Maximize Plan ROI on Mandated APIs: Key Considerations for Operationalizing CMS Rule 0057, presented by InterSystems
The CMS-0057-F final rule mandates significant plan investment in IT infrastructure. It calls for plan IT to support four types of information sharing along with a host of APIs and associated business processes. Whether return on this investment tops out at regulatory compliance or meaningfully drives the type of data liquidity needed to advance top strategic goals, such as reducing provider abrasion and advancing value-based care, hinges in large part on utilization among clinicians seeking prior authorization and care managers at both provider and plan organizations working to better coordinate care.
Join this WEDI webinar led by Steven Berkow, the Senior Advisor for Value-Based Care at InterSystems, along with Senior Field Engineers Jessica Jowdy and Marc Mundt, to discuss strategic considerations IT leaders must frontload to maximize ROI on APIs mandated by Rule 0057 and learn insights from the cross-section of plan executives with whom they are working.
Attendees will learn about:
- Processes and workflows impacted by CMS Rule 0057
- Most promising opportunities for maximizing ROI
- Resources for engaging key stakeholders
- Quick takes on input to anticipate and how to respond
About the presenters:
Steven Berkow, Senior Advisor, Value-Based Care, InterSystems
Steven Berkow leads efforts across InterSystems to ensure our technology and wrap-around services support plans, providers, and other customer organizations in advancing value-based care. InterSystems is a data technology company at the forefront of health care interoperability worldwide. Steven brings to his role at InterSystems a passion for making health care better and over two decades of experience as an executive and GM for both plan and provider organizations. Prior to joining InterSystems, he launched SAAS-based businesses at OptumInsight, managed the Advisory Board’s best-practice memberships for health system executives, and oversaw Press Ganey’s solutions for clinician engagement and workforce productivity. He also worked in UnitedHealth Group’s Center for Health Care Research, where he continuously assessed population needs, emerging technologies, and value-based care initiatives to inform national and state-level policy.
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Jessica Jowdy, Manager, Healthcare Field Engineering
Jessica Jowdy is the Manager of Healthcare Field Engineering at InterSystems. In her role, Jessica has been intimately involved with integration technology across different healthcare verticals, including the provider, payer, government, and life science sectors. Jessica has overseen many integration engine migration projects, including migrations from on-prem to cloud-based offerings and migrations between integration engine vendors and technologies. In addition, Jessica has helped organizations establish best practices for developing and maintaining integrations, as well as uncover opportunities for innovation on top of integration technologies.
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