"Payer-Provider Convergence Hinges On Data Integration" - Scott Wallask

As the idea of payer-provider convergence becomes more common, tried-and-true data integration technology will help push the new union along. That said, the traditional software – along with applications that aid patient data interoperability – will act as the workhorse behind a gargantuan effort to bring together clinical data and claims information, said Niyum Gandhi, executive vice president and chief population officer at the Mount Sinai Health System. Gandhi will speak on a panel about the payer-provider convergence at the HLTH 2018 conference, which takes place May 6 to 9. As the idea of value-based care takes further root, payer-provider cooperation can be an advantage because the collaboration yields a truer view of patient data. Mount Sinai Health System decided to co-design patient networks with carriers such as Aetna, United Healthcare, and New-York based Oscar Health. “It’s one of the models for payer-provider convergence,” he said. At its peak, the payer-provider convergence allows both sides to rely on the best patient data from any given source, as determined by algorithms within integration software.

- Niyum Gandhi, Executive Vice President, Chief Population Health Officer, Mount Sinai Health System

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