The Collective Voice of Health IT, A WEDI Podcast

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An engaging exchange of ideas and information from the preeminent national membership association for health IT guidance and collaboration.

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    • May 30, 2025 LATEST EPISODE
    • weekly NEW EPISODES
    • 31m AVG DURATION
    • 204 EPISODES


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    Latest episodes from The Collective Voice of Health IT, A WEDI Podcast

    Episode 204- Artificial Intelligence's Current and Future State in Health Care

    Play Episode Listen Later May 30, 2025 56:43


    From WEDI's March 27th's virtual spotlight on Artificial Intelligence, former WEDI Board Chair Ed Hafner chats with an impressive group of health care professionals about the benefits, challenges, and future of artificial intelligence in health care. The panel: Robert Laumeyer, CTO, Availity Nick Marzotto, Product Informaticist, Epic Andy Chu, SVP of Product and Technology Incubation, Providence Peter Clardy, MD, Senior Staff Clinical Specialist, Google Health Merage Ghane, PhD, Director of Responsible AI in Health, Coalition for Health AI (CHAI)

    Episode 203- LIVE From WEDI's Spring Conference! Provider Information Workgroup Co-Chairs Martin Cody (Madaket) and Michelle Barry (Availity)

    Play Episode Listen Later May 27, 2025 39:02


    From WEDI's Spring Conference, Michael crashed the Provider Information Workgroup meeting and chatted with workgroup co-chairs Martin Cody, Senior VP of Sales, Madaket Health, and Michelle Barry, Director, Expert Health Plans, Provider Data Management with Availity. They discuss the definition of provider directories, the current issues concerning accuracy, and the incorporation of artificial intelligence with provider information, and is there hope for a national directory of healthcare providers.

    Episode 202: Health Equity Progress in the United States. LaShawn McIver (AHIP) and Joy Lewis (AHA)

    Play Episode Listen Later May 16, 2025 43:14


    From WEDI's Winter Forum earlier this year, a fireside chat about Health Equity's progress and future. The guests are LaShawn McIver, MD, SVP, Chief Health Equity Officer with AHIP, and Joy Lewis, SVP, Health Equity Strategies and Executive Director,  Institute for Diversity and Health Equity, American Hospital Association. The moderator is Nancy Spector, formerly of the American Medical Association and currently WEDI's Senior Director, Federal Affairs. 

    Episode 201: Supervised AI to Eliminate Patient Isolation in Health Care with Oren Nissim, Brook Health

    Play Episode Listen Later May 9, 2025 26:55


    Michael welcomes Oren Nissim, CEO and Co-founder of Brook Health, which focuses on AI-powered remote health care management, particularly for individuals with chronic conditions. The two discuss the unique balance between advanced technology and the human touch necessary to enhance the patient experience and the present and future of artificial intelligence in the industry. 

    Episode 200: Reflections- With Teamwork and Collaboration, Wonderful Things Can Be Achieved. Former WEDI CEO President and CEO Charles Stellar

    Play Episode Listen Later May 2, 2025 37:10


    Michael recently welcomed retired WEDI President and CEO Charles Stellar for the podcast's 200th episode. Charles updates his post-WEDI activities, including travel and reuniting with old friends and colleagues. He reflected on WEDI's growth and accomplishments during his nearly 10 years with the association, and stressed collaboration, leadership development, and mentorship as the secret to organizational success.  

    Episode 199- Building a Successful Virtual-First Care Model. Ovatient CEO Michael Dalton

    Play Episode Listen Later Apr 25, 2025 36:42


    Michael welcomes Ovatient CEO Michael Dalton. Ovatient is a virtual health company that provides a connected, meaningful, and personalized patient experience that empowers care teams with nearly real-time data. The two discuss trends in virtual care post-pandemic, lessons learned by health systems regarding virtual care delivery, and key factor for successful virtual-first care models. They discuss the power of patient and provider trust, integration with existing health systems, and the impact of AI and other emerging technology in hybrid care.  

    Episode 198- Leveraging AI to Eliminate "Swivel Chair" Data Interoperability

    Play Episode Listen Later Apr 18, 2025 23:33


    Michael welcomes Brent Dover, CEO of Carta Healthcare, a healthcare technology company that leverages artificial intelligence (AI) and automation to streamline clinical data management and abstraction. Brent discusses how AI can support clinicians with data-driven issues, security and ethical considerations with AI, and how AI-powered data management can influence value based care. 

    Episode 197- When Time is of the Essence: Leveraging AI Imaging to Support Vascular Conditions. RapidAI's Karim Karti

    Play Episode Listen Later Apr 11, 2025 21:43


    Michael welcomes Karim Karti, CEO of RapidAI, a healthcare technology company specializing in AI-powered clinical decision support for stroke and other vascular conditions. The two discuss the benefits of leveraging AI in healthcare, highlighting Rapid AI's significant impact in the world, particularly in stroke care, where the company's AI algorithms and machine learning software allowed for rapid analysis of scans and routing of treatment decisions to physicians, ultimately saving millions of brain cells and improving patient outcomes. 

    Episode 196- Clean Data, AI, and Interoperability to Eliminate "Pajama Time". Sandra Johnson, CliniComp

    Play Episode Listen Later Apr 4, 2025 18:55


    Michael welcomes Sandra Johnson, SVP Client Services with CliniComp, a a healthcare technology company specializing in electronic health record (EHR) solutions and clinical information systems designed for hospitals, health systems, and government healthcare organizations. Sandra discussed the current issues plaguing providers and health systems regarding electronic health records, and how platforms like CliniComp can offer ease of use, advanced analytics and interoperability while not compromising on patient data. Sandra also addresses how the industry is embracing artificial intelligence; the current benefits and what she can see down the line. 

    Episode 195- "You Can't Pour from an Empty Cup". Forward-Thinking Solutions to Improve Interoperability with Mike O'Neill, Medicasoft

    Play Episode Listen Later Mar 28, 2025 18:53


    Michael welcomed Mike O'Neill, CEO of Medicasoft, a healthcare technology company that specializes in modern, cloud-based health IT solutions designed to improve data interoperability, electronic health records (EHRs), and analytics. The two discussed topics such as legacy system transformation, cloud-based solutions, interoperability, and regulatory challenges in healthcare IT. They explored the importance of internal data organization, the potential of AI and analytics, and the evolving role of cloud computing in managing patient data securely

    Episode 194- The Power of Data to Empower Individuals and Systems, Daniel Blumenthal, MDClone

    Play Episode Listen Later Mar 21, 2025 23:02


    Michael welcomes Daniel Blumenthal, Vice President of Strategy with MDClone, a healthcare technology company specializing in data analytics and synthetic data generation to empower healthcare organizations, researchers, and life sciences companies. A former manager for Northwestern University's basketball team, Daniel finds similarities in the team-first mentality between the basketball team and the work he's doing at MDClone. He addresses the use of synthetic data to enable data access, research, and insight, without compromising patent confidentiality. Daniel emphasized the importance of making data more accessible and understandable to various healthcare teams, including physicians, nurses, and administrative staff, in order to facilitate discussions and problem-solving.

    Episode 193- Making positive progress on health care's digital transformation. Kevin Ritter, Altera Digital Health

    Play Episode Listen Later Mar 14, 2025 27:51


    Michael welcomes Kevin Ritter, EVP of Care in Motion Solutions for Altera Digital Health, a healthcare technology company focused on modernizing and optimizing clinical, operational, and financial systems within healthcare organizations. The two address Altera's mission to enable clinicians, integrate more data at the point of care and optimize financial performance in health systems. They also discuss the importance of data, interoperability, and artificial intelligence in improving provider functionality and the overall patient experience

    Episode 192- Who is Who? Identify Management with Nick Orser, Verato

    Play Episode Listen Later Mar 7, 2025 31:06


    Michael welcomes Nick Orser, General Manager, Healthcare with Verato, a leading healthcare technology company specializing in identity data management and patient matching solutions. The two discuss the current state of identity management, how the industry is handling the mass influx of data, how patient matching and interoperability work together and how AI and other emerging technology will help us understand "who is who".

    Episode 191- Reshaping the Future of Brain Health. John Showalter, Linus Health

    Play Episode Listen Later Feb 28, 2025 25:47


    Michael chats with John Showalter, Chief Strategy Officer of Linus Health, a digital health company focusing on brain health. The two talk about the current state of early detection and management of cognitive disorders, barriers in traditional assessments and interoperability and how AI and innovation is enhancing assessments and improving patient outcomes.  

    Episode 190- Leveraging Data to Provide Better Care- Dr. Hamad Husainy, PointClickCare

    Play Episode Listen Later Feb 21, 2025 16:55


    Michael welcomes Dr. Hamad Husainy, Chief Medical Officer with PointClickCare, an EHR software vendor that specializes in providing technological solutions for the senior care industry. The two discuss how interoperability continues to improve care coordination, how regulations and technology has helped improve data interoperability, and how AI will usher in even more data exchange improvements. 

    Episode 189: Electronic Health Records: An Integral Partner in Health Care Accessibility, Prerana Laddha, Epic

    Play Episode Listen Later Feb 14, 2025 29:09


    From WEDI's recently concluded Winter Forum on Health Accessibility, Janice Karin (Massachusetts Health Data Consortium and WEDI Health Equity Workgroup Co-Chair) chats with Prerana Laddha, Director of Population Health with Epic. Prerana offers her insight on EHR's role in advancing health equity, data challenges EHRs face, interoperability and the emergence of artificial intelligence and how it can assist EHRs in supporting health equity. 

    Episode 188- Bridging the Data Gap: The Role of Standards & Technology in Genomic Data Exchange, Sandy Rolfe, WEDI Genomics Workgroup Chair

    Play Episode Listen Later Feb 7, 2025 18:55


    Michael welcomes Sandy Rolfe, Chair of the WEDI Genomics Workgroup and Clinical Lead for the InterQual Molecular Diagnostics and Durable Medical Equipment at Optum. The two discuss the ever evolving state of Genomics research, data privacy and security, and how data interoperability and standards can aid in care and patient satisfaction. WEDI members are invited to attend a special Genomics workgroup event, Exploring Genomic Data Exchange: A Deep Dive into FHIR Integration and Interoperability, Feb 27 on Zoom, exclusive for WEDI members. Visit www.wedi.org to sign up.

    Episode 187- Bridging the Gap: Technology, Policy, and the Future of Rural Healthcare. Neal Neuberger, Health Tech Startegies

    Play Episode Listen Later Jan 31, 2025 29:59


    Michael welcomes Neal Neuberger, President of Health Tech Strategies and lead for the National Rural Health Association's Rural Health IT Coalition. Neal addresses the current state of health care in rural US communities, the successes and challenges over the years through technology and regulations, and the "deprioritization" of telehealth. Neal and NRHA will have their NRHA Rural Health Policy Institute in Washington DC in February. Click here for more information

    Episode 186- Enhancing the Patient Experience through Technology; The Voice of the Patient

    Play Episode Listen Later Jan 24, 2025 48:10


    From a recent WEDI conference, Anna Hyde from the Arthritis Foundation and Michael Phillips with AARP discussed the role technology is playing and will play in improving patient's health care experience. Moderating this conversation is Denny Brennan, Executive Director of the Massachusetts Health Data Consortium, member of the WEDI board and co-chair of its Education Committee. 

    Episode 185, From Innovation to Integration: The Past, Present, and Future of Value- Based Purchasing

    Play Episode Listen Later Jan 10, 2025 36:29


    From a recent WEDI Virtual Spotlight, a presentation by Andrea Caballero, VP of Policy with Catalyst for Payment Reform. 

    Episode 184- How Artificial Intelligence is Ushering in an Age of Proactive, Preventative, and Personalized Healthcare. Kent Dicks, Life 365

    Play Episode Listen Later Jan 3, 2025 20:55


    Michael welcomes Kent Dicks, founder, CEO, and award-winning entrepreneur of Life365, a digital health platform that connects patients with their doctors at home. The two discussed how artificial intelligence creates an environment that allows patients to receive affordable and efficient care earlier in the care cycle, thus preventing costly readmissions and improve overall healthcare accessibility. 

    Episode 183- Leave It Better Than You Found It; LA Care CEO John Baackes

    Play Episode Listen Later Dec 27, 2024 17:58


    Michael chats with LA Care John Baackes, who is retiring at the end of the year after 48 years in healthcare. The two discuss John's legacy at LA Care, the industry's evolution, how he thinks the new administration will affect Health Equity initiatives, and his closing words of wisdom to current and future healthcare professionals. 

    Episode 182. The Road to Better Outcomes: Embracing Value-Based Care with InterSystems' Steven Berkow

    Play Episode Listen Later Dec 18, 2024 17:58


    Michael welcomes back Steven Berkow from InterSystems to discuss and review HCPLAN's 2024 Value-Based Care report and WEDI's special Value-Based Care virtual spotlight. How is the industry doing and how can CLEAN data and technology like AI help the industry evolve quicker. 

    Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth's Dr. Don Rucker

    Play Episode Listen Later Dec 6, 2024 24:57


    Michael welcomes Dr. Don Rucker, Chief Strategy Officer of 1upHealth and the former National Coordinator for Health IT, to talk about CMS Star Ratings; what they are, why are they in the news lately and how will the new administration address them. 

    Episode 180: Part 2, From Siloes to Synergy: How Payers and Providers Partner for Value-Based Care Success

    Play Episode Listen Later Dec 2, 2024 25:57


    Part 2 of a 2 part episode looking at how payers and providers are transforming healthcare through value-based care partnerships.  The moderator is Denny Brennan, WEDI Board Member, Co-Chair of its Education Committee, and Executive Director of the Massachusetts Health Data Consortium.  The panel: Anna Taylor, AVP, Population Health & Valiue Based Care, Multi Care Connected Care Ben Pollock, PhD, Senior Associate Consultant II, Division of Health Care Delivery Research, Mayo Clinic Semira Singh, Director Population Health, Providence Brian Wallace, Vice President, Data Analytics and Reporting, Centene Corporation

    Episode 179: From Siloes to Synergy: Bridging the Gap: How Payers and Providers Partner for Value-Based Care Success

    Play Episode Listen Later Nov 22, 2024 25:55


    From WEDI's Value-Based Care Spotlight in November, Part 1 of a 2 part episode looking at how payers and providers are transforming healthcare through value-based care partnerships.  The moderator was Denny Brennan, WEDI Board Member, Co-Chair of its Education Committee, and Executive Director of the Massachusetts Health Data Consortium.  The panel: Anna Taylor, AVP, Population Health & Valiue Based Care, Multi Care Connected Care speaker Ben Pollock, PhD, Senior Associate Consultant II, Division of Health Care Delivery Research, Mayo Clinic Semira Singh, Director Population Health, Providence Brian Wallace, Vice President, Data Analytics and Reporting, Centene Corporation

    Episode 178: Pitfalls But Promise. The State of Healthcare Cybersecurity with Scott Mattila, COO and Chief Security Officer, Intraprise Health

    Play Episode Listen Later Nov 15, 2024 28:36


    Michael welcomes Scott Mattila with Intraprise Health to discuss why it seems with all the regulatory and technological advancement health care is experiencing, why does it feel we're moving backwards in terms of cyber hygiene. Scott offers his pillars for success and offers his insight on emerging technology and how it can possible reduce cyber incidents. 

    Episode 177: A Conversation with CMS' Principal Deputy Administrator & Chief Operating Officer Jonathan Blum

    Play Episode Listen Later Nov 8, 2024 32:55


    WEDI Chair Elect Merri-Lee Stine of Aetna CVS Health speaks with Jonathan Blum, Principal Deputy Administrator and Chief Operating Officer with CMS. The two discuss CMS' plans for the rest of the year, success stories during this administration and success stories surrounding the No Surprises Act and the Interoperability and Prior Authorization Rule. 

    Episode 176: Creating an Interconnected Vision of a Safer, More Efficient and More Equitable Healthcare System. Emblem Health CEO Karen Ignagni

    Play Episode Listen Later Nov 1, 2024 24:21


    From WEDI's 2024 National Conference, the keynote address by Emblem Health's CEO Karen Ignagni. Karen talks about the challenges of policy, the need for a broader conversation with interoperability, taking a leap toward admin simplification, prioritizing health equity and more. 

    Episode 175: WEDI Workgroup Voice: Seeking the Source of Truth- WEDI's Provider Information Workgroup

    Play Episode Listen Later Oct 25, 2024 20:08


    Michael welcomes Michelle Barry (Availity) and Martin Cody (Madaket Health), WEDI's Provider Information Subworkgorup Co-Chairs. The three discuss the mission of the subworkgroup, which includes identifying business issues impacting the transmission and receipt of provider directory data. An extensive and complicated issue, Martin and Michelle reflect on an outstanding provider directory data panel at last week's WEDI national conference and offer a preview of the topics that will addressed at their special virtual spotlight on November 7 as they and WEDI's No Surprises Act Taskgroup discuss the critical issues with provider directory data and the impact of the act on healthcare stakeholders including patients.  The November 7 event is free and open to all healthcare professionals. Register at wedi.org and select Events. 

    Episode 174: A Community of Practice, A Community of Value. Sequoia Projects Payer to Payer FHIR API Implementation Workgroup

    Play Episode Listen Later Oct 18, 2024 28:00


    Michael discusses the Sequoia Project's Payer to Payer FHIR API Implementation Workgroup with its co-chairs, Nancy Beavin from Medica, Bob Oakley from Evernorth and the Project Lead, David Pyke with Sequoia.  The workgroup was created to identify practical, implementation-level implications from a business and governance perspective. The guests discussed the workgroup makeup, their mission, what they've heard so far and why a payer, small, medium or large, should join their community of practice.  To learn more about the workgroup, visit https://sequoiaproject.org/interoperability-matters/payer-to-payer-api-workgroup/

    Episode 173: FHIR, Opening Doors to a Bigger, Better Health Care Future. Virtual Health's Huthaifa Khan

    Play Episode Listen Later Oct 11, 2024 34:53


    Michael welcomes Huthaifa Khan, Director, Solutions Architecture with Virtual Health. Huthaifa, a veteran health care professional, discusses the emergence and rapid adoption of the FHIR standard in healthcare data exchange, along with implementation stories, and its potential future in the industry. 

    Episode 170: From Paper to Pixels: A Doctor's Perilous Journey through the Digital Healthcare Revolution

    Play Episode Listen Later Oct 4, 2024 11:40


    Join Dr. John Harris as he takes you on a deeply personal journey through the highs and lows of transitioning from traditional paper billing to modern electronic systems. With several decades of experience in healthcare, Dr. Harris shares invaluable insights into the benefits of digital billing—streamlined processes, faster payments, and improved patient care. But this story isn't just about the smooth road; it's also about the bumps along the way and an ending you might not have seen coming. In this episode, Dr. Harris delves into the challenges faced during the transition, culminating in the unfortunate and harrowing experience of being part of the Change Healthcare ransomware attack, revealing the toll it has taken on his practice, and the lessons learned in cybersecurity and data protection. Hosted by WEDI Privacy and Security Co-Chair Lesley Berkeyheiser, this episode offers a compelling look at the intersection of medicine, evolution, technology, and resilience.

    Episode 171: Using AI to Solve the Complexity of the Cancer Puzzle: Teri Thomas, CEO Volpara, CBO, Lunit

    Play Episode Listen Later Sep 27, 2024 37:15


    Michael welcomes Teri Thomas, CEO of Volpara and CBO of Lunit to discuss the evolution of AI in healthcare. Teri explains how Volpara and Lunit are using AI to help better understand cancer risk, empower patients in personal care decisions, and guide recommendations about additional imaging, genetic testing, and other interventions. Teri offers her thoughts on the current AI landscape, benefits and challenges in implementation, the federal government's role and any privacy & security considerations. 

    Episode 170: How to Effectively Market Your Healthcare Services: A Conversation with Outcomes Rocket CEO Saul Marquez

    Play Episode Listen Later Sep 20, 2024 28:49


    Michael chats with Outcomes Rocket CEO Saul Marquez on the proper steps healthcare solutions companies should take to properly market their services to an industry eager to drive change. What are Saul's 3 pillars of marketing, what strategies provide the highest ROI and what should companies avoid in order to create significant connections with their potential clients?

    Episode 169: A Guiding Hand for Digital Health Solutions- Ryan Bengtson, President and CEO, Panda Health

    Play Episode Listen Later Sep 13, 2024 27:19


    Michael welcomes Panda Health President and CEO Ryan Bengtson to the podcast to discuss industry complexities in the embracing of digital health tools and the importance of having all the information in order to make the best decision for your health system.   

    Episode 168: Understanding the Basics of CMS' Administrative Simplification Enforcement

    Play Episode Listen Later Sep 6, 2024 10:24


    This is a companion episode to Episode 156, a conversation with CMS' National Standards Group Director Michael Cimmino on Administrative Simplification.  Michael welcomes Paul Anderson (Health Insurance Specialist) and Jamie Lookabill (Technical Advisor, Enforcement Division) with the Centers for Medicare & Medicaid Services to offer an introductory look at the administrative simplification enforcement process. Paul and Jamie offer information on the different types of HIPAA enforcement, how CMS communicates with the industry about enforcement, and the overall enforcement process, from filing a complaint, the use of ASETT (Administrative Simplification Enforcement and Testing Tool), corrective action plans and civil monetary penalties.  To learn more about administrative simplification, please visit go.cms.gov/adminsimp

    Episode 167: The Need for Collaboration and Investment to Evolve Health Care Interoperability. Sponsored by InterSystems

    Play Episode Listen Later Aug 30, 2024 24:44


    This episode is sponsored by InterSystems, the leading provider of AI-enabled data management solutions for industries with complex challenges, including healthcare, financial services, and supply chain and logistics. Michael welcomes Steven Berkow, Senior Advisor, Value-Based Care with InterSystems. The two discuss Steve's involvement at WEDI's Summer Forum in Chicago, where he served as a moderator for the payer panel on the CMS Interoperability and Prior Authorization Rule. The two discussed the challenges and potential solutions for improving interoperability within healthcare data, and the importance of standardizing APIs for healthcare providers.  Be sure to read InterSystems' latest white paper The APIs Are the Easy Part: Maximizing Your ROI While Meeting CMS Interoperability and Prior Authorization Requirements  Health plans should be able to harness the investment in IT infrastructure mandated by the latest CMS rule on interoperability and prior authorization to create the data liquidity needed drive top strategic goals, such as reducing provider abrasion, improving member experience, increasing productivity, and supporting value-based care. The scope of CMS-0057-F, however, is wide ranging. This white paper: Summarizes new requirements for the four types of information sharing addressed, namely payer-to-payer, payer-to-provider, payer-to-member, and prior authorization submission and determination. Analyzes processes and workflows impacted by the regulation and resulting opportunities for performance improvement. Provides key “Questions to Consider” that should inform plan investment decisions. Designed to be shared with IT, clinical, and operational leaders, the paper will help your leadership team achieve larger strategic returns on mandated plan investment while meeting regulatory requirements.   

    Episode 166: Fortifying Healthcare Cybersecurity Measures with Nametag's Aaron Painter

    Play Episode Listen Later Aug 23, 2024 23:57


    Michael chats with Nametag CEO Aaron Painter on how emerging technology, patient-centric data policies and even remote working is affecting the cybersecurity infrastructure in healthcare. The two discuss the "old school" nature of social engineering attacks and steps that the industry can take to combat threat actors. Aaron's article in Forbes magazine can be found here- https://www.forbes.com/councils/forbesbusinesscouncil/2024/05/17/combating-threat-actors-in-the-us-healthcare-sector/  

    Episode 165: Part 2, Provider Perspective, Implementing the CMS Interoperability and PA Rule

    Play Episode Listen Later Aug 16, 2024 29:19


    From our recently concluded Summer Forum, Part 2 of a discussion with 2 providers working on implementing the CMS Interoperability and PA Rule. Semira Singh, Director Population Health Informatics, Providence Anna Taylor, AVP, Population Health & Value Based Care, MultiCare Connected Care The moderator, from the AMA, former WEDI Board Chair Nancy Spector

    Episode 164: Provider Perspective- Implementing the CMS Interoperability and PA Rule

    Play Episode Listen Later Aug 9, 2024 22:32


    From our recently concluded Summer Forum, Part 1 of a discussion with 2 providers working on implementing the CMS Interoperability and PA Rule. Semira Singh, Director Population Health Informatics, Providence Anna Taylor, AVP, Population Health & Value Based Care, MultiCare Connected Care The moderator, from the AMA, former WEDI Board Chair Nancy Spector

    Episode 163: Being Curious About Artificial Intelligence with Google's Shweta Maniar

    Play Episode Listen Later Jul 26, 2024 23:57


    Michael welcomes back Shweta Maniar, Global Director, Life Sciences Solutions and Strategy for Google Cloud. The two discuss the continued emergence of artificial intelligence in health care, the need for standards or a framework in health care regarding AI, and how people new to AI can brush off misconceptions and dive in feet first and learn how they can access and leverage this growing technology. 

    Episode 162: Workgroup Voices, The Inner Workings of Prior Authorization

    Play Episode Listen Later Jul 12, 2024 31:54


    Michael welcomes 3 of the 4 co-chairs of WEDI's Prior Authorization Subworkgroup: Heather McComas, Director, Administrative Simplification Initiatives, American Medical Association David Delano, Senior Director of Services, Massachusetts Health Data Consortium Raj Godavarthi, Associate VP of Technology and Interoperability, MCG Health The 3 discuss the changes in the workgroup and the industry since the January 2024 release of the CMS Interoperability and Prior Authorization rule, the exciting role of artificial intelligence in PA, and how their unique stakeholder roles offer a full, detailed dialogue during their monthly meetings.  Tons of Prior Authorization-related education coming to you courtesy of WEDI. Visit wedi.org and click CALENDAR for more information

    Ep 161: Simplifying Healthcare: WEDI's Approach to Eligibility and Benefits.

    Play Episode Listen Later Jul 5, 2024 26:01


    Michael welcomes Donna Campbell (HCSC) and Amanda Abbott (BCBS of Kansas), WEDI's Eligibility and Benefits Workgroup Co-Chairs. The co-chairs discuss the workgroup's missions and the latest discussion topics that workgroup is undertaking, including improving efficiencies in the E&B process through standards and emerging technology. If you are interested in joining the workgroup, contact Ariana Poole at apoole@wedi.org. You must be a WEDI member to join. To become a WEDI member, contact Bill Allder at ballder@wedi.org

    Ep 160: Top 10 Cybersecurity Tips for Health Care. A Chat with WEDI's Privacy and Security Workgroup Co-Chairs

    Play Episode Listen Later Jul 2, 2024 30:01


    The threat from cyberattacks is growing exponentially and health care organizations are particularly vulnerable. Michael chats with WEDI's Privacy and Security Workgroup Co-Chairs, Lesley Berkeyheiser of DirectTrust and Thanh-Thien Nguyen of Kaiser Permanente on suggested actions that health care organizations big and small can adopt, customize, and implement as they seek to establish good cyber hygiene.   The top 10 list will be available soon on wedi.org

    Ep 159: Interoperability Matters, Sequoia Projects Payer to Payer Workgroup

    Play Episode Listen Later Jun 21, 2024 23:46


    From WEDI's Spring 2024 conference, Sequoia's David Pyke moderates a conversation with its Payer to Payer FHIR API Implementation Workgroup Co-Chairs, Robert Oakley with Evernorth and Nancy Beavin with Medica. Learn more about the workgroup here- https://sequoiaproject.org/interoperability-matters/payer-to-payer-api-workgroup/  

    Episode 158: Slow and Steady, How Health Care is Progressing Toward Value Based Care. Lynn Carroll, HSBlox

    Play Episode Listen Later Jun 14, 2024 22:04


    Guest host Michael Pattwell, WEDI Board Members, Co-Chair of its Payment Models Workgroup, and Principal Business Advisor with Edifecs, chats all things value based care with Lynn Carroll, Chief Operating Officer of HSBlox.  The two offer a fascinating look at the progression from fee for service to value based care, recent models launched by CMS, and the importance of data interoperability and standards in improving value based care delivery and contract administration.

    Episode 157- Embracing and Understanding Data & its Challenges in the Digital Health Age

    Play Episode Listen Later Jun 7, 2024 25:32


    Michael chats with RJ Kedziora, Co-Founder of software company Estenda about the evolution of digital health and digital therapeutics. The two discuss the advances in emerging tech, privacy and security challenges, the role of regulations and the hopes that digital health can break down those data silos that still plague us.  Estenda is holding a webinar; Driving Quality in Digital Health: The Role of Generative AI in Testing, on June 14th from 12pm- 1pm eastern. Find out more below.  https://www.eventbrite.com/e/driving-quality-in-digital-health-the-role-of-generative-ai-in-testing-tickets-902441475747

    Episode 156- Streamlining Health Care: The Essentials of Administrative Simplification. A Conversation with CMS National Standards Group Director Michael Cimmino

    Play Episode Listen Later May 31, 2024 14:45


    The Centers for Medicare & Medicaid Services National Standards Group, within the Office of Burden Reduction and Health Informatics, focuses on reducing administrative burden and advancing interoperability and national standards. CMS engages beneficiaries and the health care community to understand their experiences, inform solutions, and infuse a customer-focused mindset throughout the agency. Michael welcomes CMS NSG Director Michael Cimmino to the podcast to discuss the who, what, where, when and why of administrative simplification and burden and how a standard becomes a standard.  This is part 2 of a 2 part podcast conversation with CMS NSG on Administrative Simplification. Coming soon, an episode on enforcement. Learn more about CMS' work on admin simp at go.cms.gov/adminsimp

    Episode 155. Safeguarding Healthcare: WEDI Insights on Cybersecurity and Continuity

    Play Episode Listen Later May 24, 2024 13:24


    In April 2024, WEDI held a member position advisory (MPA) event on the critical topic of maintaining business continuity within healthcare organizations in the wake of cyber-attacks. The event, entitled, From Crisis to Continuity: Maintaining Health Care Data Exchange Following a Cyber Attack, offered best practices, suggestions, and key steps that stakeholders from HHS and the private sector can consider when exchanging data, processing information, and maintaining lines of communication. From WEDI's recently concluded Spring conference, a debrief of the MPA event presented by WEDI's privacy & security workgroup co-chairs, Lesley Berkeyheiser with DirectTrust and Thanh Thien Nguyen from Kaiser Permanente.

    Episode 154: Hybrid Horizons: Balancing Security and Employee Satisfaction in the Workplace. Denis O'Shea, Mobile Mentor

    Play Episode Listen Later May 17, 2024 27:19


    Michael chats with returning guest Denis O'Shea, Founder and Chairman of Mobile Mentor, about their 2024 Endpoint Ecosystem Study, which explored the intricate dynamics of hybrid work in high-risk and highly regulated industries. Conducted across the United States, Great Britain, and Australia, the study involved 2,400 knowledge workers in healthcare, finance, government, and education to understand employee attitudes and their actions related to company security and their experience, and their productivity as remote workers. Review the study at https://endpointecosystem.com/

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