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In today’s complex healthcare ecosystem, interoperability - the seamless exchange and utilization of data across diverse systems - is the linchpin for success in payment integrity and risk adjustment. When health plans, payers, providers, and vendors collaborate through standardized and efficient data sharing, the results are transformative: accurate payments, fraud prevention, and streamlined processes that scale innovation. However, the absence of a disciplined interoperability strategy can lead to significant inefficiencies.


This keynote will emphasize the critical need for a proactive, stakeholder-driven interoperability plan. Drawing parallels to Six Sigma principles, it highlights how early standardization of data formats, security protocols, and transfer methods prevent downstream inefficiencies, reduce costs, and enhance scalability. Attendees will leave with actionable insights into how interoperability not only smooths immediate business processes but also lays the foundation for long-term industry transformation.


Join us to explore why interoperability isn’t just a technical challenge but a strategic imperative—an essential cornerstone for a resilient, innovative, and efficient healthcare system.

Lesson Objectives:

- Understand the Impact of Interoperability: Learn how seamless data exchange and standardization, improve operational efficiency.
- Explore Real-World Lessons: Case studies help underscore the consequences of poor interoperability planning and the benefits of thoughtful standardization.
- Actionable Strategies for Stakeholder Collaboration: Discover how to develop a disciplined interoperability plan.

Payment Integrity

Author:

Dave Cardelle

Chief Strategy Officer
AMS

Dave Cardelle

Chief Strategy Officer
AMS
 

Markus Brinkmann

Partner, Head of Global Forensic, Risk and Compliance, Hamburg
BDO Germany

Markus Brinkmann

Partner, Head of Global Forensic, Risk and Compliance, Hamburg
BDO Germany

Markus Brinkmann

Partner, Head of Global Forensic, Risk and Compliance, Hamburg
BDO Germany
 

Dr. Laura Lißner-Hölschermann

General Counsel/ Chief Compliance Officer
OHB SE

Dr. Laura Lißner-Hölschermann has been General Counsel and Chief Compliance Officer of OHB SE since 2022. She joined OHB SE in 2019 as Legal Counsel, in-house lawyer and Compliance Officer. Previously, she worked as a lawyer in the field of labor and social law at the international law firm Göhmann.

Dr. Laura Lißner-Hölschermann

General Counsel/ Chief Compliance Officer
OHB SE

Dr. Laura Lißner-Hölschermann

General Counsel/ Chief Compliance Officer
OHB SE

Dr. Laura Lißner-Hölschermann has been General Counsel and Chief Compliance Officer of OHB SE since 2022. She joined OHB SE in 2019 as Legal Counsel, in-house lawyer and Compliance Officer. Previously, she worked as a lawyer in the field of labor and social law at the international law firm Göhmann.

 

Michael Faske

Partner | Financial Advisory
Deloitte

Michael is a senior executive with deep expertise in Fraud Investigation and Prevention, Financial Crime Compliance, Ethics and Integrity Programs, and Internal Controls. He has successfully delivered numerous projects, expertly navigating complex business issues, managing stakeholder expectations, and effectively collaborating with regulators across various industries. With a dynamic leadership style and excellent interpersonal and communication skills, Michael has worked extensively in both the USA and Europe. He holds a Master’s and Ph.D.

Michael Faske

Partner | Financial Advisory
Deloitte

Michael Faske

Partner | Financial Advisory
Deloitte

Michael is a senior executive with deep expertise in Fraud Investigation and Prevention, Financial Crime Compliance, Ethics and Integrity Programs, and Internal Controls. He has successfully delivered numerous projects, expertly navigating complex business issues, managing stakeholder expectations, and effectively collaborating with regulators across various industries. With a dynamic leadership style and excellent interpersonal and communication skills, Michael has worked extensively in both the USA and Europe. He holds a Master’s and Ph.D. in Law, is admitted to the bar in Hamburg, Germany, and is a Certified Fraud Examiner. Michael is also an accomplished author of thought leadership articles, a guest lecturer at two universities, an active public speaker, and a member of various professional organizations.