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©	2015	MedImpact,	Inc.	All	rights	reserved.
The	contents	of	this	presentation	are	confidential	and	proprietary	to	MedImpact	Healthcare	Systems,	Inc.	and	may	contain	material	MedImpact	considers	Trade	
Secrets.	
This	presentation	may	not	be	reproduced,	transmitted,	published,	or	disclosed	to	others	without	MedImpact’s	prior	written	authorization.
MedImpact	and	FIDO
A	Case	Study	of	a	UAF	Deployment
FIDO Alliance Seminar
Washington DC
Oct 6th 2015
Presented by Steven Secker
MedImpact	Healthcare	Systems,	Inc.
©	2015	MedImpact,	Inc.	All	rights	reserved.
Topics	for	this	Case	Study
•Why	FIDO	for	MedImpact?
•Our	Use	Cases
•Deployment	Strategy:	Where	to	Start	&	Why
•Why	FIDO	UAF	rather	than	FIDO	U2F?
•Future	Plans
•Discussion	/	Q	&	A
©	2015	MedImpact,	Inc.	All	rights	reserved.
What	MedImpact	Does:	PBM
MedImpact	manages	
pharmacy	benefits	for	
more	than	50	million	lives	
around	the	globe
Pharmacy	Benefit	Manager
Claim
Approval
Copay	Amount
Drug-to-Drug	Warnings
Invoice
Health	Insurance	Company
Pay	Pharmacy	for	
Approved	Claims
©	2015	MedImpact,	Inc.	All	rights	reserved.
So	Why	FIDO?	
Pharmacy	Benefit	Manager
Claim
Approval
Copay	Amount
Drug-to-Drug	Warnings
Invoice
Health	Insurance	Company
Pay	Pharmacy	for	
Approved	Claims
All	of	this	stuff	is	behind	
the	scenes	as	far	as	the	
average	consumer	is	
concerned.	
So	where	does	FIDO	fit?
©	2015	MedImpact,	Inc.	All	rights	reserved.
Our	Business	Requires	Data	Access
©	2015	MedImpact,	Inc.	All	rights	reserved.
IT	Security	in	Healthcare:	HIGH	PRIORITY!
©	2015	MedImpact,	Inc.	All	rights	reserved.
Healthcare	Data	Targeted	Specifically
“Your	medical	information	is	
worth	10	times	more	
than	your	credit	card	number	
on	the	black	market.”
©	2015	MedImpact,	Inc.	All	rights	reserved.
Like	Everyone	Else,	We’ve	Relied	on	Passwords
For	years	we’ve	know	
this	is	broken,	but	
there	wasn’t	a	clearly	
better	way	until	FIDO!
©	2015	MedImpact,	Inc.	All	rights	reserved.
Use	Cases	for	MedImpact
Members	of	Health	Insurance	Plans:
• What	drugs	are	covered?	
• What’s	my	copay	for	this	drug?	
• Do	I	need	a	Prior	Authorization?
• Have	I	met	my	deductible?
• What	pharmacies	are	in	my	network?
• How	much	did	I	spend	on	prescriptions	for	taxes	or	
Flex	Spending	Account	(FSA)	reimbursement?
• How	good	have	I	been	about	taking	my	maintenance	
meds	(getting	them	refilled	on	time)?
©	2015	MedImpact,	Inc.	All	rights	reserved.
Use	Cases	for	MedImpact
Healthcare	Providers:
• What	other	drugs	is	my	patient	taking	that	other	
doctors	prescribed?
• Has	my	patient	been	taking	his	or	her	maintenance	
meds	(getting	them	refilled	on	time)?
©	2015	MedImpact,	Inc.	All	rights	reserved.
Use	Cases	for	MedImpact
Pharmacists:
• Have	I	been	accurately	reimbursed	for	all	the	claims	
I’ve	submitted?
©	2015	MedImpact,	Inc.	All	rights	reserved.
Use	Cases	for	MedImpact
Health	Insurance	Companies,	
MCOs,	HMOs,	Self-Insured	Plans:
• Manage	Member	Eligibility
• Benefit	Design
• Formulary	Management
• Prior	Authorization	Management
• Manage	Denied	Claims	Appeals
• All	manor	of	reporting
©	2015	MedImpact,	Inc.	All	rights	reserved.
Use	Cases	for	MedImpact
MedImpact	Employees	
authorized	to	access	
production	data
©	2015	MedImpact,	Inc.	All	rights	reserved.
User	Community	Profiles	– Where	to	Start?
#	of	Users Frequency	of	Use OS/Browser Mobile
Brower
App
Potentially
Millions
+90	days	between	
visits
All
Uncontrolled
Yes Future
Potentially
Thousands
Varies	
Greatly
Windows
IE11/Firefox
No No	
Plans
Tens	of	
Thousands
Weekly	to	Monthly Windows
IE11/Firefox No
No	
Plans
Thousands Daily Windows
IE11/Firefox
No Future
Thousands Daily Windows
IE11/Firefox
No	
Plans
No	
Plans
©	2015	MedImpact,	Inc.	All	rights	reserved.
Security	and	Usability	– ROI	for	User	Communities
©	2015	MedImpact,	Inc.	All	rights	reserved.
UAF	vs.	U2F
• Follow	the	lead	of	early	
deployments	(Google,	
Dropbox)
• User	experience	builds	
on	top	of	on	good	old,	
familiar	username	
password
• Less	potential	for	
confusion	about	using	
multiple	computers
U2F
UAF
• Gets	rid	of	the	password	
completely
• Users	always	have	their	
phones,	and	millions	of	those	
phones	have	fingerprint	
readers
Arguably,	U2F	would	have	been	an	
easier	path	given	our	target	user	
community	and	their	use	cases	for	
the	initial	deployment.	But	you	
still	force	users	to	chose	and	
remember	a	password
“Gets	rid	of	the	password	completely”	
won	the	day	for	us
©	2015	MedImpact,	Inc.	All	rights	reserved.
Device	Knows	You,	Website	Knows	Your	Device
Access	
Website
1
Swipes	
Fingerprint
3
FIDO	
Authentication	
Request	Sent	to	
Laptop
2
©	2015	MedImpact,	Inc.	All	rights	reserved.
Device	Knows	You,	Website	Knows	Your	Device
Access	
Granted
5
Cryptographically	
signed	message	
confirms	user	back	
to	website
4
©	2015	MedImpact,	Inc.	All	rights	reserved.
Long	Term	Vision:	Works	with	Phone	Too
Access	
Website
1
Swipes	
Fingerprint
3
FIDO	
Authentication	
Request	Sent	to	
Phone
2
©	2015	MedImpact,	Inc.	All	rights	reserved.
Challenges	/	Discussion	Points
• Prioritization:	getting	the	business	to	agree	to	allocate	development	cycles	
to	adding	FIDO	support	requires	education,	internal	and	external	
marketing,	evangelism	and	high-level	executive	sponsorship
• Fallback	Solution:	what	do	users	do	if	they	need	to	login	and	don’t	have	
their	laptop	(or	in	the	future,	phone)	with	the	fingerprint	reader?
• Messaging:	how	do	you	explain	this	to	users	who	are	not	likely	to	go	read	
www.fidoalliance.organd	realize	what	a	great	solution	this	is?	Do	you	call	
attention	to	the	FIDO	brand?	How	do	you	overcome	fears	like	“I	can	reset	a	
password	if	it’s	stolen	from	your	server,	but	I	can’t	reset	my	fingerprint!”
• Client-Side	Obstacles:	Lack	of	built-in	support	for	FIDO	client	at	OS	level	
means	users	need	install/configure	a	FIDO	client	for	their	browser	(FIDO	
2.0	I	believe	aims	to	solve	this	and	already	Win10	has	built-in	support)
• Support:	Rolling	out	FIDO	successfully	requires	educating	the	entire	IT	
support	team,	from	front-line	call	center	staff	to	Level	2	and	3	engineers.
©	2014	MedImpact,	Inc.	All	rights	reserved.
Questions

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