Panel – Data Sharing and Interoperability: Payer-Provider Data Exchange in Successful Shared Accountability Models

To achieve success in APM implementation, payers and providers need to construct interoperable data architecture to store and transmit data from claims, electronic health records, and other sources. From the payer perspective, their infrastructure must also be able to assess and compare provider cost and quality performance; share raw data and analytic reports with providers; and distinguish the impact of the APM as related to broader economic trends. Equally important is creating systems that address interoperability from the patients’ perspective, to allow ease of access to data, across providers and care teams. This session will feature payers, providers, and CMS speaking to the technical issues in developing interoperable data exchange infrastructure, focusing on potential pitfalls to avoid, and opportunities for efficiencies that will support greater coordination and improved outcomes for patients.

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Theme 2: Payer-Provider Collaboration