Wednesday, May 24th 11:30 am - 1:00 pm ET Click here for more info

BOSTON, MA USA -- HEALTHCARE UPDATE NEWS SERVICE™ -- MAY 22, 2023: There is not a stakeholder in healthcare that opposes reducing unnecessary administrative complexity. The Federal Government is about to finalize regulations that will compel certain payers to automate prior authorization to achieve this goal. Massachusetts is poised to implement automation state-wide, with critical input from stakeholders.

Our webinar will explain, in concrete terms, what automation involves, the solutions technical service providers have developed, and the structures and support that will enable significant improvements in the prior authorization process over the next two years.

Join the Network for Excellence in Health Innovation and Massachusetts Health Data Consortium as we share our recommendations for automating prior authorization across Massachusetts within the next two years. These recommendations are a result of our 12-month project with a group of stakeholders that included payers, providers, technical service providers, and federal and state regulators.

Over the course of 90 minutes, we will:

• Provide a brief overview of prior authorization automation and its benefits,
• Examine the upcoming CMS Final Rule ("Advancing Interoperability and Improving Prior Authorization Processes") and the subsequent technological changes faced by impacted payers,
• Detail our plan to implement automation activities in Massachusetts,
• Describe the stakeholder considerations that molded our recommendations, and
• Hear reactions to our plan from payers, providers, vendors, and you!

INTRODUCTIONS AND BACKGROUND

Presenters:

Wendy Warring, JD, President & CEO, Network for Excellence in Health Innovation (NEHI) Lauren Bedel, MPH, Senior Health Policy & Program Associate, Network for Excellence in Health Innovation (NEHI)

PANEL 1: AUTOMATION TECHNOLOGY

Presenter and Moderator:	Dave Delano, Executive Director, New England Healthcare Exchange Network (NEHEN); Senior Director, Massachusetts Health Data Consortium (MHDC)
Panelists	Kevin Carroll, Chief Growth Officer, Hook Heath Hanwick, Product Manager, Epic Panelist TBD

PANEL 2: REAL LIFE FEASIBILITY & STAKEHOLDER REACTIONS

Presenter:	Denny Brennan, Executive Director & CEO, Massachusetts Health Data Consortium (MHDC)
Moderator:	John Glaser, PhD, Executive in Residence, Harvard Medical School
Panelists	Barbara Spivak, MD, President & Internist, Mt Auburn Cambridge Independent Practice Association (MACIPA); President, Massachusetts Medical Society (MMS) Lee Green, Chief Architect, Blue Cross Blue Shield of Massachusetts (BCBSMA) Niall O'Connor, Chief Technology Officer, Cohere Health Michael Gould, Associate Vice President, Interoperability Solutions, ZeOmega Panelist TBD

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