Chairs: Corey Spears Vanessa Candelora
Scribe: Vanessa Candelora
Agenda Topics
Agenda Outline | Agenda Item | Meeting Minutes from Discussion |
---|---|---|
Management | Review ANSI Anti-Trust Policy | |
Housekeeping | Welcome back and Welcome any newcomers! | |
Announcements | Reminder: Cancelled for Connectathon on 1/17. See you on 1/24. | |
Project Update | PCT STU1.1Published! https://hl7.org/fhir/us/davinci-pct/STU1.1/ Remaining Tickets will be included in Ballot, targeting May 2024 cycle. | |
January Connectathon (Virtual) Kick Off was Dec 13th. | January 16-18, 2024 Registration now open: January 2024 Virtual Connectathon - Da Vinci Tracks PCT Usual Track Focus, plus testing the AEOB Summary, and other new areas from phase 2 efforts! Please reach out to Rick Geimer , Corey Spears andVanessa Candelora if you are interested in a specific testing area. We can help find partners for you. Track Proposal: 2024 - 01 Da Vinci Patient Cost Transparency (PCT) Track Orientation / Kick off - See PCT Track pagefor slides and recording. Fill out your surveyif you have not already! Online registration is available until the end of the day on Tuesday, January 16th, 2024 | |
GFE Tiger Team - Providers Update (1min) | We are convening. Da Vinci Patient Cost Transparency (PCT) team is gathering providers and facilities to convene and discuss Good Faith Estimates and the process to coordinate with other providers and facilities for this No Surprises Act requirement. Format: 1-hour meetings every other week/2x per month for 8-10 weeks Goal: Convene diverse provider organizations to solicit, synthesize and define the data exchange needs of Convening Providers/Convening Facilities and Co-Providers/Co-Facilities to create Good Faith Estimates under the No Surprises Act. Our goal is not to repeat other conversations throughout the industry, but to leverage other conversations and bring people together around discovery of data requirements and workflow process. If you are aware of this conversation occurring somewhere else, please let us know. Please email DaVinci PMOdavincipmo@pocp.com with subject “Interest in Provider GFE Tiger Team.” | |
Phase 2: Requirements for Provider to Provider GFE | Continued Discussion on the Provider to Provider GFE Notification, Acknowledgement, and GFE sharing workflow. Goals for the call today (1/10/2024): 1) Update on Profiles for Phase 2 (see separate branch: https://build.fhir.org/ig/HL7/davinci-pct/branches/phase_2/
2) FHIR(r) Task Resource Elements & workflow, such as:
| |
Reminder: Cancelled for Connectathon on 1/17. See you on 1/24. | ||
Chat | ||
Adjourned at pm ET |
Supporting Documents
Outline Reference | Supporting Document |
---|---|
Previous Minutes | |
Supporting Information Links | Patient Cost Transparency Supporting Materials
|
Phase 2 Info | Phase 2: The goal is to define standard exchange for Provider to Provider GFEminimumviable requirements with space for optional, useful data to drive better estimates for patients without additional burden. Slides from summary of discussions:Da Vinci PCT Phase 2 Requirements - Sept 2023.pptx Detailed Data Elements: PCT Phase 2 Elements 2023 07 14.xlsx |
Useful Links | Continuous Integration Build IG: https://build.fhir.org/ig/HL7/davinci-pct/ Github: https://github.com/HL7-DaVinci/test-pct-payer Zulip for FHIR Community to share feedback:https://chat.fhir.org/#narrow/stream/301151-Da-Vinci.20PCT PCT JIRA Dashboard (Ballot and other IG Comment Tracking): https://jira.hl7.org/secure/Dashboard.jspa?selectPageId=14010 Join PCT listserv HERE. While logged into your HL7 account, expand "Da Vinci Project"in the menu on the right-hand side of the page and click "join". |
Action items
- Type your task here, using "@" to assign to a user and "//" to select a due date
Attendees
Present | Name | Affiliation | Present | Name | Affiliation | Present | Name | Affiliation |
---|---|---|---|---|---|---|---|---|
Aditya Pattnaik | Onyx | Jackie Hemenway | UPMC | Patricia Taylor | BCBSA | |||
Alexandra Mugge | CMS | Jacob Woodford | EPIC | Patrick Edwards | Arkansas BCBS | |||
Akusi | ||||||||
Alice O'Carroll | FL Blue | James Pittman | WPS | Paul Knapp | ||||
Amol Vyas | Cambia Health | Jaime Lampshire | Cleveland Clinic | Peter Gunter | VA (Federal Electronic Health Record Management) | |||
Andrea Preisler | AHA | Jamie Farah | FL Blue | Pragya Sharma | ||||
Andrei Guselnikov | Edifecs | |||||||
Ankit Kumar Agarwal | @Jamie Hermansen | CMS | R Nobles | |||||
Anoop Mohemmed | Humana | Jamie Parker | AEGIS | Rachel E. Foerster | Rachel Foerster & Associates, Ltd. (RFA) | |||
Anup | Evernorth | Jeff Helman | AEGIS | Rahul Dewal | ||||
Artem Sopin | Edifecs | Jeffrey Danford | Optum | Ranah Anan | Cognizant | |||
Jeff Mincher | Texas Health Resources | Ranjith Kandur | Elevance Health | |||||
Ashley Knox | Cognizant | Jennifer Boaz | BAH/HIIG | |||||
Ashley Barrow | RE-Assist | Jennifer Thomas | MCC | Rany ElDiwany | athenaHealth | |||
Jessica Czulewicz | CMS | Rick Geimer | Lantana | |||||
Balaji Narayanan | Onyx | Jill Elder | Providence | Rick Lisseveld | AEGIS | |||
Beth Davis | Jill Somero | MEDITECH | ||||||
Bettina Vanover | Cognizant | Robert Hausam | Lantana | |||||
BenjiGraham | Bellese | Jill Vincente | Weill Cornell Medicine | Robert Dieterle | EnableCare | |||
Bhargav | Jim StClair | Interoperability Institute | Ronald Wampler | CVS Health/Aetna | ||||
Brian Johnson | HCA Healthcare | Joe Joseph Quinn | Ross Sadler | Hospital for Special Surgery | ||||
Bryan Briegel | Merative | Josh Lamb | Optum | Ryan Moehrke | AEGIS | |||
Josh Loria | Teton Health | |||||||
Caitlin O'Donnell | Smile Digital Health | Joshua Kelly | Flexpa | Sam Undine | BCBSA | |||
Caitlyn Campi | FL Blue | Sampath Jayaprakash | ||||||
Carie Hammond | AEGIS | Kaitlin Powers | CAQH CORE | Sarah Cutcliffe | Hospital for Special Surgery | |||
Carmen Smiley | CMS/CCIIO | Karen Roswon | Savanah Arceneaux | Oschner Health | ||||
Celine Lefebvre | AMA | Kassie Mintesnot | Scott Haselton | Atlas | ||||
Chris Cioffi | Elevance Health | Kathy Trubisky | AultCare Insurance Company | Scott Weinberg | CMS | |||
Chris Johnson | BCBSAL | Kayla Heath | AultCare Insurance Company | Shanna Hartman | CMS | |||
Christol Green | Elevance | Kendra May | CMS/CCIIO | Shawn Wilson | FL Blue | |||
Christopher Gracon | Independent Health | Kenny W | Athena Health | Sheryl Turney | Elevance | |||
Charles Porter | Kevin Day | Edifecs | Shouray | Onyx | ||||
Corey Spears | Lantana | Kevin Larsen | Optum | Soham Chakraborty | Onyx | |||
Crystal Ponder | FL Blue | Spencer Goodwin | Turquoise Health | |||||
Spencer Utley | Epic | |||||||
Darcey Adams | Linda Michaelsen | Optum | Stacey Davis | McPhee | ||||
Derrin Ritchie | Point of Care Partners | Lloyd McKenzie | Dogwood | Stanley Nachimson | Nachimson | |||
David DeGandi | Cambia | Lora Redden | Texas Health Resources | Susan Langford | BCBS TN | |||
David DeRoode | Lantana | Lorraine Doo | CMS | |||||
David Potochniak | Lynn Chapple | Optum | Taha Anjarwalla | CAQH | ||||
David Riddle | HealthLX | Tara Rose | Optum | |||||
Dawn duch*ek | Teresa McSpadden | Providence | ||||||
Dawn Sprague | Cognizant | M. McFarlin | FL Blue | Terrence Cunningham | AHA | |||
Denise StClair | Global Alliant, Inc. | Madhu Madhusudana B Shivalinge Gowda | Tessa Hrkal | Booze Allen | ||||
Dev | Findcare (FL Blue) | Mara DiSalvo | Thomson Kuhn | |||||
Don Quackenbush | Mariel Brechner | Evernorth | ||||||
Durwin Day | HCSC | Mary McKee | Turquoise Health | Tina Mintyala | Providence | |||
Mary Kay McDaniel | Markam | Tom Frame | BCBS FL | |||||
Elissa Dines | CMS/CCIIO | Max Greenfield | Tony Benson | BCBS AL | ||||
Ellen Anderson | Evernorth | Meryl Bloomrosen | AMA | Travis Higgins | ||||
Emily Ames | CMS/CCIIO | Michael Cabral | Peraton | Tye Murphy | Florida Blue | |||
Eric Ellsworth | Consumers' Checkbook/Center for the Study of Services | Michael M | Florida Blue | |||||
Eric Rutledge | Smile Digital Health | Michael Marchant | UC Davis | Vala Rae Williams | Rohr | |||
Erica Martin | AMA | Michelle Schreiber | Vanessa Candelora | POCP | ||||
Erin McCarthy | Florida Blue | Michele Galioto | POCP | Viet Nguyen | Stratametrics | |||
Ezequiel Morales (EZ) | Evernorth | Michelle Barry | Availity | Virgil Bretz | MacroHealth | |||
Miranda Lee | Availity | |||||||
Gangadhara Daka | Florida Blue | Mohan Devaragatla | Florida Blue | Wendi Moy Akin | CMS/CCIIO | |||
Gurbinder Singh | Humana | Wendy Gereke | AEGIS | |||||
Heather McComas | AMA | Navaya Kadam | Onyx | Yalil Caraballo | Optum | |||
Heather Swartz | Nick Radov | |||||||
Ingrid Saldana | Hospital for Special Surgery | Zackery Welch | Providence |