The CMS Interoperability and Patient Access Proposed Rule lays the foundation for healthcare interoperability. If finalized as proposed, the rule will require health plans participating in Medicare Advantage, Medicaid, MCOs and other government funded insurance programs to respond by sharing data via open APIs.  Embedded in the rule are proposals that will require changes to health plans’ IT infrastructure to support functionality which allows for broad based data sharing to provide members and providers with greater data transparency.

In this session the proposed rule will be presented in simple terms to help highlight some of the most important elements. The presenters will describe how an enterprise data platform approach can create the necessary foundation to prepare for implementation of the final rule.  Speakers from InterSystems, Leavitt Partners and Premera Blue Cross will discuss their perspective on how the path forward can be simplified for health plans.

 

Featured Speakers

Ryan Howells

Principal
Leavitt Partners

Ryan Howells is a principal based out of the Washington, D.C. office. His work with clients is focused on health insurance market reforms, disruptive distribution channels that have occurred through the emergence of public and private exchanges, and how the implementation of technology can improve the triple aim of reducing costs, increasing quality, and improving outcomes.

Colt Courtright

Director, Corporate Data & Analytics
Premera Blue Cross

Colt Courtright leads Corporate Data & Analytics at Premera Blue Cross, where he is responsible for strategies that impact its 2.1 million members, 38,000 physician network, and self-insured employers such as Amazon, Microsoft, Starbucks, Expedia, Weyerhaeuser and other household name companies. Colt brings over 20 years’ experience performing new product innovation, supporting strategic partnerships, and overseeing advanced analytics and data management solutions. 

Lynda Rowe

Senior Advisor, Value-Based Systems
InterSystems

Lynda Rowe is Senior Advisor, Value-Based Systems, for InterSystems. She provides guidance on alternative payment models, public sector, state Medicaid programs, and related areas. She has over 25 years of experience in information technology, mostly in healthcare technology consulting and operations. 

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