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, detaile ..read more

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 ..read more

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 ..read more

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 ..read more

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-tes ..read more

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.  ..read more

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 ..read more

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 ..read more

A continuation from last week's episode on health equity data efforts from the federal perspective.   Our moderator is Nancy Spector, Coding and HIT Advocacy Director at the AMA and former WEDI Board Chair. Our panel: Kristie Clarke, CDR, US Public Health Service, Senior Advisor on Data for Health Equity, Office of Public Health Data, Surveillance, and Technology, US Center for Disease Control and Prevention Kelly Cronin, Director, Center for Innovation & Partnership, Deputy Administrator, Administration for Community Living, HHS Jawanna Henry, Interoperability Systems Branch Chief ..read more

From WEDI's February 2024 Health Equity Forum, we welcome federal representatives to discuss how they are using data, tech and standards to address health disparities and the importance of community relationships. Our moderator is Nancy Spector, Coding and HIT Advocacy Director at the AMA and former WEDI Board Chair. Our panel: Kristie Clarke, CDR, US Public Health Service, Senior Advisor on Data for Health Equity, Office of Public Health Data, Surveillance, and Technology, US Center for Disease Control and Prevention Kelly Cronin, Director, Center for Innovation & Partnership, Deputy Adm ..read more