On October 29, 2020 the federal government issued the Transparency in Coverage final rule requiring commercial health insurance providers and self-insured groups to provide health care price information to the public, as well as members, with phased deadlines. New regulations go beyond current price transparency solutions by requiring that health insurance providers plans publicly disclose reimbursement rates and provide cost-share details to members for all drugs and services by provider.
Price transparency is no longer optional. This session will review the new rules and share how health insurance providers can comply with the mandate and gain a business advantage by giving members a truly meaningful and personalized experience.
Director of Provider Data & Credentialing
Tammy supports Capital BlueCross’ efforts in improving Consumer Transparency and Provider Data delivery. She brings more than 20 years of experience in the healthcare industry and is focused on member experience and transparency through provider data automation and accuracy.
By continuously assessing business needs and process improvements, she drives accuracy and automation throughout Capital BlueCross. She has effectively implemented several online provider directory tools for utilization across all lines of business. Tammy enjoys spending as much time as possible with her family.
Chief Executive Officer
Mark leads HealthSparq’s strategic direction, ensuring the company is living its mission of helping people make smarter health care choices. He is passionate about maintaining client focus, delivering on commitments and building a high-performing culture.
Mark brings more than 23 years of experience in the software and health care fields, and has a proven track record of innovation, leadership and driving client satisfaction. In January 2014, HealthSparq acquired ClarusHealth (formerly PRISM Services Group), where Mark served as CEO and led the transformation of the business into the leading provider search software platform utilized by health plans, employer groups and hospital systems.
Mark is a third-generation Texan who enjoys spending as much time as possible in his home state with his wife and kids. He occasionally golfs and tries to play guitar.
Vice President of Product
Matt leads HealthSparq’s efforts to develop and continually improve industry-leading products that meet the needs of health plans, while also helping their members take more control of their health care. He has more than 15 years of experience in the health care technology product industry.
Prior to HealthSparq, he was the VP of Products at Connecture, where he led product management of its SaaS products, including Medicare, individual and family and group shopping, and enrollment products. Before joining Connecture, he was the VP of Clinical Products at DestinationRX.
One of his professional passions is streamlining implementations so that customers are up and running with new products more quickly.