Recent Webinars:

Hooper, Lundy & Bookman: Owning an Opportunity - Digital Health Developments for 2021

Jun 10, 2021

Key Speaker:  Amy Joseph, Co-Founder, and Jeremy Sherer, Chairman Digital Health Practice, Hooper, Lundy & Bookman, PC

The COVID-19 pandemic initiated unprecedented growth across the digital health space from patient utilization to regulatory progress to outside investment and beyond. This confluence of events created a unique window of opportunity for digital health stakeholders to innovate in ways that will shape a new digital health landscape for years to come. This presentation will explore the legal developments underpinning some of the important trends that will impact digital health companies and healthcare providers alike.

Key points include:

• Understanding the state of affairs concerning clinical practices utilizing digital health technology in Massachusetts after significant developments in 2020 and early 2021;
• How waivers and expanded coverage of digital health services implemented during the pandemic will (and will not) remain in place;
• Opportunities available to digital health companies and providers as a result of recently adopted federal fraud and abuse regulations focused on value-based arrangements.

Presentation slides: Hooper, Lundy & Bookman: Owning an Opportunity (pdf)

Intersystems: Why Maintaining Provider Information Shouldn't Be So Hard

May 11, 2021

Key Speaker:  Jessica Jowdy, Lead Sales Engineer, and Lynda Rowe, Senior Advisor for Value-Based Markets, Intersystems

Everyone involved in maintaining provider information probably knows how challenging it can be. However, when you look at the numbers, 25% of provider data changes annually, the real complexity can be daunting. Yet poor data can lead to operational inefficiency, problems with revenue collection, and more importantly patient dissatisfaction. 

Key points include:

• Some of the challenges in keeping provider information up to date
• How providers, payers and patients benefit from a single-source-of-truth provider directory
• Overview of how provider directory manages the lifecycle of key provider data

Presentation slides: Intersystems: Maintaining Provider Information Presentation (pdf)

3Analytics: COVID Vaccine Safety: Allaying Safety Concerns, Reducing Vaccine Hesitancy, and Saving Lives With Real-time Analytics and Risk Communication

May 11, 2021

Key Speaker:  Dr. Dharani Gokul Munirathinam, Co-Founder & Chief Scientific Officer, 3Analytics

While COVID vaccinations are ramping up across the globe, no active surveillance of COVID Vaccine Adverse Events (AEs) exists. This lack of real-time surveillance increases vaccine hesitancy and mistrust. Even the World Health Organization is in search of a solution for multiple countries. 3 Analytics has been shortlisted by WHO for a global roll out of Active Surveillance for COVID Vaccine AEFI.

Key points include:

• Why active surveillance of COVID vaccine adverse events is important
• Why old ways of managing safety will not work in this COVID era
• Lack of pharmacovigilance systems in multiple countries to handle Covid vaccine safety
• The challenges in active surveillance of Adverse events following Covid vaccination
• The links between vaccine chemistry and adverse events
• How to proactively avoid allergic reactions from covid vaccines
• How to learn which vaccine is safer for you
• What do in case of an adverse event and how to reduce overall risks in vaccination campaigns
• How to fight fake news
• How to be prepared for future Pandemics if any

Presentation slides: 3Analytics: COVID Vaccine Safety (pdf)

Mettle Solutions: Increasing Standardization in the Prior Authorization Process

May 6, 2021

Speaker: Melanie Combs-Dyer, Director of Innovation, Mettle Solutions

In its Fall 2020 proposed interoperability regulation, the Centers for Medicare & Medicaid Services (CMS) proposed to require several types of payers to develop and maintain a Documentation Requirement Lookup Service (DRLS) using a format called Fast Healthcare Interoperability Resources (FHIR). In addition, CMS proposed to require certain payers to accept prior authorization requests in FHIR format. A group of payer and IT vendor volunteers has formed an HL7 workgroup called the Uniform Elements for Prior Authorization. Chaired by Melanie Combs-Dyer, the Director of Innovation at Mettle Solutions, the workgroup meets weekly in an attempt to increase standardization across payers’ prior authorization elements. Melanie Combs-Dyer, who spent 30 years working at CMS, will gives a talk describing the DRLS vision and discussing the activities of the Uniform Elements for Prior Authorization workgroup.

Key points include:

• A description of a Documentation Requirement Lookup Service (DRLS)
• Understanding how payer DRLS systems can help reduce provider burden
• Seeing how DRLS adoption could pave the way to more/better patient cost transparency
• Hearing about the activities of the Uniform Elements of Prior Authorization workgroup

Presentation slides: Mettle Solutions: Increasing Standardization in the Prior Authorization Process (pdf)

Build or Buy - Delivering Acute Care at Home (Purpose-Built: Bringing the Virtual Hospital to the Home)

April 8, 2021

Speaker: Raphael Rakowski, Executive Chairman, Medically Home

In this presentation, we explore the change management required to adopt Acute Care at Home and the critical components needed to expand the model to multiple use cases and populations.

Key points will include:

• How is the target patient population changing with Covid and new consumer preferences? What does the future hold?
• What are the essential elements of the virtual acute care model?
• How does the model have the potential to scale? Multiple use cases and populations served?
• What is the economic outlook for virtual hospital models?
• What are the reimbursement models from payers and CMS?
• Is there a first-mover market advantage to offering inpatient-level acute care at home?

Presentation slides: Medically Home: Build or Buy - Raphael Rakowski (pdf)

Interoperability: Going Beyond Compliance; A Consumer Centric Approach

March 31, 2021

Speakers: Tammy Graves, Principal, Point B and Susan Yeazel, Customer Director, Point B

In this presentation, Tammy Graves and Susan Yeazel will discuss how payers and providers can move beyond “checking the box”  to be compliant with this new regulation and accelerate their organizations customer experience consistent with the spirit of the regulation.

Key points will include:

• Why compliance is only table stakes
• Why you should leverage the regulation to accelerate your customer experience
• How to take specific next steps to move beyond expectations of the regulation

Presentation slides: Point B - Interoperability Solution (pdf)

The Accelerating Shift to Value Based Care

March 18, 2021

Speaker: David P. Terry, MBA, Co-founder, Chief Executive Officer, Archway Health

The shift from volume to value is about to accelerate significantly due 4 major drivers. This webinar will describe each of these drivers and discuss the impact they will have on providers, payers and patients over the next few years. 

Key points will include:

• Details about the Direct Contracting program and recent updates to Stark laws;
• How COVID-19 and other factors are driving increased provider demand for VBC contracts;
• How provider performance data is being used to change networks;
• Scenarios for how the accelerated shift to value is shift could disrupt the healthcare landscape

Presentation slides: Archway Health - The Accelerating Shift to Value Based Care (pdf)

A Patient Safety "Early Warning" System: Getting the Complete Picture

March 11, 2021

Speaker: Robert Hanscom, Vice President of Risk Management and Analytics, Coverys

This presentation will highlight a methodology whereby the ‘signals’ from malpractice can pose critical questions, and then drive responsive actions. 

Additionally, we will explore how the integration of malpractice insights into a central core of intel has the potential of transforming how healthcare can better predict – and proactively prevent – medical errors and poor outcomes.

Presentation slides: Coverys - Patient Safety "Early Warning" System (pdf)

Tackling the Operational and Cultural Challenges of the Information Blocking Rule

February 23, 2021

Speaker: Adam Greene, Partner in Washington, D.C., Davis Wright Tremaine, LLP.

Key discussion points:

• Understanding the 21st Century Cures Act Information Blocking Rule and what must be done by its April 5, 2021 applicability date
• How to identify, analyze, and remediate potential information blocking practices
• Addressing the cultural challenges among clinical staff and others regarding unfettered access to electronic health information
• Open questions about the Rule that remain unanswered

Presentation slides: Tackling the Operational and Cultural Challenges of the Information Blocking Rule (pdf)

ACT | The App Association: Shifting Privacy Laws and Health Data: An Overview

February 2, 2021

Speaker: Graham Dufault, Senior Director for Public Policy, ACT | The App Association

From new federal Department of Health and Human Services rules to recently-enacted state laws, privacy mandates are imposing a shifting set of requirements on companies that collect and process healthcare data. And the development of data-driven tools to target COVID-19 and mitigate its spread has intensified the spotlight on the nexus between how traditional healthcare companies are regulated versus the activities of tech-driven firms outside the “HIPAA umbrella.”

This presentation will cover three main topics:

1) the state of federal privacy laws and their relationship to healthcare data

2) state level privacy activities (California, mostly)

3) federal proposals and congressional activity

Presentation slides: Shifting Privacy Laws and Health Data: An Overview (pdf)