Page tree
Skip to end of metadata
Go to start of metadata

Chair:  Dr.Nita Thingalayaand Dr. Julia Skapik

Scribe: Dana Marcelonis
 

Attendees

Present

Name

Affiliation

  •  
Robert DieterleEnablecare
  •  
Stratametrics
  •  
Nita ThingalayaIBC
  •  
Cambia Health Solutions
  •  
Gregory MagazuCaseNet
  •  
Jeanie SmithBCBSFL
  •  
Corey SpearsInfor
  •  
Optum
  •  
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
  •  
BCBSAL
  •  
Tracey McCutcheonKPMG
  •  
Dawn PerreaultBCBSM
  •  
CMS
  •  
Anupam ThakurBCBS FL
  •  
Anthem
  •  
Allscripts
  •  
BCBSM
  •  
Chris JohnsonBCBSAL
  •  
MITRE
  •  
ZeOmega
  •  

  •  

  •  
Cigna
  •  
eClinicalWorks
  •  
Tibco
  •  
Eddy NievesEpic
  •  
Christopher Gracon

Jay Taylor

Present

Name

Affiliation

  •  
John BialowiczBCBSM
  •  
Nandini GangulyScope Info Tech/ EMDI
  •  
Peter Muir
  •  
CAQH
  •  
Pallavi TalekarScope Info Tech
  •  
Kelly TaylorCMS
  •  
Karen L. ZapataAnthem
  •  
Brandon RaabAnthem
  •  
Cindy MonarchBCBSM
  •  
Michael CabralCMS
  •  
Nick RadovUHC
  •  
Epic
  •  
James Derrickson
  •  
Laurie WoodromeLabcorp
  •  
Ric LightHumana
  •  
Harvey KuangExpress Scripts
  •  
BCBS AL
  •  
Gevity
  •  
Julia ChanCW Global Consult
  •  
Ken Lord
  •  
Edifecs
  •  

  •  
Roland Gamache
  •  
Alberto S. LlanesAnthem
  •  
Mark ScrimshireNew Wave
  •  
EMR Direct
  •  
Patrick MurtaHumana
  •  
Ranjith KandurAnthem
  •  
MITRE
  •  
Joe MinieriMITRE
  •  
Dave Foster
  •  
Providence
  •  
Betty SullivanAllscripts
  •  

  •  
June Bronnert
  •  
Cynthia GinsburgCMS
  •  
Eshaa DhalleClinicalWorks
  •  
Ronald MacDurmon


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



Follow ups from last week

  • Block vote
  • Member and health plan identifiers
    • #24761 needs follow up after above discussions take place
  • Terminology
  • Block vote occurred and was approved
  • Member and health plan identifiers discussions still underway
  • Terminology - taken care of for Condition and Procedure (ICD-10 and SNOMED)


Ballot comment review continued

  • Identified last week for this week:
    • 24776
    • 24779
    • Re: CommunicationRequest approach: 24787,24788
    • 24822
    • 24823
    • 24824
    • 24825
    • 24797
    • 24799
    • 24810
    • 24812
    • 24813
    • 24814
    • 24817
    • 24818
    • 24819
    • 24820
    • 24821

#24821

#24776

#24779

  • Proposed a resolution during last week's call
  • Persuasive with Mod

#24787, 24788

  • Deferred review of these items until Lloyd receives more feedback on his data sharing guidelines document

#24822

#24823

  • SMART apps can ask for access for certain scopes (e.g., read patient or allergy, etc.)
  • Is there an expectation that whatever app that patients use to grant permission to share, they can choose amongst the scopes that the system is going to have access to
    • Payer would be limited in constructing the document to only using the types of information that the patient authorized
  • Patient consent is not required - HIPAA says for this purpose you can exchange whatever is necessary as long as it's the minimum necessary to support continuity of care
  • What happens if patient authorizes sharing less than what's minimum necessary?
  • SMART scope is just about creating the request - the OAuth is not dealing with authorization in terms of the data to be shared
  • At this time there's no way using OAuth to restrict it to a specific treatment (or at all) - OAuth applies to what can the app do, not what the payer can do
  • It's up to the plan to respect HIPAA, state, and federal regulations, and where appropriate, patient preferences
    • Preferences to be collected by old plan or the new one?
    • Assuming prior to transaction, member has previously expressed preferences to old plan

#24825

  • Add language to clarify that the Intent of original text was to indicate you can share information that isn't necessarily related to current active treatment but is still relevant to payer evaluation of subsequent treatment or guidance they would choose to provide

ManagementNext agendaBallot comment review continued
 Adjournment

Adjourned at 3:01pm ET


Supporting Documents


Action items


Create Decision from template