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Chair:  David DeGandiAnna Taylor

Scribe: Dana Marcelonis
 

Attendees


Present

Name

Affiliation

  •  
Cambia
  •  
Anna TaylorMulticare
  •  
Unknown User (kashton)Multicare
  •  
Drajer
  •  
Unknown User (eddyhnieves) Epic
  •  
Isaac Vetter Epic
  •  
Susan LangfordBCBST
  •  
Peter Muir
  •  
Rachel E. Foerster CAQH
  •  
Michael Flanigan Carradora
  •  
Unknown User (erussell)
  •  
Michael Westover Providence St Joseph
  •  
Frank HoneVeradigm
  •  
Cindy MonarchBCBSM
  •  
Erin WeberCAQH
  •  
Nicholas FeliciIBX
  •  
Helina GebremariamCAQH
  •  
Epic
  •  
John StaelensCambia
  •  
Keith FinlayMaxMD
  •  
Availity
  •  
Tracey McCutcheonKPMG
  •  
BCBS AL
  •  
Humana
  •  
Anupam ThakurBCBS FL

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



Team Introductions
  • Co-Leads
    • Dave DeGandi, Cambia
    • Anna Taylor, Multicare
  • Implementation Guide & Reference Implementation Lead - Dragon and Drajer team


Schedule

Targeted for January 2020 Ballot

  • Nov 17 - NIB
  • Nov 25 - Ballot Signup Starts
  • Dec 1 - Initial Content
  • Dec 8 - QA Period Starts
  • Dec 22 - Final content
  • Dec 25 - Ballot Signup Ends
  • Dec 27 - Ballot Voting Starts
  • Jan 27 - Ballot Voting Ends


Use Case Overview
  • Question re: patients covered under value-based contract - where does that list of patients start? With employer, insurance, sponsor...
    • Attribution method is out of scope for this use case
    • Method would have already been agreed upon
  • Question re: in/out of scope - how do we move some of those interaction methods out of scope?
    • Haven't landed on definite in/out of scope interactions - want feedback from group
    • What's the most valuable features that are critical for real-world use? 80/20 rule
    • Build upon it iteratively
  • Question re: future vision - repository on payer side that could be cloned to the provider service? Risk management, CPCI settings - could tighten down the list because often the payer and provider list don't match really well - if it was automatically cloned and synchronized that would help
    • Update workflow - need to discuss how much of this we want to support
    • Is it active synchronization, or is it request/response, notification, etc...
    • GitHub type of solution to make it in sync would reduce manual workflow
    • Standard would provide tools to be able to do that, and implementation would need to make use of those tools


Homework
ManagementNext Agenda
  • Pick up where we left off on Data (slide 20)

Adjournment
Adjourned at 3:58pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
Meeting Presentation MaterialsDa Vinci Risk Based Contract Member Identification_090419.pptx
Project Scope StatementPSS for Risk Based Contract Member Identification (Updated)



Action items


Create Decision from template