In today’s healthcare landscape, the payers and providers are under new pressures (financial, regulatory, and consumerism) to demonstrate value and quality. Payers and providers strive to deliver the right care at the right time in the right place to members and patients, but in today’s highly fragmented data ecosystem it is difficult and expensive to bring the information together efficiently and effectively to evaluate and improve the quality and value of the care delivered. The pressures, stresses, and frustrations will continue to grow as payment models shift from the traditional fee for service to value based care models that require tying cost, services, and outcomes data together seamlessly.
This webinar will provide an overview of the context and challenges of today’s clinical data exchange ecosystem between payers and providers. The focus will be on understanding the stakeholders (roles, needs, expectations), fragmentation and limitations of information exchange (paper vs. electronic), and the changing industry dynamics and requirements presented by Kiser Healthcare Solutions. athenahealth will then respond with how they are evolving and thriving in the ever changing ecosystem reducing the strains between providers and payers and helping their clients (payers and providers) address the fragmentation, burden, costs and improving the value delivered to patients.
By attending this webinar, participants will have a greater understanding of:
Who should attend: Decision makers at large health plans
Health Care IT Consultant
Kiser Healthcare Solutions
Michael is a Healthcare IT consultant, innovator, entrepreneur and seasoned executive. His current consulting work is focused on product and go-to market strategy and mapping the HIT ‘ecosystem’ to create a comprehensive understanding and taxonomy around stakeholders, technologies, standards, vendors and regulatory bodies.
As Founder & CEO, Michael formerly led Health Data Vision, Inc. through its early stages, making his vision for the industry-leading SaaS platform for Medical Records Review (MRR) a reality. Between 2011 and 2016, he has presided over strong revenue growth, working with some of the biggest names in the health insurance (payer) space in the US. Michael was responsible for bringing to market solutions for quality initiatives (HEDIS®), Risk Adjustment/audit response (Medicare Advantage and Commercial Exchange plans) as well as new ways of locating and securely capturing clinical data from providers.
Prior to his work in managed care space, Michael spent well over 10 years as a professional delivering workflow and process automation solutions in different industries, including numerous HL7 and ANSI X.12 EDI projects.
Michael earned a degree in Electrical Engineering from the HTL Innsbruck in his native Austria and a degree in Business Administration from University of Southern California.
Founder and President
Kiser Healthcare Solutions
Reid is the founder and president of Kiser Healthcare Solutions, LLC, where he and the team applies innovation, leadership, and industry experience to build collaborative solutions for a variety of clients focused on healthcare quality improvement and the transition improving the value of healthcare delivery.
Prior founding KHS in 2016, Reid served in numerous executive leadership roles over the past two decades ranging from being a general manager for an industry-leading HEDIS® analytics software solution, standardizing the U.S. Healthcare Efficiency Index for CAQH in measuring the adoption and costs of administrative transactions between payers and provider, as UnitedHealthGroup’s National Director for Clinical Excellence where he managed operations and analytics associated with Accreditation, HEDIS® and performance improvement initiatives and business intelligence tools, and Reid started his journey at NCQA managing data collection and as the Director of HEDIS Policy.
Reid is a Patient-Centered Medical Home (PCMH) certified professional and currently serves as a faculty member within The George Washington University’s Department of Clinical Research and Leadership and continues to participate in industry speaking engagements addressing quality measurement, healthcare administration transformation, clinical and operational process improvement, and value-based care.
Reid received a Bachelor of Science in Biochemistry and Biophysics from the University of Houston and a Master of Science in Evaluative Clinical Sciences from Dartmouth College’s Institute for Health Policy and Clinical Practice.
Patrick R. Boyle
Vice President, Enterprise
Patrick Boyle currently serves as Vice President at AthenaHealth responsible for solutions in the Healthcare Provider and Payor segments focused on performance improvement, value based care and population health management. Patrick joined AthenaHealth from Deloitte where he was the Vice President of Provider Analytics solutions at a startup software and services division of Deloitte, ConvergeHEALTH.
Prior to joining Deloitte, Patrick served as Senior Vice President for Industry Sectors for International SOS, one of the world’s largest medical and security services firms. In this role, Patrick lead an organizational transformation focused on the management of International SOS’ largest customers in the US. Additionally, he was tasked with new product and solution development tailored to industry needs in the Automotive, Financial Services, Hi-Tech, Media/Entertainment, Defense/Aerospace and Life Sciences sectors.
Prior to joining International SOS, Patrick served as the General Manager of IBM’s Government and Health Industry in Southeast Asia. In this role, Patrick was responsible for all aspects of IBM’s business within this industry including IBM’s information technology and consulting services portfolio and the management of a Center of Competency for Government and Healthcare solutions.
Patrick also served as Director of IBM’s Public Sector solutions group focused on Healthcare, Life Sciences, Government and Education industries. From 2005 to 2008, Patrick served as Director of IBM’s Americas Healthcare and Life Sciences business unit working with Payer, Provider and Pharmaceutical industry segments. In this role, Patrick led IBM’s $2.5B business in information technology, consulting and infrastructure services. From 2002 to 2005, Patrick led an investment growth group within IBM focused on medical imaging resulting in the development of a $300M+ global business. Patrick also served for several years in the capacity of leading strategy and business development for IBM’s Global Healthcare group. Over his 20 year career, Patrick has held a multitude of strategy, sales, marketing, and solution development positions, as well as led marketing and sales efforts for two startup software companies.
Patrick is a graduate of Worcester Polytechnic Institute with a degree in Electrical Engineering and received his MBA from Boston University. Patrick is actively engaged in several not-for-profit healthcare organizations in a role of advisor on information technology and business transformation, and a member of HIMSS, ACHE and CHIME. Patrick also serves on the Board of Directors for the eHealth Initiative and the Board of the Executive Council in New York.