HIMSS | NE | The Data Foundation for the Next Chapter of Healthcare

Small amounts of friction become very large amounts of money in a health system. Lisa Morella saw that firsthand over 15 years at Mass General Brigham, where she helped bring accounts receivable days down to 29 and led a team that identified more than $42 million in uncollected copayments. Electronic prior authorization is about to test the same lesson.

As CMS moves payers and providers toward electronic prior authorization in 2027, connecting to a payer’s system is the easy part. If neither side can reliably identify the patient, the provider and the clinical information behind a request, you’ve simply digitized the same friction.

In this on-demand conversation, Ben Bourgeois, Head of Product and Customer Marketing at Profisee, talks with Lisa Morella, Principal at Lubo Consulting and former data governance leader at Mass General Brigham, about why provider data is so deceptively complicated and how to get the fix funded.

What you’ll learn:

  • Why “who are our providers?” is so hard to answer when one physician can be employed, contracted or affiliated across several hospitals, and some “providers” are MRI machines or infusion chairs

  • How to stop pitching a Find a Doc fix and build the business case around referral leakage, payer denials, wait times and reimbursement

  • Why moving to Snowflake, Databricks or Microsoft Fabric relocates bad data instead of fixing it, and why your data strategy and AI strategy can’t be separate plans

  • How governance over who can see protected health information keeps AI from consuming data it should never touch

Built for data, analytics, IT and patient access leaders at health systems and payers. Watch on demand and explore related resources in the event console.

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LET'S DO THIS!

Complete the form below to request your spot at Profisee’s happy hour and dinner at Il Mulino in the Swan Hotel on Tuesday, March 21 at 6:30pm.

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