The Collective Voice of Health IT, A WEDI Podcast

From WEDI's recently concluded Summer Forum, the association's Prior Authorization Sub Workgorup Co-Chairs- Heather McComas (AMA), Janice Bakos (Aetna) adn Michael Lunzer (Itiliti Health)- offer their thoughts on educational resources and open items related to industry implementation of CMS-0057F. WEDI's Executive Director Robert Tennant moderates the conversation. 

From a WEDI virtual spotlight earlier this summer, hosts and WEDI Privacy & Security Work Group Co-Chairs Lesley Berkeyheiser (DirectTrust) and Thanh-Thien Nguyen (Kaiser Permanente) moderate a conversation with Healthcare Sector Coordinating Council Cybersecurity Leadership and cut through the noise on healthcare cybersecurity. The guests, Healthcare Sector Coordinating Council Executive Director of Cybersecurity Greg Garcia and HSCC Cybersecurity Working Group Chair and Vice Chair Chris Tyberg (Abbott) and Dr. Samantha Jacques (McLaren), share the most valuable resources from HSCC, HHS, and others that every organization should prioritize, with practical advice for small providers on staying vigilant and maintaining strong cyber hygiene. We’ll also explore the current healthcare threat landscape, the biggest opportunities and risks on the horizon, and how new legislative efforts may shape the future. Finally, we’ll highlight the urgent need to grow a diverse pipeline of skilled cybersecurity professionals to protect the sector moving forward.

This podcast episode is sponsored by Edifecs, a Cotiviti Business. For over 25 years, Edifecs has been a market leader in healthcare data interchange. Hundreds of health plans, providers, and government agencies rely on their interoperability solutions to unify, normalize, and exchange clinical and financial data. As the healthcare industry has evolved, Edifecs’ solutions have evolved with it. Their cloud-native, AI-powered solutions are designed to help healthcare organizations thrive in value-based care. Learn more about Edifecs at www.edifecs.com Michael welcomes Matt Spielman, Senior Director of Product Management with Edifecs, to discuss the latest and greatest regarding the industry's ongoing progress with CMS-0057F, the rule aimed at improving prior authorization and interoperability. What is Matt seeing from his customers and others, and what is the present and future of FHIR?

Guest host Denny Brennan (Executive Director, Massachusetts Health Data Consortium and WEDI Board Chair-Elect, welcomes Patrick Lane, President and COO of Health Gorilla. Patrick discusses his recent White House visit for the Make Health Tech Great Again event and addresses the issue of FWA: Fraud, Waste, and Abuse. Patrick sees the solution in the industry embracing LED: Legitimacy, Efficiency, and Development, and offers thoughts on tools and resources that can best be leveraged to achieve this healthcare dream. 

Learn more about the Sequoia Project's CMS0057F Implementation checklist here- https://sequoiaproject.org/interoperability-matters/payer-to-payer-api-workgroup/  Michael welcomes back (Episode 174, Oct 2024) the co-chairs of the Sequoia Project's Payer to Payer API Implementation Workgroup, Nancy Beavin (Medica) and Bob Oakley (Evernorth), to discuss their new work product, a downloadable tool designed to help payers assess their readiness for compliance with the payer-to-payer components of CMS-0057-F. Along with the workgroup's project manager, Jim Adamson (Point of Care Partners), Nancy and Bob offer updates on the workgroup meetings, the origin of the checklist, and their plans for the future.   

Michael welcomes Dr. Steven Buslovich, MD, Chief Medical Officer for PointClickCare and a passionate advocate for using technology to augment care for seniors. The two discuss how AI is developing intelligent care management for seniors, improving efficiencies in senior care facilities, and what healthcare stakeholders need to consider when implementing AI into the senior healthcare field. 

Michael welcomes Todd Doze, CEO of Janus Health, to discuss how AI is being introduced to address revenue cycle and operational resilience, how AI supports staff rather than replacing them, and strategies hospitals should consider when entering the AI landscape. 

Michael welcomes Dr. Jay Anders, Chief Medical Officer at Medicomp Systems to discuss AI hallucinations and their effect on patient safety and clinician trust.  

This podcast episode is sponsored by Edifecs, a Cotiviti Business. For over 25 years, Edifecs has been a market leader in healthcare data interchange. Hundreds of health plans, providers, and government agencies rely on their interoperability solutions to unify, normalize, and exchange clinical and financial data. As the healthcare industry has evolved, Edifecs’ solutions have evolved with it. Their cloud-native, AI-powered solutions are designed to help healthcare organizations thrive in value-based care. Learn more about Edifecs at www.edifecs.com Michael welcomes Brian Hanley, Vice President, Public Sector, with Edifecs. Brian discusses the current state of health care consent management framework, granular consent framework, patient consent management transformation, challenges, and Edifecs consent management solutions. 

From a recent WEDI virtual spotlight, WEDI's Emerging Technology Workgroup Chair Nick Radov (Stedi) has a great conversation about how providers are leveraging artificial intelligence to improve the industry and the special place guidance plays in ensuring not only innovation, but also responsibility. The panel: Jared Staal, Executive Director, Intelligent Automation & AI, Mayo Clinic, Mayo Clinic Newar Shara, PhD, Chief, Research Data Science, MedStar Research Institute. Chief of AI Application in Health Data Science (AI CoLab). Co-Director, Center for Biostatistics, Informatics, and Data Science Frederick Chen, MD, Chief Health and Science Officer, American Medical Association