Description
Person Matching for Interoperability: A Case
Study for Payer
The floodgates are opening with solutions on
how to recognize and match someone with their healthcare data, otherwise known
as “person matching.” Person matching emphasizes the scope of the healthcare
consumer experience. Consumer data is created over time as patients seek care
and pay claims, and that data becomes part of a consumer’s health history. The
Blue Cross Blue Shield Association is a microcosm of health payer systems where
person matching challenges were experienced before the implementation of the
matching algorithm - the Member Matching Index (MMI). The MMI links data from
Blue Cross and Blue Shield (BCBS) companies where individuals were members of
more than one BCBS health plan. The BCBSA 99.5% match rate using the MMI
solution was validated through an external study which will be discussed in
this presentation. In collaboration with The Sequoia Project, this presentation
will discuss how person matching is foundational to the broader health data
exchange environment.
Desla Mancilla, DHA, RHIA
Business Lead, Health Information Technology
Program Implementation
Blue Cross Blue Shield Association
Mariann Yeager
CEO
Sequoia Project
Transforming Specialty Pharmacy to Deliver
Better Care
Specialty pharmacy is a unique, high-value
segment of healthcare, of increasing importance to payers, pharmaceutical
companies and patients alike. A core component of success in this segment is
the ability to leverage data and connectivity to achieve superior, informed
patient care as well as meaningful process and operational efficiency
improvements. This session will demonstrate how AllianceRx Walgreens Prime is
leveraging cloud-based technology to connect across various parts of the
healthcare ecosystem to enable holistic clinical quality management of diagnoses
and medications for patients with complex, chronic illnesses. This session will
describe how advanced capabilities in technology – implementation of 1) a
modular, cloud-based environment, 2) real-time patient-stratified clinical data
stream, and 3) application programming interfaces (APIs) – are being used as
building blocks to improve outcomes, enhance the patient experience of care,
and increase operational efficiency.
Keith Dunleavy, MD
Chief Executive Officer and Chairman of the
Board
Inovalon
Joel Wright
Chief Executive Officer
Alliancerx Walgreens Prime
Managing Data for the Transformation from
Volume to Value
One of the few topics receiving bipartisan
support at the federal level is the shift from fee-for-service (FFS) to a
system that recognizes value and quality at the lowest cost. The Healthcare
Payment and Learning Action Network (HCP-LAN) consortium supporting the
adoption of shared accountability models set an ambitious goal of tying 100% of
the nation’s Medicare spending by 2025 to shared accountability models. And
this is only the start. As Medicare goes, so goes the rest of health care. We
are moving toward value-based care accountability models because it is the
right thing to do. This new model rewards those who seek to improve health in
our communities. New models allow us to address social determinants of health,
mental health, and other factors essential to overall well-being. To succeed
with this transition, we need data infrastructure that supports these efforts.
Data systems that encourage interoperability, data-sharing, and transparency
are imperative.
Deepak Sadagopan
SVP Value Based Care & Population Health
Informatics
Providence
Rhonda Medows, MD
President of Population Health
Providence
Exclusive Benefits
- 1 sponsor representative to assist in moderating presentations
- Client must remain vendor neutral and not actively promote sponsor product or solution
- Verbal recognition of sponsor during the program
- Logo on session screens
- Logo displayed in prominent areas on-site (electronic signage)
- Collateral material table outside of session room
- Post-conference list of scanned attendees (Name, Title, Company) sent two weeks post Conference
- HIMSS Conference Supporter (Logo listed on conference website with hyperlink to exhibitor profile, logo in various HIMSS marketing materials including onsite print and mobile app, logo displayed on Conference Supporter signage on-site)
- HIMSS Priority Points – 5
- HIMSS Exhibitor / Client Badges – 4 (you determine the mix)
- HIMSS Full Conference Badges - 1
Investment*
$13,500 HIMSS Corporate Member
$15,000 Non Member
GL Code– 401300 – 1031 (HIMSS Internal use)
*Rates reflect Global Conference Exhibitor participation
