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Data Modernization in the Age of Digital Transformation

  • November 12, 2021
  • 2:00 PM – 3:00 PM ET
  • Online
about

The CMS interoperability mandate requiring health insurance providers to share data with consumers is now in effect, and more mandates are coming down the road. With the liberation of data from silos and the incorporation of data into new sources such as digital health applications, health insurance providers and health care are at a turning point. Health care doesn’t have a data shortage problem; it has a data management issue.

Our panelists will discuss data transformation and tackling issues related to data quality, curation and standardization, and how these things impact insights and member experience.

Attendees will learn about:

  • The evolution of digital health insurance provider platforms and provider/partner engagement platforms
  • The real impact of the interoperability mandate on patients, payers and providers and how data governance can transform your operations
  • The challenges and solutions of managing, organizing and standardizing vast data sets from multiple sources
  • The use of data and analytics for specialty pharmacy solutions and for improving quality performance in health insurance provider/provider relationships

Speakers


Minal Patel, MD, MPH
CEO & Founder
Abacus Insights

Dr. Patel is a serial physician entrepreneur who founded Abacus Insights to serve payer needs around data integration and insight generation. Prior to this he has held senior roles at payer organizations most recently serving as Senior Vice President & Chief Strategy Officer of Horizon BCBSNJ.

Minal’s entrepreneurial experience includes founding Care Management International, a pioneer in leveraging offshore clinical talent to support payer clinical functions, which was successfully sold to iHealth Technologies – now Cotiviti (COTV) – and Vayu Technologies, a telecommunications platform developed by Bell Labs and spun out and sold to SeniorLink.

He holds a Master’s in Public Health from the Harvard School of Public Health; received his Medical Degree from Boston University, and completed his residency training in Internal Medicine at Brigham and Women’s Hospital, where he served for nearly a decade as a staff physician and faculty at Harvard Medical School.


Mark Friedberg, MD, MPP
Senior Vice President, Performance Measurement and Improvement
Blue Cross Blue Shield of Massachusetts

Dr. Friedberg is Senior Vice President, Performance Measurement and Improvement at Blue Cross Blue Shield of Massachusetts. He is responsible for all activities related to measuring and improving the performance of BCBSMA’s provider network, including metrics used in value-based contracts such as our Alternative Quality Contract, and he oversees data analytics related to BCBSMA’s own performance as a health plan.

Dr. Friedberg received his Medical Degree from Harvard Medical School, and his Master’s of Public Policy from the Harvard Kennedy School of Government. He is a practicing general internist in primary care and a part-time Assistant Professor of Medicine at Brigham & Women’s Hospital and Harvard Medical School.


Mudit Maheshwari
Senior Vice President, Data and Analytics
Magellan Rx

As Senior Vice President of Data and Analytics at Magellan Rx Management, Mudit Maheshwari is responsible for data, reporting and analytics needs of all of Magellan’s pharmacy business lines, including the commercial, government and specialty pharmacy divisions. He leads the advanced analytics, business intelligence and data platforms teams of Magellan Rx Management with the overarching goal of delivering innovative, best-in-class analytics and reporting solutions to help clients improve the health of the people they serve, as well as the overall quality and cost of care.

Before joining Magellan, Maheshwari was responsible for advanced analytics and reporting with CareCentrix. His advanced analytics work, and pricing/underwriting models helped transform CareCentrix from a home health benefit management company to a post-acute benefit manager.

Maheshwari received his bachelor’s degree in electrical engineering from Delhi College of Engineering, India and MBA from the University of Tennessee at Knoxville.


Rebecca Pifer
Reporter
Healthcare Dive

Rebecca covers the healthcare industry with a particular focus on digital health and public policy and has been with Healthcare Dive since 2018. Prior to this, she was with Folio Literary Management in New York City. She is a University of Virginia grad with degrees in English and Psychology.