MLR Review System Ownership Requires Clear Roles, Strong Partnerships, & Data-Driven Decisions

April 29, 2024
Annalise Ludtke

Organizations increasingly depend on sophisticated systems for managing their Material/Legal/Regulatory (MLR) review processes, underscoring the growing importance of system ownership. System reliance raises significant questions about efficiency, compliance, and governance, making it a prime time for a deep dive into the challenges and best practices of system ownership. Understanding who owns these systems and how they are managed can be a game-changer for businesses aiming to streamline operations and ensure adherence to regulatory standards.

What does it take to be a successful system owner? How can system owners navigate the complexities of their roles to boost organizational productivity and compliance?

Anne Swearingen, the CEO of 6 Tangerine Consulting and Lindsey Magera, a Customer Success Manager at Vodori join host, Annalise Ludtke on this episode of Amend & Progress. They explore the essence of MLR system ownership, offering insights into the strategic and operational aspects that define successful system management.

Highlights of their discussion include:

  • Clarifying Roles: Differentiating between system and process owners to optimize workflow.
  • Effective Practices: Sharing strategies that enhance system management and improve team collaboration.
  • Navigating Challenges: Addressing common obstacles such as resource constraints and internal politics.

Anne Swearingen, with her extensive consulting experience and industry recognition, and Lindsey Magera, known for her pragmatic approaches to customer success, provide a rich discussion filled with practical tips and strategic advice.

Recent Episodes

health equity is earned and learned
View episode

In today’s rapidly evolving healthcare landscape, “health equity is earned and learned” captures a vital truth. This critical concept underscores the need for a proactive and educated approach to bridge healthcare outcomes and access disparities. On the Healthcare Rethink podcast, host Brian Urban welcomes Bonzo Reddick, MD, MPH, FAAFP, a prominent Public Health Leader…

mental healthcare
View episode

Amidst a critical shortage of mental healthcare providers in the United States, where over one-third of Americans live in underserved areas, employers are urgently exploring innovative ways to address mental health within their organizations. Companies like Comcast and Delta Airlines have started experimenting with on-site therapy services. This growing trend underscores the increasing…

behavioral health
View episode

The rapid proliferation of mental health applications and the ambiguous distinction between mental health and wellness technologies underscore the urgency for clearer regulatory and clinical guidelines in behavioral health. At HIMSS 2024, Dr. Jaqueline Naeem, Senior Medical Director at the Parkland Center for Clinical Innovation, addressed the evolving landscape of mental health technologies. Her…