerto Rico, and Guam. The initiative aims to address social drivers of health, reduce the total cost of care, and expand access to safe, stable, and affordable housing.

Over the past five years, the $640 million investment has been deployed across 15 properties, supporting the development of 2,654 affordable housing units, including apartment homes, townhomes, and single-family residences, across 10 states. The company's strategy focuses on high-impact housing developments and local partnerships to help individuals and families achieve stability and improve their health.

Investment Overview

Impact on Health Outcomes

Elevance Health's approach is grounded in its whole health strategy, recognizing that social and environmental factors significantly influence health outcomes. Internal analysis of Elevance Health-affiliated Medicaid plan members with high healthcare utilization found that 43 percent of members with more than 50 emergency room visits per year were experiencing homelessness. This data underscores the direct connection between housing instability and avoidable healthcare utilization.

Affordable housing plays a critical role in supporting low- to moderate-income individuals and families, including seniors, people with disabilities, and those at risk of homelessness. These developments are typically designed for households earning 80 percent or less of the area median income, ensuring residents spend no more than 30 percent of their income on housing.

Community-Based Solutions

Elevance Health works through its affiliated health plans to connect members to housing resources and services that help prevent homelessness. Flexible funding programs assist members by covering essential needs such as security deposits, overdue rent, and utility bills. In one example, these programs have assisted approximately 1,500 households across multiple states.

The company also collaborates with community-based organizations, housing authorities, and local partners to help members access housing vouchers, prevent evictions, and secure stable housing. In select markets, Elevance Health integrates health and social support services, providing access to healthcare, wellness programs, and care coordination for individuals with complex needs.