Description

Many health plans have already invested in their own FHIR infrastructure and have no interest in replacing it. But CMS-0057-F compliance doesn’t end when the APIs go live. It’s where the harder work begins: onboarding external payers, providers, and third-party apps, building the network to exchange data with them, and managing regulatory workflows and reporting as CMS requirements evolve.

In this fireside chat, 1upHealth’s product, commercial, and technical leaders take on the question most plans don’t ask until it’s too late: what does it take to sustain compliance beyond the initial build? They’re joined by Kendra Obrist, Senior Consultant at Point-of-Care Partners, for an independent view of where health plans are hitting friction in this final stretch. Together, 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.

From there, 1upHealth will introduce the 1up Gateway, the deployment model built for health plans who’ve already done the hard part. The session will close with a live demo of 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
  • An independent, on-the-ground view from Point-of-Care Partners on where health plans are hitting friction as they approach go-live
  • 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 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 Kendra Obrist, Senior Consultant | Point-of-Care Partners

Kendra Obrist, Senior Consultant | Point-of-Care Partners

Kendra Obrist is a Senior Consultant at Point-of-Care Partners, where she helps health plans, providers, technology vendors, and other healthcare organizations navigate interoperability initiatives and complex regulatory requirements, including CMS-0057. She works closely with clients to develop practical implementation strategies that improve information exchange and operational performance. Prior to joining Point-of-Care Partners, Kendra held executive leadership roles spanning product management, operations, professional services, marketing, and business development at pioneering healthcare technology companies. She brings more than 30 years of experience helping organizations turn healthcare innovation into practical, scalable solutions.

Picture of Kyle Brew — Director of Product Management

Kyle Brew — Director of Product Management

Kyle Brew is a Director on the Product Development team at 1upHealth. Kyle began his career in technology consulting with Deloitte, where he discovered a passion for healthcare and has remained in the industry ever since. Kyle has been in the interoperability space for 7+ years. During that time, he’s helped define how technology can address healthcare use cases and solve problems. Since joining 1upHealth in 2019, Kyle has worked on a number of 1up solutions, and is currently focused on payer interoperability as well as how payers can get the most out of CMS-0057 compliance.

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.

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