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Interoperability

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Webinar Presentation: Improving Care and Lowering Costs: The Use of Clinical Data by Medicaid Managed Care Organizations

April 26, 2018

To manage the costs of Medicaid, states are increasingly interested in contracting with managed care organizations (MCOs) to deliver healthcare services to Medicaid beneficiaries. eHealth Initiative (eHI) and Foundation recently conducted interviews with executives from leading Medicaid MCOs to better gauge their progress in developing and implementing clinical data strategies.

Join eHI for a webinar featuring industry leaders who will review the results of the interviews and share real world examples of how MCOs are using clinical data to support their physician networks, manage risk, and improve their members’ care.

Our panel will discuss:
-Common sources of clinical data collected by MCOs
-Transitioning from a culture of claims data to a culture of clinical data
-The biggest challenges faced by MCOs in the collection, use, and exchange of clinical data
-The role that clinical data plays in value-based contracts and in managing performance risk of networks against value-based payment goals

Panelists:
-Gary Christensen, General Manager, States — Public Sector, InterSystems
-John A. Johnson, MD, MBA, FACP, Chief Medical Officer, Virginia Premier Health Plan, Inc.

Report: Improving Care and Lowering Costs: The Use of Clinical Data by Medicaid Managed Care Organizations

April 26, 2018

eHealth Initiative conducted six interviews with executives from leading Medicaid Managed Care Organizations to better gauge MCOs’ progress in defining and implementing their clinical data strategies. Executives were asked about their organization’s main sources of clinical data; progress related to collecting, storing, and sharing clinical data; and about leveraging clinical data for various processes. Interviews revealed the ways clinical data is used in case management systems and value-based contracts with states and provider networks. Read the full report.

Workgroup: Technology & Analytics and Value & Reimbursement

This workgroup focuses on innovation and technology in healthcare such as current trends with mobile applications, medical devices, remote monitoring, patient-generated health data, and various analytic tools. Best practices in data governance, including data sources and users, are central to this workgroup's activities.

Due to the content of the speakers, we are combining the Tech and Analytics and Value and Reimbursement workgroups for this session.

HL7 FHIR Dev Days

HL7 FHIR DevDays is a unique educational experience, whether new to FHIR or with previous experience, to learn from 40 of the greatest FHIR experts in a collaborative, immersive environment. HL7 FHIR DevDays offers a chance to work with the specification surrounded by others doing the same thing, side by side with experts to answer any questions. The three pillars for DevDays are: education, sharing of ideas and networking.