What external payer data demands for value-based care and AI

Friday, September 25
12:00 PM - 1:00 PM CDT
  • Rob Pinataro

    Moderator:

    Rob Pinataro

    CEO

    Health Data Innovations

  • Christopher Ragsdale

    Panelists:

    Christopher Ragsdale

    Founder and Principal

    Towers Advisory

  • John Supra

    Panelists:

    John Supra

    Founder and Managing Member

    Better Health Matters

  • Jonathan Kaye

    Panelists:

    Jonathan Kaye

    Founder and Executive Chairman

    Health Data Innovations

Bring external payer data into a health system and it can look like a one-time integration project — connect, map, deliver, done. It rarely works that way. Teams must track expected files, validate incoming data, interpret payer-specific formats, reconcile claims against history and deliver trusted data to every downstream system that depends on it.

This panel of healthcare data and value-based care leaders examines the full operating commitment behind external data management, and how responsibilities and controls differ across three models: an internal build, analytics-platform ingestion and specialized third-party management.

The goal isn’t one answer for every system — it’s a clear-eyed view of what each approach requires as payers, contracts and AI use cases multiply.

Join to learn:

  • What happens after the first file arrives: tracking, validation, mapping, reconciliation and issue resolution
  • Five cost considerations that may not appear in the initial estimate, from operations to downstream risk
  • Why value-based care raises the stakes on reliable claims data for attribution, quality measurement and settlement
  • How to compare an internal build, analytics platform and external management on ownership, controls and scalability