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Chair:  Dr.Nita Thingalayaand Dr.Julia Skapik

Scribe: Dana Marcelonis
 

Attendees

Present

Name

Affiliation

  •  
Robert DieterleEnablecare
  •  
Stratametrics
  •  
Nita ThingalayaIBC
  •  
Cambia Health Solutions
  •  
Duane WalkerBCBSM
  •  
Gregory MagazuCaseNet
  •  
Jeanie SmithBCBSFL
  •  
Corey SpearsInfor
  •  
Greg Linden
  •  
Joseph QuinnOptum
  •  
Ashley SteddingCMS
  •  
Barbara AntunaAIM Specialty Health/ Anthem
  •  
Mary Kay McDanielCognosante
  •  
Michael GouldIBC
  •  
Laurie BurckhardtWPS Health Systems
  •  
Serafina Versaggi
  •  
Sreenivas MallipeddiMCG Health
  •  
Susan BellileAvaility
  •  
Susan LangfordBCBST
  •  
Taha AnjarwallaCAQH
  •  
Tony BensonBCBSAL
  •  
Tracey McCutcheonKPMG
  •  
Brent WoodmanBCBSM
  •  
Sonja ZieglerOptum
  •  
Dawn PerreaultBCBSM
  •  
CMS
  •  
Anupam ThakurBCBS FL
  •  
Anthem
  •  
Jeffrey DanfordAllscripts

Present

Name

Affiliation

  •  
John BialowiczBCBSM
  •  
Nandini GangulyScope Info Tech/ EMDI
  •  
Peter Muir
  •  

  •  
Pallavi TalekarScope Info Tech
  •  
Julia SkapikCognitive Medicine
  •  
Kelly TaylorCMS
  •  
Karen L. ZapataAnthem
  •  
Brandon RaabAnthem
  •  
Cindy MonarchBCBSM
  •  
Michael CabralCMS
  •  
Nick RadovUHC
  •  
Anne MeisheidCMS
  •  
Isaac VetterEpic
  •  
James Derrickson
  •  
Laurie WoodromeLabcorp
  •  
Ric LightHumana
  •  
Harvey KuangExpress Scripts
  •  
BCBS AL
  •  
Gevity
  •  
Julia ChanCW Global Consult
  •  
Ken Lord
  •  

  •  

  •  
Roland Gamache
  •  
Alberto S. Llanes Anthem
  •  
Mark Scrimshire
  •  

  •  


  •  



Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy


ManagementBallot and Connectathon Schedule

PCDE Connectathon Kick-Off (to be recorded)
  • Attendance at both virtual half days is encouraged (Aug 28 & Sept 4 12-4pm ET)
  • May decide to combine PDex and PCDE tracks depending on interest/participants
  • Feedback from CMS that it's not a requirement to have member authorization to do the exchange between old and new payer
    • Could be initiated by either payer or by a member
    • Implementation Guide currently includes member initiated, with a pull by the new payer
    • How does payer know where to pull it from?
      • Payer asks member
      • Member request
    • Medicaid world, plan gets a list of members coming to them and plan gets a list of members leaving them
      • This IG is a huge win for Medicaid
      • They may have additional requirements we could expand upon IG to satisfy
  • Need a scenario with more than one condition
  • Presentation and recording


September Ballot Sign Up Reminder
  • Sign up closes August 8th
  • Can still provide comments in gforge tracker if not a member and not signed up to vote

ManagementNext agenda



 Adjournment

Adjourned at 2:55pm ET


Supporting Documents


Action items


Create Decision from template