Skip to content

Episode 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 More

Episode 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 More

Episode 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 More

Episode 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 More

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

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.

Read More

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

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

Read More
Scroll To Top