Session ID: 
ISED13

Reducing Burden for Providers and Payers

2:30pm - 3:30pm Wednesday, February 13
Orlando - Orange County Convention Center
Hall F 9100| Interoperability Showcase | Theater

Description

The panel discussion provides perspective from industry leaders actively driving the identification and reduction of provider burden by automating the exchange of information between providers and payers. Speakers will focus on unlocking the critical information that providers need on their patients from their payer partners. Discussion will include hard to get, but key information through the payer’s knowledge of services delivered to the patient by other providers, solutions to share and close gaps in care in front of the provider team, and support to better identify patient specific requirements for authorization or related medical necessity documentation to ensure coverage. Da Vinci focuses on delivering the necessary information electronically into the clinical workflow to substantially reduce the burden to the provider. Providers, in turn can reduce joint burden by streamlining information flow for quality measures, risk adjustment, medical necessity documentation for covered services, and care coordination. Participants will discuss how use case driven work funded by Da Vinci members is fueling the development of standards and sample code that enables rapid deployment of ways to exchange this critical information to support value base care, building on the strength and flexibility of HL7© FHIR©. Members will discuss the real world progress made since founding in January 2018 to create appropriate real-time exchange methods for provider and payer partners with a goal to dramatically reduce burden and improve patient journey.

Speaker(s): 

Health Insurance Specialist,
Centers for Medicare & Medicaid Services
,
Patient Care Technologies Inc.
Clinical Informatics Physician Director,
Sutter Health
Chief Medical Officer,
Office of the National Coordinator For Health Info

Audience: 

Clinical Informaticists
IT Professional
Payers