Establishing a Universal Standardized Roster for Health Plans

What is the link between provider data quality and CMS Star Ratings? To us, it is not just about meeting benchmarks; it's about redefining excellence in your health plan to ensure a superior member experience, increase enrollment, and capture substantial financial gains. Dive into expert insights and real-world stories and strategies from Barry Volin to elevate your service. Barry Volin brings extensive experience in managed care operations, offering a wealth of knowledge from his leadership roles across the healthcare industry. This webinar is an essential watch for anyone looking to modernize their health plan operations and improve the member experience. Don't miss out on this opportunity to leverage expert advice for your health plan's success.

In this episode of Interoperability Roundtable, we chat with Jon Hamdorf, former Medicaid Director and Director of Health Care Finance for the state of Kansas and current Market President for UCare. Join our conversation with Jon as he shares his unique insights into how provider operations can make or break your MCO's success. Gain valuable insights and actionable strategies to grow your regional health plan and expand access to care: - Discover effective strategies that eliminate provider abrasion and enable growth. - Uncover barriers to achieving health equity in underserved communities. - Explore solutions that empower your data team for efficiency and profitability Learn more about how Convergent is unlocking health plan growth through its provider directory/data solutions: https://getconvergent.io/

Get inspired by Samantha Olds Frey, the healthcare visionary and now-former CEO of the Illinois Association of Medicaid Health Plans (IAMHP), as she shares her remarkable journey towards implementing a universal standardized roster for all Illinois MCOs. Discover how her leadership transformed the healthcare landscape, delivering groundbreaking results that not only mitigated compliance liabilities but also significantly improved accuracy. Learn from her firsthand experiences and get valuable takeaways for your health plan. In this engaging session, you will: 1. Gain valuable insights into the multi-stakeholder approach 2. Learn what technologies were used to implement this initiative 3. Understand the pivotal role played by policy in driving standardized rosters 4. Get inspired by Samantha's vision for the future of healthcare and the potential it holds 💡 Learn how Convergent can help you streamline your provider data processes here: https://getconvergent.io

Leap Orbit is joined by Barry Volin, CEO of MCRA, for a discussion on how provider data affects the member experience, and why this is becoming increasingly important for payers. Barry is a managed care executive with 30+ years of experience, successfully working in the public sector with state and federally-funded programs. His specialties include: Value-Based Contracting, Strategic Development of Virtual Long Term Care Communities for Value-Based Relationships, Leadership, Managed Care Start-Up/Remediation, Innovation, and more. We cover the following: 1. Why is the member experience important in the context of the shifting reimbursement landscape? 2. Member experience and possible pitfalls (with a lens on provider data) 3. How bad provider data can result in payment issues, and how these affect the member 4. The importance of accurate provider directories in the Payer/Provider relationship 5. A review of the efforts that have been undertaken to improve provider data 6. Audience Q& Learn more about how Leap Orbit's product Convergent is improving the accuracy of provider data here: https://getconvergent.io

Leap Orbit founders, Mrinal Bhasker and David Finney, are joined by Clifford Goldsmith, Chief Medical Officer and Kathleen McGrow, Chief Nursing Information Officer, #Microsoft for our next Interoperability Roundtable! We're looking forward to an open discussion covering the latest in healthcare interoperability, including:   -What are the top three data interoperability/exchange challenges facing Microsoft's healthcare customers?  How is Microsoft helping customers tackle them?  What's Microsoft Healthcare Cloud and what can it do for healthcare institutions?  What's your five-year vision for what amazing use cases true healthcare interoperability and open data exchange will enable?  What is Microsoft doing to empower healthcare innovators?  What's new and exciting in the FHIR standards world?   Clifford Goldsmith brings a unique experience to Microsoft as a physician who also has over 33 years of know-how envisioning, designing, developing, and selling high-performance solutions for the healthcare industry. He has been with Microsoft’s Health and Life Science team for more than 20 years. In his current role of US Chief Medical Officer, he designs and executes Microsoft’s strategy for the US Healthcare Provider Industry. Dr. Goldsmith has focused on numerous areas of healthcare information technology including value-based payment models, AI and ML for Health, rare diseases, clinical trials, medical devices and embedded systems, clinical process improvement and patient engagement. He has also served as Chief Medical Officer of Aptima Corporation, where he led a team in transitioning well-tested concepts on human-centered engineering from aviation and the military into healthcare. Prior to joining Microsoft in 1998, Dr. Goldsmith worked for Harvard University’s Department of Medicine and the Center for Clinical Computing, developing and managing various aspects of IT for both Beth Israel and Brigham and Women’s Hospitals. During this appointment, he pioneered full, remote access electrocardiograph (ECG) integration with the EHR. He founded and managed LINK Medical which delivered a commercial product that integrated ECGs and other waveform diagnostics into the EHR. He joined the HL7 (Health Level 7) Committee in its early years and collaborated on both the Order Entry and Results Reporting standards. He is also a long-standing member of HIMSS. Dr. Goldsmith received a B.S. and a MBBCh (MD) from the University of Witwatersrand, Johnannesburg, South Africa.   Kathleen McGrow serves as Chief Nursing Information Officer for the Microsoft Health & Life Science Industry Team. In this role, Dr. McGrow advises organizations on how the innovative use of technology can support their digital transformation imperatives of consumer engagement, provider enablement, analytics for population health and cognitive computing to support a learning health system. Her expertise in data, analytics and artificial intelligence is used to educate organizations on how to enhance clinical, operational, and financial performance, maximize capacity and patient experience, and transform to new care models and paradigms. Dr. McGrow has led, planned, and directed programs and strategic initiatives for organizations including implementation of an evidence framework for best practices. She most recently has published two articles about Artificial Intelligence. Artificial Intelligence: Essentials for Nursing and Transforming Clinical Data into Wisdom: Artificial Intelligence Implications for Nurse Leaders. Both written to engage strategic thinking about current and future use of AI for clinical use cases and improve patient outcomes.

Join us with Julie Barnes, Founder & Principal, Maverick Health Policy to discuss the following:   The No Surprises Act and its price transparency mandates  Advance EOBs Price Comparison Tool  Provider Directories  Why plans should update their networks every day  How are they going to be doing that  Vision for the future of interoperability and transparency   Julie Barnes is a health care policy expert with years of experience helping the private sector navigate federal government activities that impact the health care system. Ms. Barnes is a strategic adviser to organizations that need guidance about federal health policies and how to develop relationships with policymakers and influential advocacy organizations.  As a former policy analyst, health care attorney, and Capitol Hill staffer, Ms. Barnes can inform business strategy and investments in a myriad of health care areas, including health information technology, data privacy and interoperability, value-based care, transparency, health insurance and new payment models, and federal health programs.

Join our conversation with Harvard Pan, Chief Technology Officer of Diameter Health, as we discuss the latest in healthcare interoperability. Harvard has over twenty years of experience in the management, design, research and development of enterprise quality applications, including hands-on product development management, cross-functional program management, system architectural design, and individual contribution. Possesses a track record of coordinating and leading teams to deliver innovative software solutions to Fortune 500 companies that address the needs of the marketplace. Passionate about finding applications of technology to make the experiences of users better and easier.

Join us with Julie Barnes, Founder & Principal, Maverick Health Policy to discuss the following:   The No Surprises Act and its price transparency mandates Advance EOBs Price Comparison Tool Provider Directories Why plans should update their networks every day How are they going to be doing that Vision for the future of interoperability and transparency   Julie Barnes is a health care policy expert with years of experience helping the private sector navigate federal government activities that impact the health care system. Ms. Barnes is a strategic adviser to organizations that need guidance about federal health policies and how to develop relationships with policymakers and influential advocacy organizations.  As a former policy analyst, health care attorney, and Capitol Hill staffer, Ms. Barnes can inform business strategy and investments in a myriad of health care areas, including health information technology, data privacy and interoperability, value-based care, transparency, health insurance, and new payment models, and federal health programs.

Join us with Karsten Russell-Wood, Portfolio Leader, Post Acute & Home at Philips Healthcare to discuss the following: 1. How is Phillips investing in telehealth/interoperability? 2. How is the RPM migration to home resulting in new data challenges? 3. How can the influx of new data help improve care? 4. How are you thinking about enabling risk-sharing models? 5. What is the value of a disintermediated partner to a health system? Karsten Russell-Wood has 20+ years of healthcare solution management, spanning care segments from Intensive, to Acute to Post-Acute, as well as population health-centric specialization including neonatal, fetal and maternal and chronic patients. Product management experience in capital equipment and health informatics. Telehealth portfolio for remote patient monitoring in the ambulatory sector and TeleICU, eICU, clinical surveillance. learn more about Leap Orbit here: leaporbit.com

Join us with Genevieve Morris, Change Healthcare's health IT policy wonk to discuss the following: 1. Information blocking 2. Individual access 3. Ethical uses of data, not just legal uses 4. How do you stand out in the noise as a patient-centric app? 5. ONC Strategy Genevieve is a health IT policy wonk who leads Change Healthcare’s clinical interoperability strategy development for the clinical networks team. Prior to joining Change Healthcare, Genevieve worked as an independent contractor for a number of health IT companies, helping them understand the health IT regulatory landscape and build product roadmaps to meet the needs of individuals across the healthcare ecosystem. Genevieve also served as the Principal Deputy National Coordinator, supporting the development of the information blocking regulation. She also developed the Trusted Exchange Framework and Common Agreement (TEFCA) policy. Genevieve also served as the Chief Health Information Officer for the VA’s Office of EHR Modernization.