Posts by mmcnutt@wedi.org
Episode 175: WEDI Workgroup Voice: Seeking the Source of Truth- WEDI’s Provider Information Workgroup
Knowledge Center Episode 175: WEDI Workgroup Voice: Seeking the Source of Truth- WEDI’s Provider Information Workgroup October 25, 2024 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…
Read MoreEpisode 174: A Community of Practice, A Community of Value. Sequoia Projects Payer to Payer FHIR API Implementation Workgroup
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.
Read MoreEpisode 173: FHIR, Opening Doors to a Bigger, Better Health Care Future. Virtual Health’s Huthaifa Khan
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.
Read MoreEpisode 172: From Paper to Pixels. A Doctor’s Perilous Journey through the Digital Healthcare Revolution
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.
Read MoreEpisode 171: Using AI to Solve the Complexity of the Cancer Puzzle
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.
Read MoreEpisode 170: How to Effectively Market Your Healthcare Services: A Conversation with Outcomes Rocket CEO Saul Marquez
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?
Read MoreEpisode 169: A Guiding Hand for Digital Health Solutions- Ryan Bengtson, President & CEO, Panda Health
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.
Read MoreEpisode 168: Understanding the Basics of CMS’ Administrative Simplification Enforcement
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.
Read MoreEpisode 167: The Need for Collaboration & Investment to Evolve Healthcare Interoperability. Sponsored by InterSystems
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.
Read MoreEpisode 166: Fortifying Healthcare Cybersecurity Measures with Nametag’s Aaron Painter
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.
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