WEDI Spotlight: CMS 0057 Implementation Update- Access APIs (Payer to Payer, Provider Access & Patient Access) Sponsored by 1upHealth

January 23, 2025 12:00 PM - 4:00 PM (EST)

Description

FREE TO THE HEALTHCARE COMMUNITY!!!!

Thank you to our Sponsor, 1upHealth

Join us for an in-depth spotlight designed for healthcare stakeholders—payers, providers, vendors, government, HIEs, SDOs, and more—focused on the latest developments in implementing the Payer-to-Payer API, Provider Access API, and Patient Access API from the CMS-0057-F final rule. As the healthcare landscape evolves toward greater interoperability, these APIs are critical in facilitating seamless information exchange, improving patient care coordination, and supporting value-based care initiatives. 

Our lineup of subject matter experts will cover recent regulatory guidance, technical updates, patient perspective and need, and best practices for implementing and optimizing these APIs in compliance with federal mandates. We’ll discuss real-world challenges and solutions in connecting payers and providers, enhancing patient access, and securing data across the care continuum. You’ll also gain insights into the technical and operational considerations necessary for achieving effective, secure data interoperability. 

Key Takeaways: 

• Overview of regulatory and technical updates impacting the Payer-to-Payer, Provider Access, and Patient Access APIs 
• Best practices for implementation and compliance with federal requirements 
• Insights into the interoperability benefits for patients, providers, and payers 
• Case studies highlighting challenges and solutions for smooth API integration

Who Should Attend: This session is essential for healthcare executives, compliance officers, IT leaders, and data exchange professionals who are involved in interoperability initiatives and data-sharing compliance within or in support of payer and provider organizations. Ensure your organization stays ahead of regulatory expectations and is equipped to foster improved patient outcomes through efficient, secure data exchange. Register today to stay updated on API implementation and compliance strategies that support the future of healthcare interoperability. 

Esteemed Faculty:

• Don Rucker, MD, Chief Strategy Officer, 1upHealth, former National Coordinator for Health IT
• Alex Mugge, Chief Health Informatics Officer, Director of the Health Informatics and Interoperability Group, Centers for Medicare & Medicaid Services
• Nancy Beavin, Co-Chair, Sequoia Project Payer to Payer API Implementation Workgroup. Director, Provider Connectivity, Medica
• Robert Oakley, Co-Chair, Sequoia Project Payer to Payer API Implementation Workgroup. Strategy & Interoperability Lead, Physician Innovation, Evernorth Health Services
• Patrick Murta, Vice President, Information Technology, Interoperable Clinical Product and Platform Architecture, Centene 
• John Roszkowiak, Director -IT Development, CenCal Health
• Samantha Burch, Vice President, Technology Public Policy, AHIP
• Karuna Relwani, Business Interoperability Lead, Blue Cross Blue Shield Association
• Semira Singh, Director of Informatics, Providence
• Anna Taylor, Associate VP, Population Health and Value Based Care
• Arun Goplalan Senior Director, IT Strategy and Healthcare Interoperability, DaVita Kidney Care
• Adam Weinstein, MD, Chief Medical Officer, DaVita Kidney Care
• Michael Marchant, Director, Digital Applications, Sutter Health
• Heather McComas, Director, Administrative Simplification Initiatives, AMA
• Andrea Preisler, Senior Associate Director, Administrative Simplification Policy, AHA
• Lesley Berkeyheiser, Assessor, DirectTrust
• Ryan Howells, CARIN Alliance
• Mark Roberts, CARIN Alliance
• Tom Macmillan, COO, Emblem Health
• Rebekah Angove, PhD, EVP, Research and Evaluation, Patient Advocate Foundation
• Anna Hyde, Vice President of Advocacy and Access, Arthritis Foundation
• Denny Brennan, Executive Director, Massachusetts Health Data Consortium
• Sherry Wilson, Cooperative Exchange, EVP and Chief Compliance Officer, Jopari, 
• Beth Davis, Cooperative Exchange, Senior Manager, Payerpath- Veradigm

Agenda (Subject to Change)

More about the Series: This is the first of a 5-part series diving deep into implementation updates on CMS 0057F and looking at the future of Prior Authorization. The other sessions will focus on: 

1. Payer Updates in Prior Authorization
2. Provider Updates in Prior Authorization
3. Innovation and the Future of Prior Authorization 
4. Updates and Insights from Vendors on HTI-2