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Why Interoperability Is All About the Member

  • July 15, 2021
  • 1:00 PM – 2:00 PM ET
  • Online
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The July 1 deadline for implementing the CMS Interoperability rule (9115-F) will be here soon. Health insurance providers have an opportunity to harness this requirement and expand their long-term strategic vision for a member-centric approach to data and operations. Taking a member-first approach to implementing the CMS rules and beyond has implications for health insurance providers’ technology systems and their internal operations. That decision also has implications for how health insurance providers choose their vendors and execute on the long-range vision.

Learn how health insurance providers can leverage the CMS mandate and use it as an opportunity to improve experience and deliver better care to their members. This webinar will highlight one health insurance provider and their recent journey. As they started the process to look for a technology partner to work with, they set a clear direction that their decision would be based not just on achieving compliance with the CMS rules, but also to build internal capabilities and to bolster internal processes using both clinical and administrative data. During the early phases of implementation, they made many decisions that have signification technology and operational implications for their organization. This included the decision to provide access to all members regardless of their product or line of business.

Attendees will learn about:

  • How health insurance providers can make decisions about their long-term member strategy
  • Implementation considerations for a member-centric strategy
  • Specific lessons learned during the first phase of implementing the CMS Interoperability rules
  • How to create an overall technology blueprint that will support member-centered use cases beyond regulatory requirements

Speakers


Rich French
Senior Leader, Enterprise Data Management
MVP Health Care

Rich French is the Senior Leader of Enterprise Data Management at MVP Health Care, leading the efforts of Enterprise Data Strategy, Enterprise Interoperability, Data Delivery, Data Governance, and Citizen Development.  He brings over 24 years of Health Insurance Industry experience including overseeing application development, quality assurance, application administration, enterprise architecture, innovation, strategy, vendor management, mergers & acquisitions, and strategic partnerships.

Prior to focusing on health care industry, he also worked in the Retail, Education, and Manufacturing industries.  He participates in several industry- and vendor-related committees and workgroups, including the AHIP Health IT and Interoperability Workgroup, and is an innovative leader who enjoy collaborating and leveraging technology to make the health insurance experience better, faster, and more efficient.


Michael Della Villa
Chief Information Officer & Head of Shared Services
MVP Health Care

As Chief Information Officer & Head of Shared Services, Michael Della Villa strives to leverage technology in ways that make MVP Health Care a better, faster, and more efficient health care company. His areas of responsibility include guiding IT vision and strategy, architecture and planning, technology infrastructure and production system operations, application analysis and solution development, information management, and IT customer service. By keeping MVP ahead of the technological curve, Michael is helping to make a positive impact on the company’s members and the communities they serve.

An executive with more than 30 years of experience in information technology, Della Villa was managing partner at Arista Strategy Group prior to joining MVP, and prior to that the owner of his own IT consulting organization which specialized in strategic planning and process improvement. He was a Senior Director at Newbold Advisors, co-founder and chief operating officer at Rockit Science Solutions, and the chief information and operations officer at nfrastructure technologies.

A graduate of Siena College, Della Villa has a bachelor’s degree in mathematics and computer science.


Lynda Rowe
Senior Advisor, Value Based Markets
InterSystems

Ms. Lynda Rowe is Senior Advisor for Value-Based Markets at InterSystems and for two decades has held senior-level positions in health information technology.

She was most recently an executive in the health market at Booz Allen Hamilton, where she led a number of 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, and meaningful use engagements, and spent a number of years running the analytics department for Managed Medicaid plans in Massachusetts.

She is currently Chairman of the Board of Directors at Family Health Center in Worcester. Ms. Rowe continues to focus on the advancement of interoperability, technology use and adoption and government policy related to value based care through various workgroups and task forces.