Agenda – Day 3

Steven S. Lazarus is President and Co-Founder of Boundary Information Group (BIG), a virtual health care information and technology consulting firm. The firm is recognized for its leadership in conducting “mock” audits for HIPAA Privacy, Security, Breach Notification, Transactions, Code Sets, Identifier and Operating Rules; and EHNAC Accreditation. His consulting engagements include electronic health records (EHR), health information exchange (HIE), system strategic planning, operating rules implementation and compliance, revenue cycle improvement and workflow improvement, and HIPAA compliance. His clients include physician practices, hospitals, HIEs, insurance companies, vendors, government (Federal, State and local) and national associations. In 2004, he co-founded Health IT Certification, LLC. He is a faculty member and Vice-Chair of the Board of Examiners. He has been accepted by the Courts as an expert HIPAA witness. Dr. Lazarus is a Former Chair of WEDI.

Madhu Annadata is the Director of the Division of National Standards (DNS) in the Program Management & National Standards Group (PMNSG) in the Office of Information Technology (OIT) at the Centers for Medicare & Medicaid Services (CMS). As Director of DNS, Madhu directs the regulation and guidance materials for the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including transactions, code sets, and unique identifiers.

Madhu started his federal career with CMS in 2009 where he held several leadership positions most recently as the Director of the Division of National Standards.

Madhu holds a Master of Science (MS) degree in Computer Science and a Master of Business Administration (MBA) and Masters Certificate in Program Management.

Gwendolyn Lohse is the Managing Director of the CAQH Committee on Operating Rules for Information Exchange (CAQH CORE) and CAQH Explorations. CAQH is a catalyst for industry collaboration on initiatives that simplify healthcare administration. CAQH CORE brings together over 130 healthcare industry stakeholders to make the interoperable exchange of administrative data a reality. Three sets of CAQH CORE operating rules are federally mandated. Additionally, voluntary CORE certification is well recognized and adopted throughout the market. Prior to joining CAQH, Ms. Lohse was with PricewaterhouseCoopers serving both domestic and international healthcare clients, and Johns Hopkins Healthcare.

Merri-Lee Stine is a Sr. Project Lead at Aetna with primary responsibility for coordinating work across EDI transactions. She is also responsible for advising on operating rule and other regulatory requirements at Aetna.

She is the vice chair of the Insurance Subcommittee at X12. She is also the past co-chair of X12’s Program Management Task Group, Harmonization and Claim Status Workgroups. She was also a past chair of the Codes Committee. She was a co-chair of the CAQH CORE EFT and ERA Subgroup and actively participated in the development of the CORE Phase I and Phase II operating rules and had a lead role in Aetna’s implementation of them.

As Director of HIT Policy for the Association, Mr. Tennant focuses on federal legislative and regulatory information technology issues including HIPAA, administrative simplification, federal quality reporting programs, EHR policy, and other HIT topics. Mr. Tennant currently participates with numerous industry organizations including: Vice Chair of the Board of Directors of the Workgroup for Electronic Data Interchange (WEDI); and co-chair of the WEDI Virtual Clipboard Initiative, Secure Messaging Workgroup, and ePayments Taskforce. He also serves on the Board of Commissioners for the Electronic Healthcare Network Accreditation Commission (EHNAC), the CAQH Index Advisory Panel, the National Uniform Claim Committee; the Physicians EHR Coalition; and others. Mr. Tennant was named as one of HealthData magazine’s “Twenty People to Watch in Healthcare IT in 2016.”

Margret Amatayakul is President, MargretA Consulting, LLC, providing HIPAA, EHR, and value-based payment services to providers, health plans, and vendors. Adjunct Associate Professor, University of Illinois at Chicago College of Applied Health Sciences.

Gwendolyn Lohse is the Managing Director of the CAQH Committee on Operating Rules for Information Exchange (CAQH CORE) and CAQH Explorations. CAQH is a catalyst for industry collaboration on initiatives that simplify healthcare administration. CAQH CORE brings together over 130 healthcare industry stakeholders to make the interoperable exchange of administrative data a reality. Three sets of CAQH CORE operating rules are federally mandated. Additionally, voluntary CORE certification is well recognized and adopted throughout the market. Prior to joining CAQH, Ms. Lohse was with PricewaterhouseCoopers serving both domestic and international healthcare clients, and Johns Hopkins Healthcare.

Eyal Gurion leads new strategic initiatives for IHA, including the Encounter Data initiative and the Digital Health acceleration program. The Encounter Data initiative is an industry-wide, multi-stakeholder project to assess market challenges and develop solutions, including standardization of encounter data exchange processes between provider groups and health plans in California. As part of the Digital Health acceleration program, Eyal developed a database tool that captures digital health companies worldwide, categorized by metrics that represent potential use cases for various IHA members and is working with various IHA stakeholders to develop a digital health strategy and accelerate suitable solutions.

Previously, Mr. Gurion worked as a strategy and business development consultant with various healthcare organizations including start-ups, venture capital firms, academia and not-for-profits. Prior to that, he worked for Johnson & Johnson’s medical device division in Israel, managing the commercial relationships with large integrated plan/provider organizations; and held various commercial roles with Agilent Technologies and Applied Materials. Also in Israel, he was a military commander in the Missing in Action unit.

He received his bachelor’s degrees in Physics and Electrical Engineering from Tel Aviv University and his MBA from the Haas Business School at U.C. Berkeley.

Carol Wanke is Vice President of Post- Acute Patient Financial Services and Managed Care Operations for Sharp HealthCare. She joined Sharp HealthCare in 1991 and has since held the positions of manager of skilled nursing services and the director of patient financial services for receivable management for physician, skilled nursing, home health, hospice and home infusion services prior to her current position. Ms. Wanke serves on numerous boards and committees, including California Hospital Association Payer Relations, ICE Team Chair for Encounter and Division of Responsibility Standardization, and the Coalition for Compassionate Care in California.