Beginning in 2021, payers must make individual claims and clinical data available to enrollees through open APIs using the Fast Healthcare Interoperability Resources (FHIR) standard. Patient clinical data will need to align with the United States Core Data for Interoperability (USCDI) standard, which contains data elements new to health plans. In addition, a new federal ban on information blocking will also be imposed early in 2021, carrying significant monetary penalties for covered entities found to be improperly withholding legally requested health data.

Though the compliance deadlines were recently extended due to COVID-19, forward-thinking payers need to take steps now to build a strong data governance strategy that takes into consideration process, technology, and personnel.

Preparing for compliance with the new rules will involve multiple departments across payer organizations, many of which rely on the same data. The solution lies in plans rethinking their data strategy and new ways to collect, normalize, manage, and share patient health data.

Register for the webinar to learn:

  • An overview of the regulations and compliance timeline.
  • Impact on payers of the finalized federal regulations that address interoperability of health data, new application programming interface (API) standards, and a ban on information blocking.
  • Strategies and solutions payers can adopt to optimize their data management while complying with the new rules.

Payer organizations understand too well that creating a true single source of truth for their data will be business-critical going forward and, in many cases, are turning to trusted third parties to ensure a timely implementation. Register now to learn what steps you can take now to prepare for the new rules.

Featured Speakers

Cheryl Mason

Director, Content and Informatics, Health Language
Wolters Kluwer

Cheryl has over 30 years of medical industry experience including 15 years of experience in health informatics.  She holds a Master of Science in Informatics and has a strong interest in helping the healthcare industry move forward towards true interoperability. Currently, she leads a team of subject matter experts at Health Language that specialize in data quality.  Together they consult with clients across the health care spectrum regarding standardized terminologies, data governance, data normalization, and risk mitigation strategies.  Cheryl has written several articles for the journal of AHIMA as well as presented at industry events on the topics of data governance, data normalization, and standardized medical terminologies.

Bob Hussey

Founder and Principal 
RGH Health Consulting, LLC

Bob Hussey has more than 25 years of experience in business and government affairs in both the public and private sectors. For the past 15 years, he has worked as an independent consultant specializing in health policy, advising clients in the health care sector on public policy issues impacting their business and helping them navigate the regulatory and legislative process. Current and past projects include education and advocacy on the Patient Protection and Affordable Care Act, Medicare’s new value-based reimbursement programs, HITECH (Meaningful Use and CEHRT), Medicare reimbursement for Advanced Care Planning, MACRA, Medicare Advantage, Medicare Part D, FDA regulation of digital health, and the 21st Century Cures Act.

From 1997 through 2004, Bob worked at UnitedHealth Group (NYSE: UNH) where he held several leadership positions in the company’s Medicare and Medicaid businesses. Bob served as a political appointee at the U.S. Department of Justice from 1993-1997 and worked on the 1992 Clinton-Gore Presidential campaign. A lawyer by training, Bob received his law degree from the George Washington University Law School in Washington, D.C., and graduated cum laude with a degree in History from Boston College.


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