Description

Many health plans have already invested in their own FHIR infrastructure and have no interest in replacing it. But going live with CMS-0057-F APIs is the starting line, not the finish line. The harder work begins after: vetting and onboarding external payer, provider, and third-party apps, building the network to actually exchange data with them, managing regulatory workflows and reporting, and keeping it all current as CMS requirements evolve.

In this fireside chat, 1upHealth’s Chief Product & Technology Officer and Chief Commercial Officer take on the question most plans don’t ask until it’s too late: what does it take to actually stay compliant after the APIs go live? Drawing on real conversations with health plans weighing whether to build this operational layer in-house or hand it off, they’ll unpack why technical compliance and operational readiness are two different bars to clear, and what separates plans that are truly ready from plans that just look ready on paper.

Over the course of the conversation, they’ll introduce the 1up Gateway, the deployment model built for health plans who’ve already done the hard part. And our Senior Sales Engineer will close with a live demo, walking through what a 1up Gateway integration actually looks like in action.

What you’ll learn in this session:

  • Why FHIR infrastructure alone doesn’t solve CMS-0057-F compliance and where the real operational burden actually sits
  • The tradeoffs between building compliance in-house, hiring a full-replacement vendor, and choosing a hybrid deployment model
  • How to spot a vendor gap before it becomes a compliance risk, and when to take action before you run out of time
  • Two health plan profiles that are the strongest fit for a facade model approach and how to tell if yours is one of them
  • What the 1up Gateway is and what 1upHealth manages on your behalf, including vetting and onboarding third parties, network development, and regulatory workflows and reporting.
  • Examples of leading health plans finding success with the 1up Gateway
  • What a 1up Gateway integration looks like via a live demo

Your Speakers

Picture of Mohammad Jouni — Chief Product & Technology Officer

Mohammad Jouni — Chief Product & Technology Officer

Mohammad Jouni is an experienced technology executive and entrepreneur with a strong track record in scaling technology companies, leading cross-functional teams, and driving product innovation. As Chief Product & Technology Officer at 1upHealth, he’s responsible for developing the company’s product strategy and leading the Engineering and Product Management teams. Mohammad brings nearly 20 years of experience in the healthcare technology industry to his role at 1upHealth. He’s passionate about building mission-driven teams that create impactful products for 1upHealth’s customers.

Picture of Nolan Kelly — Chief Commercial Officer

Nolan Kelly — Chief Commercial Officer

As Chief Commercial Officer at 1upHealth, Nolan Kelly is responsible for driving business growth and overseeing customer relationships. He has extensive experience in healthcare technology, having previously led Enterprise Sales at PatientPing and having previously served as VP of Growth at Linkwell Health. With over 15 years in the industry, Nolan specializes in developing strategic partnerships and delivering innovative solutions for value-based care and population health management.

Picture of Anton Pederson — Senior Sales Engineer

Anton Pederson — Senior Sales Engineer

Anton Pederson is a Senior Sales Engineer at 1upHealth with over a decade of experience advancing interoperability across the healthcare ecosystem. He has delivered technical solutions at organizations including Radiology Partners, UT Southwestern Medical School, and Corepoint (now Rhapsody), working across both modern technologies like FHIR APIs and cloud platforms, and legacy standards such as HL7 and CCDA. His work bridges disparate systems and data standards to deliver scalable infrastructure, improve data exchange, and unlock real-world value for healthcare organizations.

Ready to Learn More About Healthcare’s Modern Data Platform?