From Burden to Breakthrough: Efficient Prior Auth, Patient Access & Payer Data Exchange
Online
Available On Demand
1 hour
Modernizing Clinical Data Infrastructure: A Roadmap to CMS Compliance and Real-World Results
What does it really take to modernize clinical data infrastructure in today’s complex healthcare landscape and meet prior authorization requirements? This session explores how one national payer overhauled its outdated systems to meet CMS mandates like 0057-F and 9115—not just to gain compliance, but to drive real-world results. By rebuilding their clinical data infrastructure from the ground up, they unlocked faster claims processing, real-time interoperability, and seven-figure savings. Providers and payers alike can modernize a patchwork of systems into a modular, cloud-based architecture that’s ready for anything—meeting the compliance requirements of CMS 9115 and 0057-F, while also building the data foundation for advanced clinical analytics. If you’re leading innovation, this transformation story offers a roadmap for building future-ready, interoperable systems that serve both clinical and business goals.
Speakers
Joerg Schwarz
Senior Director for Healthcare Interoperability Solutions and Strategy, Infor
Joerg Schwarz is currently Senior Director for Healthcare Interoperability Solutions and Strategy at Infor with over 25 years of experience in the Healthcare Industry and in the interoperability space specifically. Prior to Infor, Joerg worked as a Director at GE Healthcare and Agfa Healthcare, designing, and implementing solutions for medical image- and document- exchange as well as integrated care.
Chris Smith
Enterprise Architect, Willow Consulting
Chris Smith is the Enterprise Architect and leads CMS Compliance for IT with the Mississippi Division of Medicaid. He is a healthcare IT speaker, author, and industry committee member. Smith has extensive state agency experience, including creating and implementing multiple state enterprise technical visions, developing state budgets and funding requests (APDs) for the Centers for Medicare and Medicaid Services (CMS), and designing shared (State and CMS) strategy documents.