About the Webinar

The COVID-19 pandemic and the need for improved healthcare outcomes require payers to meet member care lifecycle requisites and build member-centric business models. In parallel, NCQA and CMS have made some critical regulatory and policy changes that have forced health plans to enhance the overall member experience and improve interoperability with providers.

The current pandemic accelerated healthcare’s digital transformation, with providers and patients adopting technologies to ensure access to affordable and high-quality care.

This webinar brings together industry leaders’ perspectives on how health plans can identify and implement digital innovations and ensure sustained adoption.

You will learn

  • Digital transformation in the payer industry
    • Support for regulatory challenges
    • Quality, member engagement, and digital interventions
    • Impact on cost of care
  • Driving platform synergies across silos: Benefit operations, clinical services, and member/provider management
  • Value of advanced analytics with clinical and other data sources
  • Digital transformation and health equity in our communities and more.

Register for the Virtual Session

Please enter valid name.
Please enter a valid email address.
Please enter valid contact number.

About the Webinar

The COVID-19 pandemic and the need for improved healthcare outcomes require payers to meet member care lifecycle requisites and build member-centric business models. In parallel, NCQA and CMS have made some critical regulatory and policy changes that have forced health plans to enhance the overall member experience and improve interoperability with providers.

The current pandemic accelerated healthcare’s digital transformation, with providers and patients adopting technologies to ensure access to affordable and high-quality care.

This webinar brings together industry leaders’ perspectives on how health plans can identify and implement digital innovations and ensure sustained adoption.

You will learn

  • Digital transformation in the payer industry
    • Support for regulatory challenges
    • Quality, member engagement, and digital interventions
    • Impact on cost of care
  • Driving platform synergies across silos: Benefit operations, clinical services, and member/provider management
  • Value of advanced analytics with clinical and other data sources
  • Digital transformation and health equity in our communities and more.

About the Presenters

Mike Sutten
Mike Sutten
Chief Technology Officer, Innovaccer & Former CTO at Kaiser Permanente

Mike has more than 25 years of CTO and CIO leadership experience with Fortune 500 organizations, including Kaiser Permanente, Royal Caribbean Cruises, Koch Industries, Sybase and General Electric. Most recently, he served as CTO & Senior Vice President at Kaiser Permanente where he led initiatives on analytics, cloud capabilities, data storage, and mobile technologies for the company. He also served as the CTO and deputy CIO within the U.S. government, where he was recognized for exemplary leadership and service. Throughout his career, he has driven technology innovation by architecting modernized, profitable enterprise-wide systems, ensuring compliance for data integration, and reducing IT costs through the standardization and application of tools. Mike holds an MBA in information systems from the University of San Diego and a Bachelor of Science degree in engineering from Iowa State University.

Fran Soistman Jr.
Fran Soistman Jr.
Executive Healthcare Advisor, Healthcare Management and Transformation Advisory Services LLC

Fran Soistman is the Founder and President of Healthcare Management and Transformation Advisory Services LLC (HMTAS). Prior to this he was Executive Vice President at CVS Health-Aetna , where he led their Government Services Business portfolio, the growth engine of the company. Fran also represented Aetna on the Health Care Transformation Task Force, and served as its Chairman until his retirement from CVS Health- Aetna on October 1, 2019. He was a recipient of the 2004 Ernst & Young Entrepreneur of the Year award in the Healthcare Technology/Services category. From 2004 to 2008, he was appointed by Pennsylvania Governor Rendell to serve on the Health Care Cost Containment Council, providing direction for the state agency charged with addressing growing health care costs.

Matt Lambert
Matt Lambert
MD, Chief Medical Officer, The HCI Group

Matt Lambert, MD is the Chief Medical Officer for The HCI Group and a practicing, board certified emergency medicine physician. Previously with Clinovations and the Advisory Board, he served as the CMIO for New York City Health and Hospitals, leading the Epic implementation for the nation’s largest public health system and as the Physician Program Director for the Epic implementation at the University of Washington in Seattle, WA. He has authored books on healthcare reform: Unrest Insured and Close to Change: Perspectives on Change and Healthcare for a Doctor, a Town, and a Country. He completed his undergraduate work and received his M.D. from Marshall University and trained in emergency medicine at West Virginia University. He currently lives in Washington, DC.

Edward Marx
Edward Marx
Chief Digital Officer, Tech Mahindra Health and Life Sciences

Edward Marx - Consultant & Advisor to healthcare organizations on a digital transformation journey and current Chief Digital Officer at The HCI Group. Leader in the healthcare industry and former CIO at some of the nation's largest health systems. Author of the 2019 best seller "Voices of Innovation" and co-author of "Healthcare Digital Transformation”.