About the Event

InterSystems will again host an exclusive Lunch & Learn Session for health plan executives at HIMSS26. This year’s roundtable session will focus on the unintended consequences of rules safeguarding privacy and security on the needed flow of clinical data between health plans and providers and how plan leaders can best address them.

Bi-directional clinical data exchange is integral to further advances in care quality, efficiency, and continuity—from NCQA’s transition to digital quality measures to CMS mandates for FHIR APIs to the impact of real-time data on care management. Nonetheless, plan leaders charged with automating clinical data exchange continue to report widespread pushback among network providers often justified by privacy and security protections.

Discussion will start with a group diagnostic of the legal prohibitions most cited by providers for limiting data sharing. With help from our expert panel, the group will then examine popular misconceptions about these underlying rules and regulations and explore how best to marshal rules supporting data sharing, trust frameworks, and mutual goals to overcome more deep-seated reservations still common among providers.

Participants will learn:

• Why and how data-sharing limitations under HIPAA and related regulations are often over-construed—and what the rules actually permit
• The true potential—and practical limitations—of Information Blocking Rules in accelerating bi-directional clinical data exchange
• Emerging practices for overcoming provider resistance to sharing clinical data with health plans
• The essential requirements for industry-wide plan participation in common trust frameworks