Washington, D.C.

Washington, D.C.

San Diego, CA

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Why Payers are Developing a Clinical Data Strategy

  • February 15, 2018
  • 1:00 PM – 2:00 PM ET
  • Online
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The move to value based payment models has created the need for more data transparency between payers and their provider networks. As providers start taking on more risk for the cost and quality of care, the health plan can play an important role in their success. By integrating clinical data into their overall data strategy, payers can use near real time data to proactively manage their members and move to a collaborative model of care with their provider network.

Additionally, pressure to streamline their operational processes is the number one issue facing today’s health plans. The solutions to those problems, such as chart abstraction for HEDIS measures, are enabled by integrating both clinical and claims data into the enterprise.

Attendees will learn:

  • Describe health plan’s current thoughts on incorporating clinical data into their strategy
  • Discuss some of the top use cases enhanced through the use of clinical data
  • Review current strategies for collecting clinical data
  • Understand some ways to mitigate barriers to collecting and using clinical data
  • Explain some of the steps required to develop a clinical data strategy

Speakers 


David Braza
EVP, CFO & Chief Actuary
Premera Blue Cross

David Braza is Executive Vice President, Chief Financial Officer and Chief Actuary at Premera.  In these roles, he provides leadership over Finance and Investments, Underwriting, Actuarial Services and Healthcare Economics.  Additionally, he leads all the Data Analytics functions within Premera, including oversight of the Data Warehouse, Data Science Platform and other data assets.

Braza has had increasing leadership responsibilities since joining Premera in 1999, assuming the Chief Actuary role in 2009.  He brings over 25 years of experience in the actuarial profession.  He started his career working for a subsidiary of Zurich Insurance as a Casualty Actuary.  In 1994 he moved into the healthcare industry, working at Milliman USA, HealthNet, and Premera.

He is a Fellow of the Society of Actuaries, an Associate of the Casualty Actuarial Society, and a Member of the American Academy of Actuaries.    Braza has a Bachelor of Science in Business Administration from Georgia State University, majoring in Actuarial Science.


Gary Christensen
General Manager States, Public Sector
InterSystems

Mr. Gary Christensen joined InterSystems in 2014 to provide executive-level assistance to State and regional customers in their efforts both to implement HIE and to develop products and services to drive better care, reduced costs, and healthier populations.
Previously, Mr. Christensen spent five years as the COO/CIO for the Rhode Island Quality Institute (RIQI), where he led the implementation of InterSystems’ HealthShare platform as RI’s statewide HIE. RIQI is a center of collaborative innovation that advances health and healthcare transformation.
Before becoming involved in healthcare, Mr. Christensen spent eighteen years in Financial Services IT.


Lynda Rowe
Sr. 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. She 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.