“…the plan sponsor owns the data. The plan sponsor must have access to the data… they’ve signed the rights away when they signed the contract.”
Frank Panaccio · Relentless Health Value · EP533: Level Funding Is Self-funding: 5 Avoidable Contract Risks, With Frank Pennachio
Play from 20:38
20:38
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What was described
Include contract language that preserves plan-sponsor ownership of claim data and prevents the TPA from signing away data rights
Said nearby on the same subject
“So that is one of the big things that you wanna make sure that your contracts do not prohibit you from anything of reviewing independently on your data and your claims and your payments that you make.”
“Getting your data out, super important before you go into a tool implementation, that should be clear in the contract, that you can get your data out.”
“I don't think we're anywhere close to this like true super learner… language based approaches… might not even be the right paradigm… human data… weighing things down”