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The Countdown to CMS Interoperability and Prior Authorization (CMS-0057) Compliance: What You Need to Know Now
Event Date: 12/2/2025
Event Overview
12/2/2025
1:00 PM – 2:00 PM CT (60 minutes)
Zoom Meeting
CMS Interoperability and Prior Authorization Final Rule (CMS-0057) set transformative requirements for data sharing and patient access across payers and providers. While the final compliance deadline is January 2027, an interim milestone – Patient Access Reporting – must be in place by January 1, 2026. Dr. Don Rucker, former National Coordinator for Health IT (ONC) and Chief Strategy Officer at 1upHealth, will outline how to turn compliance with these regulations into a strategic opportunity.
Organizations that haven’t started preparing must act now to meet these mandates and position themselves for success.
You’ll leave with a:
- Deeper understanding of CMS-0057 requirements and what they mean for your organization.
- Strategic roadmap and timeline for implementation that enables you to stay ahead of deadlines.
- List of questions to ask interoperability vendors during the selection process to ensure you efficiently meet the regulations.
- Range of use cases to use newly available data to advance care management, member engagement, risk management, and value-based care initiatives.
Attendees
Below is a list of all delegates registered to date for this event
- Alison Aluli-Imberman
- ALLIANCE MEMBER
- Vice President of Operations/ Interem CIO at Health First Health Plans
- Chuck Alvarado
- ALLIANCE MEMBER
- Chief Administration Officer at MediGold
- Sarah Anzick
- ALLIANCE MEMBER
- Manager, Quality Improvement at Sentara Health Plans
- Lisa Arian
- ALLIANCE MEMBER
- Medical Director at Sharp Health Plan
- Andre Beauchamp
- ALLIANCE MEMBER
- Senior Business Data Analyst at Sharp at Sharp Health Plan
- Hilary Berthiaume
- ALLIANCE MEMBER
- Compliance Business Partner at Neighborhood Health Plan of Rhode Island
- Frederick Borchert
- ALLIANCE MEMBER
- Application Systems Analyst III at Johns Hopkins Health Plans
- Julie Boutwell
- ALLIANCE MEMBER
- Medicare Audit Analyst - Compliance at Providence Health Plan
- Suzanne Brown
- ALLIANCE MEMBER
- Vice President, Regulatory at Baylor Scott and White Health Plan
- Dean Cannon
- ALLIANCE MEMBER
- Chief Medical Director at CHRISTUS Health Plan
- Maria Capretta
- ALLIANCE MEMBER
- Sr. Clinical Operations and Compliance Specialist at Medical Mutual
- Katherine Cole
- ALLIANCE MEMBER
- Project Specialist at CommunityCare
- Rocio Cortez
- ALLIANCE MEMBER
- Director of Population Health Management at CCHP
- Janese Crawford-Chriscoe
- ALLIANCE MEMBER
- Revenue Integrity Analyst at Sentara Health Plans
- Sharon Dajon
- ALLIANCE MEMBER
- Director of Compliance at Sentara Health Plans
- Andrea Dillon
- ALLIANCE MEMBER
- Insurance Product Manager at Avera Health Plans
- Juanita Dowell
- ALLIANCE MEMBER
- Manager Health Plans Compliance at CHRISTUS Health Plan
- Molly Eickholt
- ALLIANCE MEMBER
- Manager, HFHP Integrity at Health First Health Plans
- Angel Ems-McLaren
- ALLIANCE MEMBER
- Director, Government & Commercial Product at Health Alliance Plan (HAP)
- Stephen Evans
- ALLIANCE MEMBER
- Medical Director at HealthTeam Advantage
- Barry Facile
- ALLIANCE MEMBER
- Director of IT at Avera Health Plans
- Marisa Finley
- ALLIANCE MEMBER
- VP, Assistant General Counsel at Baylor Scott and White Health Plan
- William Fort
- ALLIANCE MEMBER
- Director of IS at Baylor Scott and White Health Plan
- Kristin Gerhard Steiner
- ALLIANCE MEMBER
- Marketing Technology at Presbyterian Health Plan
- Keishaun Goldmas
- ALLIANCE MEMBER
- Government Programs, Regulatory Affairs Manager at Providence Health Plan
- Patti Grady
- ALLIANCE MEMBER
- Director Medical Management at CHRISTUS Health Plan
- Matthew Hesser
- ALLIANCE MEMBER
- Analyst at Geisinger Health Plan
- William Holder
- ALLIANCE MEMBER
- Medical Economics, Analyst at Denver Health Medical Plan
- Rita Hurley
- ALLIANCE MEMBER
- Privacy Program Manager at Network Health
- Jamie Johnson
- ALLIANCE MEMBER
- QI Stars Specialist at CommunityCare
- Rita Johnson
- ALLIANCE MEMBER
- Coding Compliance Specialist / Educator at Presbyterian Health Plan
- Max Kaiser
- ALLIANCE MEMBER
- Medical Director at Samaritan Health Plans
- Venkataramana Kamireddy
- ALLIANCE MEMBER
- Head of IT Enterprise Services at Health New England
- Susan Kerrigan
- ALLIANCE MEMBER
- Manager Integrity Auditing and Monitoring at Health First Health Plans
- Stacy Knudsvig
- ALLIANCE MEMBER
- Director Government Programs CM at Select Health
- Uttam Kumar
- ALLIANCE MEMBER
- Project Manager at Baylor Scott and White Health Plan
- Daniel LaPonsie
- ALLIANCE MEMBER
- VP, Strategic Program Development at Health Alliance Plan (HAP)
- Mark Lorson
- ALLIANCE MEMBER
- Pharmacist at Neighborhood Health Plan of Rhode Island
- Charlotte Luebbert
- ALLIANCE MEMBER
- Director of Medicare Part D Pharmacy Services at Baylor Scott and White Health Plan
- Harry Mankabady
- ALLIANCE MEMBER
- Business Analyst at CCHP
- Joel Maycock
- ALLIANCE MEMBER
- Healthcare Market Analyst at Triad Healthcare Network - Cone Health at HealthTeam Advantage
- Norman Navarro
- ALLIANCE MEMBER
- Pharmacy Compliance Coordinator at Providence Health Plan
- Jennifer Newton
- ALLIANCE MEMBER
- Business Architect at Select Health
- Patrick Nguyen
- ALLIANCE MEMBER
- Pharmacist at Valley Health Plan
- Olapeju Olasokan
- ALLIANCE MEMBER
- Medical Director at Medical Mutual
- Danilo Ospina
- ALLIANCE MEMBER
- Compliance Audit Specialist at Neighborhood Health Plan of Rhode Island
- Kenna Palmer
- ALLIANCE MEMBER
- Manager, Project Management Office at CommunityCare
- Tavonda Parker
- ALLIANCE MEMBER
- Director of Utilization Management at HealthTeam Advantage
- Jaydeep Patel
- ALLIANCE MEMBER
- Medical Director at CHRISTUS Health Plan
- Deanna Pearson
- ALLIANCE MEMBER
- Medical Operations Manager at HealthTeam Advantage
- Margaret-Ann Perracchio
- ALLIANCE MEMBER
- Director Population Health Clinical Programs at Health New England
- Maggie Perritt
- ALLIANCE MEMBER
- HFHP Medical Integrity Officer at Health First Health Plans
- Shannon Picozzi
- ALLIANCE MEMBER
- Senior Policy Analyst at Neighborhood Health Plan of Rhode Island
- Lee Pritchett
- ALLIANCE MEMBER
- Manager, Medicare Marketing & Communications at HealthTeam Advantage
- Sheryl Pullen
- ALLIANCE MEMBER
- RN at Providence Health Plan
- Preston Renshaw
- ALLIANCE MEMBER
- Chief Medical Officer at Avera Health Plans
- Celeste Richards
- ALLIANCE MEMBER
- Chief Operating Officer at Alliant Health Plans
- Tim Riley
- ALLIANCE MEMBER
- Vice President, Information Systems at Network Health
- Noel Rivas
- ALLIANCE MEMBER
- System Director, Information Services at CHRISTUS Health Plan
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- Susan Sanchez
- ALLIANCE MEMBER
- Chief Information Officer at Cox HealthPlans
- Anthony Serrano
- ALLIANCE MEMBER
- Compliance Officer at Aspire Health Plan
- Michelle Skelly
- ALLIANCE MEMBER
- Director of Marketing and Communications at Alliant Health Plans
- Kate Snyder
- ALLIANCE MEMBER
- Principal Clinical Informatics Specialist at Providence Health Plan
- Wendy Soe-McKeeman
- ALLIANCE MEMBER
- Chief Legal Officer at Western Health Advantage
- Anastasia Sofranac
- ALLIANCE MEMBER
- Program Manager at Providence Health Plan
- CLIFF STUDLEY
- ALLIANCE MEMBER
- Senior IT Project Manager at Neighborhood Health Plan of Rhode Island
- Patricia Suffern
- ALLIANCE MEMBER
- Chief Compliance Officer at MediGold
- Suzanne Sullivan
- ALLIANCE MEMBER
- Director, Clinical Quality Improvement at Medical Mutual
- Lynne Valenti
- ALLIANCE MEMBER
- staff attorney at Avera Health Plans
- Bestin Vayalunkal
- ALLIANCE MEMBER
- Senior Manager of software engineering at Neighborhood Health Plan of Rhode Island
- Nancy Weber
- ALLIANCE MEMBER
- Clinical Integration Program Manager at Network Health
- Vanessa Williams
- ALLIANCE MEMBER
- Program Manager at CHRISTUS Health Plan