Everyone involved in managing and maintaining provider information probably knows how challenging it can be. When you think about the magnitude of the problem – 25% of provider data changes annually – the real complexity can be daunting. Yet poor data can lead to operational inefficiency, problems with payment, penalties associated with State and Federal Regulations, including the recent No Surprises Billing Act, and more importantly, member dissatisfaction.
Through an interactive discussion, the speakers will focus on some of the biggest challenges payers face while managing their provider data. We will discuss best practices around provider data management including a description of why this is a process – not a project. The webinar will highlight how key personas in a health plan are impacted by poor-quality provider data, and how a provider data management solution that creates a single source of truth for organizations can tackle this issue and streamline workflows.
Sr. Advisor, Value-based Markets
Ms. Lynda Rowe is Senior Advisor for Value-Based Markets at InterSystems acting as a subject matter expert around the shift to value-based payment models and payers’ adoption and use of data as a strategic asset. She shares her expertise with customers and the industry through her speaking engagements and published pieces.
For the past two decades, she has held senior-level positions in health information technology. Her experience spans work for payers, health systems, start-ups, vendors and the federal government. Prior to her role at InterSystems she was an executive in the health market at Booz Allen Hamilton, where she led many consulting projects for the Centers for Medicare and Medicaid and the Office of the National Coordinator within HHS. She provided leadership for quality measurement, health information technology use and adoption, health information exchange, interoperability and standards. She continues to be active in several national efforts including the HL7 Da Vinci project.
Research Director, Payer IT Strategies
IDC Health Insights
Jeff Rivkin is Research Director of Payer IT Strategies for IDC Health Insights. In that role responsible for research coverage on payer business and technology priorities, constituent and consumer engagement strategies, technology and business implications for consumer engagement, front, middle and back office functions, value-based reimbursement, risk, and quality-based payment and incentive programs, among other trends and technologies important to the payer community.
Previously, Jeff served for ten years as Enterprise Architect at CareFirst Blue Cross/Blue Shield, responsible for building business and technology alignment roadmaps for the ACA/HIX Health Reform, Mandated Implementations, PCMH, and Provider Network domains to ensure alignment of annual and tactical IT project planning with business goals.
Mr. Rivkin has also worked at Magellan Health Services as Lead Data Architect, where he developed the Enterprise data models for the enterprise data warehouse and implemented data management processes and best practices. A former data base administrator, he also has consulting experience with Accenture, big data experience with Teradata, telecom experience with Verizon, and is an adjunct professor at the University of Maryland.