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Episode 236: The Evolution and Challenges of Information Blocking, Part 2 of 2

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 13, 2026 This is part 2 of a 2-part episode on Information Blocking From a December 2025 WEDI virtual spotlight, a panel of health IT leaders break down the current state and the future of regarding information blocking,…

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Episode 235: The Evolution & Challenges of Information Blocking. Part 1 of 2

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 6, 2026 This is a 2-part episode: From a December 2025 WEDI virtual spotlight, a panel of health IT leaders break down the current state and the future of regarding information blocking, and how organizations can stay compliant…

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Episode 234- From Regulation to Real-World Impact: Operationalizing CMS-0057, sponsored by Itiliti Health

Knowledge Center Episode 234- From Regulation to Real-World Impact: Operationalizing CMS-0057, sponsored by Itiliti Health January 23, 2026 Michael Lunzer, Founder and CEO of Itiliti Health visits the podcast to break down the real-world impact of CMS-0057, the challenges of turning interoperability policy into practice, and where healthcare organizations can unlock value beyond compliance—today and…

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Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability

Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability January 16, 2026 From WEDI’s 2025 National Conference and moderated by Sequoia Project’s Zoe Barber, leaders from Epic, eHealth Exchange, and KONZA discuss their progress as designated QHINs, highlighting key milestones, lessons learned, and the real-world challenges of standing up TEFCA…

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Episode 232- The Role of Intermediaries in CMS-0057F

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F January 12, 2026 From WEDI’s 2025 National Conference, Beth Davis from Veradigm Payerpath moderates a discussion on the role of intermediaries in CMS-0057F. The participants: Pam Grosze, Board Chair, the Cooperative Exchange Denny Brennan, Executive Director, Massachusetts Health Data Consortium Sherry Wilson, Executive VP, Compliance…

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Episode 231- Best of 2025- Our Top 3 Podcast Episodes

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 2, 2026 Happy New Year from WEDI! Michael offers some quick bites from our top 3 most downloaded episodes of 2025: #3: Rethinking Value-Based Care: Why Children Can’t Be Left Behind (Taylor Beery, Imagine Pediatrics, Ep 219) #2:…

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Episode 230- Bridging Innovation and Compliance: Preparing for CMS-0057-F in 2027

Knowledge Center Episode 230- Bridging Innovation and Compliance: Preparing for CMS-0057-F in 2027 December 19, 2025 In this episode (from our National Conference), moderated by WEDI Chair Merri-Lee Stine (Aetna) and featuring Steve Berkow (InterSystems), Anna Taylor (MultiCare), and Stephan Rubin (Optum), we dive into the real-world state of CMS 0057 implementation, bringing together perspectives…

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Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams November 21, 2025 Michael welcomes Jaelynn Williams, former CEO of Air Methods and a respected healthcare and business thought leader. Jaelynn has developed the Board AI Governance Index™, a groundbreaking framework that helps boards assess and strengthen their AI readiness—balancing…

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Episode 225- WEDI Workgroup Introduction: Patient Experience

Knowledge Center Episode 225- WEDI Workgroup Introduction: Patient Experience November 14, 2025 From WEDI’s recently concluded National Conference in Washington DC, co-chairs Emma Andelson from the American Medical Association and Anna Hyde from the Arthritis Foundation introduce WEDI’s newest workgroup, Patient Experience. The workgroup’s primary aim is to embed the patient perspective into healthcare business…

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Episode 224- Talking AI: Eliminating Administrative Noise and Restoring the Human Connection of Health Care. Ben Scharfe, Altera Digital Health

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 24, 2025 Michael sits down with Ben Scharfe, EVP of AI at Altera Digital Health, to explore how artificial intelligence is reshaping healthcare. From ambient listening that lightens documentation load to specialty-trained AI agents enhancing decision-making, Ben shares…

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Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne

Knowledge Center Episode 222 – Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing with Vyne’s Steve Roberts. October 10, 2025 What happens when dental data becomes as accessible and actionable as medical data? Steve Roberts, CEO of Vyne, explores how interoperability can transform the patient experience, equip providers with deeper insights, and…

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Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health

Knowledge Center Episode 221 – From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health October 3, 2025 This podcast is sponsored by MCG Health, which offers evidence-based clinical guidelines and software tools for healthcare providers and payers. These resources aim to optimize patient care and support care…

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Episode 220- Your DNA, Their Data: Privacy at the Crossroads of Consumer Genetic Testing. WEDI Genomics and Privacy & Security Workgroup Co-Chairs

Knowledge Center Episode 220- Your DNA, Their Data: Privacy at the Crossroads of Consumer Genetic Testing, WEDI Genomics and Privacy & Security Workgroup Chairs September 26, 2025 Michael welcomes Dr. Sandy Rolfe, WEDI’s Genomics Workgroup Chair Clinical Content Lead, InterQual, Optum Insight Lesley Berkeyheiser, WEDI’s Privacy & Security Workgroup Co-Chair, Assessor with DirectTrust Thanh Thien…

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Episode 219- Rethinking Value-Based Care: Why Children Can’t Be Left Behind. Taylor Beery, Imagine Pediatrics

Knowledge Center Episode 219- Rethinking Value-Based Care: Why Children Can’t Be Left Behind. Taylor Beery, Imagine Pediatrics September 19, 2025 Children make up nearly half of all Medicaid enrollees—37 million nationwide—yet their unique needs are too often overlooked in value-based care models. In this episode, Michael sits down with Taylor Beery, Chief Innovation & Administrative…

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Episode 218- Solving National Data Exchange Issues at the State Level: A Civitas Networks for Health Conversation

Knowledge Center Episode 218 – Solving National Data Exchange Issues at the State Level: A Civitas Networks for Health Conversation September 12, 2025 From WEDI’s 2025 Spring Conference, Civitas Networks for Health Interim CEO Jolie Ritzo welcomes three HIE leaders to discuss how they are addressing various data exchange use cases from their unique state…

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Episode 217: What’s Next? Moving Forward with CMS-0057-F

Knowledge Center Episode 217: What’s Next? Moving Forward with CMS-0057-F September 5, 2025 From WEDI’s recently concluded Summer Forum, the association’s Prior Authorization Sub Workgroup Co-Chairs- Heather McComas (AMA), Janice Bakos (Aetna) and Michael Lunzer (Itiliti Health)- offer their thoughts on educational resources and open items related to industry implementation of CMS-0057-F. WEDI’s Executive Director…

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Episode 216: Addressing Public/Private Cybersecurity Collaboration. HSCC Cybersecurity Leadership

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 29, 2025 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…

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Episode 214: The 411 on LED: Legitimacy, Efficiency, and Development. The Solution to Healthcare Fraud, Waste, and Abuse. Health Gorilla’s Patrick Lane.

Knowledge Center Episode 214: The 411 on LED: Legitimacy, Efficiency, and Development. The Solution to Healthcare Fraud, Waste, and Abuse August 15, 2025 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…

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Episode 213: Checklist to Action: How Sequoia Project is Supporting Payers’ Preparation for CMS-0057-F

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 1, 2025 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),…

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Episode 212- Smarter Senior Care: How AI is Closing Gaps and Driving Better Outcomes. Dr. Steve Buslovich, PointClickCare

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 25, 2025 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…

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Episode 211- Smarter Systems, Stronger Hospitals: AI’s Role in Revenue Cycle Transformation. Todd Doze, Janus Health

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 18, 2025 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…

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Episode 209- Patient Privacy and the Increasing Complexity of Consent Management, Sponsored by Edifecs

Knowledge Center Episode 209- Patient Privacy and the Increasing Complexity of Consent Management, Sponsored by Edifecs July 3, 2025 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…

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Episode 208: How Health Care Providers are Harnessing AI for Efficiency and Impact

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 27, 2025 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 how guidance plays in ensuring not…

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Episode 207: Cybersecurity Updates from CISA and HHS

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 23, 2025 WEDI’s Privacy & Security Workgroup Co-Chair Lesley Berkeyheiser (DirectTrust) speakers with Charles Sweat Jr. MD, Healthcare and Public Health Sector Liaison, Cybersecurity and Infrastructure Security Agency (CISA) & Charlee Hess, Director Cybersecurity Division, Critical Infrastructure Protection,…

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Episode 206: Adding a Double Dose of Humanity for Each One Dose of Technology, Professor Linda Travis Macomber, National University

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 13, 2025 Michael welcomes Linda Travis Macomber, Professor in Practice and National University and a true thought leader in health care technology and innovation. Recently named a HIMSS Lifetime Fellow, Professor Macomber discusses her impressive career in nursing,…

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Episode 205: Building a Cyber Resilient Health System. Strategies for Threat Detection & Response

Knowledge Center Episode 205: Building a Cyber Resilient Health System. Strategies for Threat Detection & Response June 6, 2025 From WEDI’s 2025 Spring Conference, a panel featuring health care cybersecurity subject matter experts Erik Decker, VP, CISO, Intermountain Health, and Scott Ruthe, VP, Waystar. Moderated by WEDI’s Privacy & Security Workgroup Co-Chair Lesley Berkeyheiser (DirectTrust),…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 30, 2025 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.…

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Episode 203- LIVE from WEDI’s Spring Conference! Provider Information Workgroup

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 27, 2025 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.…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 9, 2025 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 2, 2025 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 25, 2025 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…

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Episode 198: Leveraging AI to Eliminate “Swivel Chair” Data Interoperability

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 18, 2025 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,…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 11, 2025 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…

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Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. April 4, 2025 Michael welcomes Sandra Johnson, SVP Client Services with CliniComp, a a health care technology company specializing in electronic health record (EHR) solutions and clinical information systems designed for hospitals, health systems, and government health care organizations. Sandra discussed the…

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Episode 195: “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, MedicaSoft

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 28, 2025 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 21, 2025 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…

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Episode 193- Making Positive Progress on Health Care’s Digital Transformation. Kevin Ritter, Altera Digital Health

Knowledge Center Episode 193- Making Positive Progress on Health Care’s Digital Transformation March 14, 2025 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 7, 2025 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 28, 2025 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 21, 2025 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 14, 2025 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…

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

Knowledge Center Episode 188: Bridging the Data Gap: The Role of Standards & Technology in Genomic Data Exchange February 7, 2025 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,…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 31, 2025 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…

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Ep 183- Leave it Better Than You Found It: LA Care CEO John Baackes

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 27, 2024 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 2, 2024 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 15, 2024 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…

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

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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…

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Episode 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.

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Episode 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.

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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.

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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?

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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.

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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.

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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.

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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

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

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

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Episode 156: Streamlining Healthcare: The Essentials of Administrative Simplification: A Conversation with CMS National Standards Group Director Michael Cimmino

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.

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

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.

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

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.

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WEDI Letter to HHS on Cyberattacks

WEDI Letter to HHS on Cyberattacks WEDI submitted a letter to HHS Secretary Xavier Becerra offering recommendations for maintaining data exchange processes following a cyberattack. The recommendations were developed through the WEDI Member Position Advisory Process. WEDI Letter to HHS on Cyber 5.16.24 Final Become a WEDI Insider to receive the latest news and regulatory…

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Episode 150: Unlocking Healthcare: Unpacking WEDI’s Interoperability & Prior Authorization Education Series

In January of this year, to coincide with the release of CMS’ Interoperability and Prior Authorization Final Rule, WEDI launched an ambitious 7-part education series examining the rule for the healthcare industry. Michael sits down with 3 of the moderators of the series, Ferris Taylor, Executive Director of the Healthcare Executive Group, Denny Brennan, Executive Director of the Massachusetts Health Data Consortium, and Robert Tennant, Vice President of Federal Affairs for WEDI to get their thoughts on the program and what it means for the industry moving forward.

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Episode 145: Healthcare is better…with “Musick”. MedicareSchool.com Co-Founder Marvin Musick

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 15, 2024 Michael chats with MedicareSchool.com co-founder Marvin Musick on the most common questions and misconceptions about Medicare, what questions interested participants should ask and the effect of AI and policy on Medicare and healthcare in general. Become…

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Podcast Episode 143: Dude, Where’s My Wheelchair!? Understanding Real-Time Location Systems with Centrak’s Nick Adriance

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 4, 2024 Join Matthew this week as he dives into the innovative universe of Real-Time Location Systems (RTLS) with the insightful Nick Adriance, Director of Global Software Product Management at CenTrak. Get ready for a fascinating journey through…

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WEDI Emerging Technology Subworkgroup: APIs, AI, and the Art of Health Care Data

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 22, 2024 In the fast-evolving landscape of health care data management, the WEDI Emerging Technology Subworkgroup identified critical issues raised on the recent WEDI webinar “The Road to Interoperability Series: Patient Access API & Provider Access API.” The…

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WEDI Bytes: Snackable Health Tech Talks

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 19, 2024 The Doc Who Wasn’t: Unmasking the Fraud Featuring: Lesley Berkeyheiser, CCSFP, CHQP // Sr. Assessor, DirectTrust and WEDI Privacy & Security Workgroup Co-Chair Adam Forman from DAW Systems Check out ‘WEDI Bytes’ for a real talk…

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Podcast Episode 141: Making an Impact in Behavioral Health Data Collection and Analysis – A Chat with Raven Health CEO Richard Wagner

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 16, 2024 In this episode, Michael chats with Richard Wagner, the big brain behind Raven Health (www.ravenhealth.com), former WEDI Privacy & Security Workgroup Co-Chair, and a total guru in making sense of behavioral health data. Richard isn’t new…

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Emerging Technology Subworkgroup: Navigating the Complexity of Payer-to-Payer Systems

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 15, 2024 In a recent discussion by the WEDI Emerging Technology Subworkgroup, professionals discussed the challenges and opportunities associated with the new payer-to-payer data exchange requirements included in the Centers for Medicare & Medicaid Services (CMS Interoperability and…

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VIDEO The Road to Interoperability Series: Payer to Payer API

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 14, 2024 Discover how CMS’s latest rule impacts payers as they must adopt HL7 FHIR APIs to enhance data exchange and streamline authorization. Uncover the secrets of efficiently sharing crucial health data, and tackle the challenges with insights…

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Coding for Care: CMS’s GitHub Repository is Modernizing Health Care Transparency

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 7, 2024 Written by Samantha Holvey, Director of Workgroups & Communication In the evolving landscape of health care information technology, The Centers for Medicare & Medicaid Services (CMS) has embraced an innovative approach to enhancing transparency and collaboration.…

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EFT and ERA Enrollment Process White Paper

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 2, 2024 The enrollment process for EFT and ERA varies widely throughout the industry today.  This document was previously published in 2013 and has been updated to include an overview of enrollment processes for ERA and EFT, along…

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Podcast Episode 139: Making Healthcare Synchronized, Personalized and Radically Convenient with Patty Hayward, Talkdesk

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 2, 2024 Matthew sits down with Patty Hayward, the General Manager of Healthcare and Life Sciences at Talkdesk, for a deep dive into the pressing issues facing healthcare today. Together, they explore the critical areas where healthcare is…

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Insight into the CMS Interoperability and Prior Authorization Final Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 29, 2024 Written by Robert Tennant, VP Federal Affairs, WEDI WEDI was pleased to have Alexandra Mugge, the Chief Health Informatics Officer and Director at the Centers for Medicare & Medicaid Services, provide an in-depth walkthrough of the…

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Podcast Episode 138: Taking Social Determinants of Health Data from Analysis to Action with SS&C and Bergen New Bridge Medical Center

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 26, 2024 In this episode, host Matthew convenes a panel of health care industry leaders to explore the significant role of Social Determinants of Health (SDOH) data in transforming community health. Featured on the panel is Brian Wikle,…

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Simplification Push Yields Major PriorAuthorization Win

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 25, 2024 Family physicians got several administrative simplification wins in CMS’ Jan. 17 finalization of a long-anticipated prior authorization rule that reflects the AAFP’s staunch advocacy. As the Academy called for following CMS’ December 2022 proposal, the final…

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How CMS’ prior authorization rule will affect insurers

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 23, 2024 The biggest adjustment involves altering processes so prior authorization decisions are automatically embedded into electronic health records. The change will be a dramatic one: Prior authorization represents one of the most manual processes carried out by health…

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The Road to Interoperability & Prior Authorization: A CMS Overview

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 19, 2024 We are pleased to welcome Alexandra Mugge, the Chief Health Informatics Officer and Director at the Centers for Medicare & Medicaid Services, for an in-depth walkthrough of the recently finalized CMS Interoperability and Prior Authorization Final…

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CMS finalizes rule setting prior authorization deadlines for payers

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 19, 2024 To combat growing criticism of prior authorization delays by payers, Centers for Medicare & Medicaid Services finalized a rule Wednesday that requires health plans to send prior authorization decisions within three days for urgent requests and…

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Podcast Episode 137: The Power of Community – A Chat with Shweta Maniar, Global Director, Healthcare & Life Sciences, Google

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 19, 2024 Michael is joined by Shweta Maniar, who heads up Healthcare & Life Sciences at Google. Shweta opens up about how her formative years of volunteering molded her perspective on the power of technology in revolutionizing healthcare,…

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Health care organizations praise CMS new rules on prior authorizations, interoperability

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 17, 2024 On Jan. 17, 2024, the U.S. Centers for Medicare & Medicaid Services (CMS) announced regulations aimed at speeding up the prior authorization (PA) process and promoting greater interoperability. Known as CMS Interoperability and Prior Authorization Final…

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WEDI Addresses NCVHS’s RFI on ICD-11 Adoption

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 12, 2024 WEDI has recently responded to a Request for Information (RFI) issued by the National Committee on Vital and Health Statistics (NCVHS). This RFI, titled “Request for Information addressing the potential use of ICD-11 for morbidity coding…

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Podcast Episode 135: How AI is Bringing the Joy Back to Medicine. A Conversation with Artisight Inc President Stephanie Lahr

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 5, 2024 In this podcast, host Matthew engages in an insightful conversation with Stephanie Lahr, President of Artisight Inc. Drawing from her experiences during a hurricane in Texas, Stephanie highlights the critical need for healthcare systems to move…

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The Health Plan’s Guide to Interoperability in 2024 and Beyond, presented by Cohere Health

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 18, 2023 Interoperability is critical to achieving the north star of intelligent prior authorization: a touchless experience. An end-to-end touchless authorization process means health plans and providers would never have to deal with prior authorizations for appropriate care.…

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Celebrating Excellence: Announcing the Winners of the 2023 WEDI Awards

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines ONC’s Micky Tripathi one of the industry leaders honored for contributions to further WEDI’s mission and national health IT industry initiatives. WASHINGTON, D.C. — December 15, 2023 — WEDI, the nation’s authority on efficient health care information exchange, and a…

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2023 WEDI Annual Membership Meeting

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 14, 2023 The WEDI Annual Membership Meeting is an essential gathering for all our members, offering a unique opportunity to reflect on our journey together in 2023 and to look forward to the exciting developments awaiting in 2024.…

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HHS Issues Final HTI-1 Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 13, 2023 Written by Robert Tennant, VP Federal Affairs, WEDI On the eve of its annual meeting in Washington, D.C., the Office of the National Coordinator for Health Information Technology (ONC) finalized its Health Data, Technology, and Interoperability: Certification…

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Episode 132: Leveraging AI to Collect Healthcare’s Receipts – An AI Discussion with SmarterDx CEO and Co-Founder Michael Gao

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 8, 2023 Our host Michael McNutt sits down with Dr. Michael Gao, the innovative CEO and Co-Founder of SmarterDx, to discuss the fascinating intersection of technology and healthcare. They explore Dr. Gao’s inspirational journey, beginning with the establishment…

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Tech Talks: Successful AI Practices in Health Care Administration

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 7, 2023 Successful AI Practices in Health Care Administration, with Jared Staal, Senior Director of Advanced Analytics and AI at Mayo Clinic. Email sholvey@wedi.org to join our Emerging Tech Subworkgroup. Join the Emerging Tech SWG Back to Knowledge…

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Podcast Episode 130: CISO Panel; Maintaining Security and Privacy as Patient Data and Technology Evolves

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 24, 2023 Our latest podcast straight from WEDI’s 2023 National Conference features a CISO panel hosted by Greg Garcia, the Executive Director of the Cyber Security Health Sector Coordinating Council (HSCC). This panel focuses on the latest trends…

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Tech Talks: AI Vendor Solution Study

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 17, 2023 November Emerging Technology Meeting Presenter: Ed Hafner, WEDI Board Chair Details: Ed presented a comprehensive summary of his study on 180 AI software solutions, spanning areas such as provider services, drug development, health plan management, health…

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Beyond Paperwork: Streamlining Healthcare Documents, Presented by DocStudio

Knowledge Center Beyond Paperwork: Streamlining Healthcare Documents, Presented by DocStudio November 17, 2023 An enlightening discussion on the intricacies of health care document management. DocStudio shares innovative insights and methodologies to address the unique challenges faced by health care professionals. Learn how DocStudio streamlines the process of maintaining, organizing, and accessing vital documents, all while…

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Podcast Episode 129: Sharing (Clinical Data) is Caring: CQL Talk with Smile Digital Health’s Bryn Rhodes

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 17, 2023 This podcast is sponsored by Smile Digital Health. Your Digital Transformation Awaits at www.SmileDigitalHealth.com In this enlightening episode, Michael engages in a deep dive with Bryn Rhodes, the Director of Standards Strategy at Smile Digital Health.…

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Podcast Episode 128: AI Strategy in Health Care- Look Before Your Leap

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 10, 2023 A comprehensive panel discussion from the WEDI National Conference held this week in Washington DC. Hosted by Ed Hafner, WEDI Board Chair, this episode brings together a group of subject matter experts to delve into the…

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Edifecs to Speak on the Power of Artificial Intelligence at 2023 WEDI National Conference

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 6, 2023 BELLEVUE, Wash.–(BUSINESS WIRE)–Edifecs, Inc., a global health information technology solutions company, is participating in multiple sessions at the Workgroup for Electronic Data Interchange (WEDI) 2023 National Conference Nov. 6-9 in Washington D.C. Dr. Summerpal Kahlon, M.D.,…

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Podcast Episode 127: Part 2 of our Expert Panel, AI Best Business Practices

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 3, 2023 In the riveting continuation of their AI dialogue, Episode 127 of the WEDI podcast titled “Part 2 of our Expert Panel, AI Best Business Practices,” WEDI Board Chair Ed Hafner orchestrates an insightful discussion with a…

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WEDI Responds to NIST’s Proposed Cybersecurity Framework 2.0

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 3, 2023 WEDI submitted comments in response to the publication of the National Institute of Standards and Technology proposed Cybersecurity Framework 2.0 (CSF 2.0). Full Comment Letter Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases…

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2023 WEDI National Conference: Madaket Q&A

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 1, 2023 Enjoy a sneak peek of Madaket’s session at #WEDInational next week! 2023 WEDI National Conference Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog…

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Information Blocking Enforcement Proposed Rule: ONC Call October 30, 2023

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 30, 2023 The U.S. Department of Health and Human Services (HHS) has released a proposed rule for public comment that would establish disincentives for health care providers found by the HHS Office of Inspector General (OIG) to have committed information…

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Spotlight on Excellence: The 2023 WEDI Awards

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 30, 2023 Nominate Today! It’s that time of year again, when we celebrate the brightest stars and unsung heroes in the realm of health care. The WEDI Awards, a revered tradition since 2001, shines a light on those…

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Podcast Episode 126: You Gotta Get the Data Right!Talking EMPI with 4medica’s Gregg Church and Alaap Shah, 4medica and Epstein, Becker and Green

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 27, 2023 Data is key to enhancing patient care and unlocking advanced analytics. In this episode, Michael sits down with Gregg Church, President of 4medica, and Alaap Shah, a lawyer with Epstein, Becker and Green. They dive deep…

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WEDI Prior Authorization Electronic Inquiry: Guiding Principles

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 16, 2023 The purpose of this document is to offer guidance across stakeholder groups to support the increased utilization and maximal efficiency of electronic prior authorization (PA) inquiry transactions. Download Paper Back to Knowledge Center Categories Comments &…

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Podcast Episode 124: Improving Safety, Satisfaction and Efficiency with Real Time Location Services. A Chat with CenTrak’s Scott Hondros

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 13, 2023 Michael chats with Scott Hondros, VP of Customer Excellence & Strategic Consulting at CenTrak about how Real Time Location Services can help health care create a safer, more satisfying and efficient environment for patients and healthcare…

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Real-Time Prior Authorization Coverage Requirements Discovery (CRD) Between a Payer and Provider

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 12, 2023 Denny Brennan, Executive Director and CEO, Massachusetts Health Data Consortium David Delano, Senior Director of Services, Massachusetts Health Data Consortium MHDC / NEHEN conducted a prototype electronic automated prior authorization DaVinci compliant CRD (Coverage Requirements Discovery)…

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Prior Authorization: Pure Compliance vs Effective Cost Reduction

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 5, 2023 Speaker: Brian Poteet, Product Manager, Prior Authorization, Edifecs   This is a Tech Showcase presented by Edifecs at the 2023 WEDI Summer Forum. Register for the 2023 WEDI National Conference Back to Knowledge Center Categories Comments…

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Podcast Episode 122: A Health Care ”Dolphin Tank” – A Chat with MassLight and zapEHR CEO Daniel Abrams

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 29, 2023 Michael sits down and chats with Daniel Abrams, CEO of MassLight and zapEHR. MassLight invests capital and software engineers in digital health startups, and are in the process of developing an innovative new “headless” EHR development…

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Implementing Clinical Data Exchange (CDeX) to Support Multiple Payer Use Cases

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 28, 2023 Jim Adamson, Business Transformation Manager, Arkansas Blue Cross Blue Shield Lynda Rowe, Senior Advisor Value Based Markets, Intersystems Now more than ever there is an imperative for payers to incorporate clinical data into their overall enterprise…

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WEDI Submits Comments to Senate HELP Committee on Improving Americans’ Health Data Privacy

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 27, 2023 WEDI submitted comments to Senator Bill Cassidy, MD, Ranking Member of the Senate Committee on Health, Education, Labor and Pensions in response to his Request for Information entitled: “Improving Americans’ Health Data Privacy. Click to Download…

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Payment Models Workgroup – September Meeting

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 26, 2023 Guest Speaker: Demitri Plessas, Ph.D., Principal Data Scientist, Edifecs 3 critical issues related to the use of AI in health care Join the Payment Models Workgroup Back to Knowledge Center Categories Comments & Letters Podcasts Press…

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WEDI Responds to Congress Regarding AI in Health Care

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 25, 2023 WEDI has submitted comments to Sen. Cassidy , Ranking Member, Senate Committee on Health, Education, Pensions and Labor, in response to his White Paper entitled “Exploring Congress’ Framework for the Future of AI:  The Oversight and…

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Healthcare IT today Bonus Features

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 25, 2023 WEDI called to “indefinitely postpone” the No Surprises Act Convening Provider Requirement in a comment letter, given “almost insurmountable challenges” in identifying providers, facilities, and the ability to collect and transfer good faith estimates.   Healthcare…

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X12 Updates

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 22, 2023 Speakers: Cathy Sheppard, Executive Director, X12 Tara Rose, Capability Manager, Optum Insight X12’s Proof of Concept (POC) Program was created to verify the expected business benefits of these new versions and transactions are achievable, identify unforeseen…

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HL7 Da Vinci Updates

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 21, 2023 Charles Jaffe, MD, PhD, Chief Executive Officer, HL7 Become a WEDI Insider Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in the…

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Podcast Episode 120: Hearts and Hats, Seeking Value Based Care in Cardiology with Dr Dan Blumenthal of Novocardia

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 15, 2023 Michael chats with multifaceted Dr. Dan Blumenthal, President of Novocardia, the new value-based care division of Cardiovascular Associates of America. The two discuss the strides Dan and Novocardia have made in creating access to timely high-quality,…

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Healthcare Orgs Address Price Transparency, 340B Policies in OPPS

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 15, 2023 Hospital and specialty groups are urging CMS to amend aspects of the CY 2024 Outpatient Prospective Payment System (OPPS) proposed rule, including 340B Drug Pricing Program policies and price transparency requirements. The American Hospital Association (AHA),…

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Answer to Prior Authorization Burden Reduction: Regulation vs. Automation

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 8, 2023 Rajesh “Raj” Godavarthi, Associate Vice President of Technology & Interoperability, MCG Health, Co-Lead for Prior Authorization Burden Reduction Use Cases at the HL7® Da Vinci Project, ONC HITAC Member Daniel Cawood, Product Manager, Interoperability Solutions, MCG…

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Podcast Episode 119: (May 2023) Conversation with NCVHS Standards Subcommittee and ICD-11 Workgroup Leadership

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 8, 2023 From WEDI’s 2023 Spring Conference, Tammy Banks, NCVHS Co-Chair, Subcommittee on Standards and Jamie Ferguson, Co-Chair, ICD-11 Policy Workgroups share updates on data exchange standards, the 2023 Roadmap, and what’s on the horizon for ICD-11. Tammy…

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The Weekly – September

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 7, 2023 September 5th September 11th September 18th September 25th Subscribe to The Weekly! Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in the…

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Podcast Episode 118: Creating Consistent Success and Solutions in Value Based Care

Knowledge Center Episode 118: Creating Consistent Success and Solutions in Value Based Care September 1, 2023 From WEDI’s 2023 Spring Conference, WEDI’s Payment Models Workgroup Co-Chair Michael Pattwell (Edifecs) speaks with Dr. James Dom Dera (Physicians Network) and Rick Foerster (Privia Health) about their successes and challenges with value based care. Join the Payment Models…

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Better data exchange is key to improving patient health outcomes

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 31, 2023 Interoperability and related compliance mandates are not new, though the landscape is ever changing. Without these two key components, progress is at stake. No one wants to return to the Wild West of health data and…

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Video: Adopting a FHIR-based approach to Prior Authorization, Presented by InterSystems

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 31, 2023 With the currently proposed CMS rule, 0057-P, Advancing Interoperability and Improving Prior Authorization Processes, improving this process has become a hot topic. Yet, looking across the industry, there are still many bespoke solutions that don’t solve…

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Podcast Episode 117: Breaking Down the Silos on the Way to Achieving Interoperability – A Conversation w/ Darena Solutions CEO Pawan Jindal, MD

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 25, 2023 Michael chats with Dr. Pawan Jindal, MD, CEO of Darena Solutions, a St. Louis-based tech company that delivers EHR and other health IT solutions for vendors and patients. They discuss how technology, the 21st Century Cures…

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Video: 275 (and 277 RFAI) Early Adopters

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 24, 2023 Mary Lynn Bushman, Agile Product Manager, National Government Services Sherry Wilson, Executive Vice President, Chief Compliance Officer, Jopari This session from the 2023 WEDI Summer Forum spotlights the Health Care Attachments for Claims and Prior Authorizations.…

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Congress Proposes Relief on Prior Authorization, but CMS is Ahead of the Game

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 22, 2023 A couple of new bills, or rather, retreads of old bills, demonstrate increased congressional interest in reforming prior authorization (PA) under Medicare Advantage (MA). The Price Transparency bill’s Title III section (“Establishing Requirements with Respect to…

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Solving for Automated Prior Authorization: Three Things You Need to Know

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 17, 2023 Written by Maxim Abramsky, AVP Product Management, Edifecs Prior authorization has become increasingly burdensome for patients, providers, and even health plans. Most prior authorization requests are done manually, in a non-standard process that often results in…

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Podcast Episode 115: Data – The Key to Addressing Health Disparities

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 11, 2023 From a recent WEDI Health Equity Workgroup meeting, a discussion with Mark Megerian, Technology Fellow with Optum. Visit United Health Foundation’s comprehensive data and SDOH tool, America’s Health Rankings (https://www.americashealthrankings.org/) to see some of the work…

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Opportunities and Challenges: Moving from ICD-10 to ICD-11

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 10, 2023 Written by Robert Tennant, VP Federal Affairs, WEDI Developed by the World Health Organization (WHO), the International Classification of Diseases, 11th Revision (ICD–11) is the international standard for systematic recording, reporting, analysis, interpretation and comparison of…

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WEDI Comments on FTC Health Breach Notification Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 8, 2023 WEDI submitted comments to the Federal Trade Commission in response to the agency’s NPRM entitled “Health Breach Notification Rule.” Read the Comment Letter Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates…

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Podcast Episode 114: Collecting Physician Data to Improve the Patient Experience and Support Health Equity

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 4, 2023 From a recent WEDI Health Equity Workgroup meeting, we welcome Tammy Weaver, VP Physician Professional Data with the American Medical Association. Join the Health Equity Workgroup Back to Knowledge Center Categories Comments & Letters Podcasts Press…

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Edifecs to Showcase Prior Authorization Solution at WEDI Summer Conference 2023

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 31, 2023 -Edifecs, Inc., a global health information technology solutions company, is participating in multiple sessions at the virtual Workgroup for Electronic Data Interchange (WEDI) 2023 Summer Conference, August 1 – 2. Kevin Day, principal business advisor at…

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Podcast Episode 113: The Patient Experience – Searching for Nirvana

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 28, 2023 From WEDI’s 2023 Spring Conference, 4 patient advocate professionals discuss how regulations and innovation are affecting patients. How close is the work of payers, providers and vendors to achieving “patient nirvana”. Panelists: Andrew Scholnick (AARP) Melissa…

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Prior Authorization included in New Mental Health Parity Proposed Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 27, 2023 Written by  by Robert Tennant, VP Federal Affairs, WEDI A Notice of Proposed Rulemaking (NPRM) has been released by the departments of Labor, Health and Human Services and the Treasury entitled “Requirements Related to the Mental…

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Podcast Episode 112: How AI Digital Assistants are Improving Capacity and Capability While Reducing Costs. Guest: Dr. Steven Waldren, AAFP

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 21, 2023 Dr. Steve Waldren, Vice President and Chief Medical Informatics Officer of the American Academy of Family Physicians discusses how AAFP’s Innovation Lab has embraced the power of artificial intelligence to aid their physicians with numerous functions…

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The Future of Health Care? Exploring the SMART Health Insurance Card

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 18, 2023 Launched by The Commons Project, in collaboration with the CARIN Alliance and the VCI coalition of public and private partner organizations, the SMART Health Insurance Card is based on the SMART Health Card QR code standard…

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Podcast Episode 111: ”Health Care Does Not Use Enough AI.” How Vital’s Aaron Patzer is redefining artificial intelligence…in human terms

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 14, 2023 Matthew has a great conversation with Aaron Patzer, founder of AI-based health care company Vital, about how artificial intelligence is quickly evolving in the industry. The former founder of Mint.com discusses AI’s benefits, challenges and considerations…

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WEDI Responds to White House Regarding National Priorities for Artificial Intelligence

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 7, 2023 WEDI submitted the following letter in response to the Request for Information (RFI) from the White House Office of Science and Technology Policy (OSTP) entitled “Request for Information: National Priorities for Artificial Intelligence, published in the…

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Leveraging FHIR as Medicaid Public Health Emergency Unwinding Commences

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 5, 2023 Written by Shane McMillan, Public Sector Technical Lead, Edifecs At the 2023 State HIT Connect event on March 6-8 in Baltimore, Maryland, state Medicaid agencies gathered to discuss the most pressing issues facing the industry. At…

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WEDI Submits Comments to NCVHS on the Potential Adoption of ICD–11

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 30, 2023 WEDI submitted comments in response to the National Committee on Vital and Health Statistics (NCVHS) June 13, 2023 Federal Register posting entitled “Request for Information (RFI) addressing the potential use of ICD–11 for morbidity coding in…

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Podcast Episode 109: Understanding the Brave New World of Health Care AI with HCSC’s Derrick Higgins

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 30, 2023 Matthew chats with Derrick Higgins, Head of Enterprise Data Science and Artificial Intelligence at Health Care Service Corporation (BCBS of Illinois, Montana, New Mexico, Oklahoma and Texas). Derrick discusses how his organization is leveraging artificial intelligence,…

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Podcast Episode 108: Advancing Health Equity Through Alternative Payment Models. HCPLAN HEAT Co-Chairs

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 23, 2023 From WEDI’s 2023 Spring Conference! The Health Care Payment and Learning and Action Network (HCPLAN) established the Health Equity Advisory Team (HEAT) to help identify and prioritize opportunities to advance health equity through alternative payment models…

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Emerging Tech Meeting on ChatGPT

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 22, 2023 Zachary Lipton, a well-noted Carnegie Mellon (CMU) Assistant Professor of Machine Learning Director of the Approximately Correct Machine Intelligence (ACMI) lab, shared his experiences in delivering machine learning applications for patients and providers with and without…

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Podcast Episode 107: Amplifying the Patient Voice! Jonathan Burow, Independent Health

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 16, 2023 From WEDI’s 2023 Spring Conference, Michael and WEDI Board Chair, Ed Hafner chat with Jonathan Burow, VP Customer Experience and Digital Transformation with Independent Health. Jonathan discusses best practices for measuring customer satisfaction across product lines…

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Podcast Episode 106: The Need to Incorporate Intersectionality and SDOH with Gregg Church, President, 4medica

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 9, 2023 The concept of intersectionality describes the ways in which systems of inequality based on gender, race, ethnicity, sexual orientation, gender identity, disability, class and other forms of discrimination “intersect” to create unique dynamics and effects. Regarding…

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Reporting Tiered Benefits

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 5, 2023 Tiered benefits can have different meanings or be defined differently by payers and providers. They may interpret the data they exchange differently, as well as how that information could be applied when delivering patient care. Both…

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Remembering Our Heritage: Asian American Pacific Islander (AAPI) Heritage Month

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 31, 2023 Written by Michael McNutt, Director of Events & Education Asian American and Pacific Islander individuals and communities have played a significant role in the history and future of health care in the United States. From pioneering…

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Podcast Episode 104: Provider and Payer Approaches to Addressing Health Disparities

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 26, 2023 From WEDI’s recent Spring Conference, a conversation on the importance of data, partnership, and health equity buy-in and bake-in with prominent health equity leadership from UnitedHealth Group and Mayo Clinic. Panel: Michael Currie, Chief Health Equity…

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Emerging Tech Meeting: ChatGPT

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 19, 2023 The Emerging Technology Subworkgroup continued their series on ChatGPT. Randy Swift, Co-Chair of Emerging Technologies facilitated a panel discussion with Vivek Tripathi, M.D., AVP Sutherland Healthcare, Gary Burt, Vice President Product Management, Sutherland, and Ajay Jetty,…

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2023 WEDI Workgroup Open House

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 19, 2023 Everyday, WEDI members volunteer their time and talent to WEDI workgroups and subworkgroups to provide thoughtful leadership and common-sense approaches that enhance the exchange of clinical and administrative healthcare information. WEDI is proud to present a…

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Podcast Episode 103: Health and Well-Being for All – Dr. Melissa Perry, Dean, College of Public Health, George Mason University

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 19, 2023 Responding to the commonwealth’s public health and workforce needs, George Mason University (Fairfax, VA) launched the first and only College of Public Health in Virginia. Michael chats with Dr. Melissa Perry, Dean of the College, on…

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Podcast Episode 102: How Payers Are Leveraging Data to Support Health Equity

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 12, 2023 This is an excerpt from a discussion from WEDI’s Health Equity Forum earlier this year on how payers are leveraging data to address health disparities, prevent disease and promote health and digital literacy. Guests are Dan…

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No Surprises Act – Good Faith Estimate Use Cases

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 5, 2023 Claims Subworkgroup & No Surprises Act Task Group These use cases describe common scenarios for which the Good Faith Estimate would be used. The purpose is to illustrate the business workflow steps required to obtain the…

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Podcast Episode 101: Improving the Patient Experience with AI; A Conversation with Elevance Health CTO Geeta Wilson

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 5, 2023 We chat with Elevance Health Chief Technology Officer, Geeta Wilson about how her company is embracing artificial intelligence to improve and enhance the patient experience. Podcast Episode 101: Improving the Patient Experience with AI; A Conversation…

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WEDI Celebrates Patient ID Week

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 4, 2023 New Toolkit Promotes Standardized Approach to Patient Matching Written by Article by Robert Tennant, VP Federal Affairs, WEDI Along with many health care organizations, WEDI celebrates May 8 – 12, 2023 as Patient ID Week. The…

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National Minority Health Month: Advancements and Opportunities for SDoH Data

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 26, 2023 Written by Samantha Holvey, Director of Workgroups & Communication National Minority Health Month is observed every April to raise awareness regarding health disparities that exist among different racial and ethnic groups in the U.S. According to…

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HBMA: Collaboration & Cooperation

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 26, 2023 Featured Article by Robert Tennant, VP Federal Affairs, WEDI For nearly 30 years, the Workgroup for Electronic Data Interchange (WEDI) has been an instrumental force in igniting public-private partnerships to empower meaningful changes in the American…

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WEDI Quick Hits: Digital Identity

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 25, 2023 Enjoy this 10min overview of digital identities in health care from special guest John Kelly. John is a healthcare CIO and eBusiness executive with extensive experience across healthcare enterprises and integrated delivery systems. Expertise and innovations…

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Fact Sheet: Medicare Telehealth Changes After the PHE

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 24, 2023 Since the public health emergency (PHE) related to the COVID-19 pandemic began in 2020, the Centers for Medicare & Medicaid Services (CMS) issued a series of waivers and flexibilities for telehealth services for Medicare beneficiaries. Some…

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Podcast Episode 99: No More Binders!!! Digitizing Patient Data and Improving the Patient Experience with Chronically Simple’s Kristy Dickinson

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 21, 2023 Michael spends some time with Kristy Dickinson, founder of Chronically Simple, a health care app that hopes to end the fragmented healthcare experience and allows patients and caregivers to proactively manage their health data. Learn more…

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WEDI Submits Comments to CMS on Attachments NPRM

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 21, 2023 WEDI submitted comments in response to the CMS Notice of Proposed Rulemaking entitled “Administrative Simplification: Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard.” Download…

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Rethinking Prior Authorization with AI, presented by Banjo Health

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 21, 2023 Banjo Health’s Head of Data Science, Shannon Fee and Head of Product, Vanessa Cheng showcasing how they are using artificial intelligence to dramatically reduce the time it takes to process prior authorization requests. With their innovative…

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Podcast Episode 98: Breaking Down Health Data Utilities with Velatura Public Benefit Corporation’s Angie Bass

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 14, 2023 This week we hear from Angie Bass, Chief Strategy Officer with Velatura Public Benefit Corporation, an industry leader in providing HIT and HIE consulting, development, implementation and operation services across the nation. Angie offers insight on…

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Raining Regulations: The HTI-1 Proposed Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 12, 2023 Written by Samantha Holvey, Director of Workgroups & Communication Are you feeling a bit lost in all the buzz around the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) proposed…

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Podcast Episode 97: Exploring Ways to Strengthen Cybersecurity in Health Care

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 7, 2023 A WEDI Spotlight from December 2022 featured a panel of health care cybersecurity SMEs discussing how to strengthen cybersecurity in the industry. The panelists: Denise Anderson, President and CEO, H-ISAC, Chris Lodico, Sr Director, Information Safety, HCSC,…

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Seven Elements of a Compliance Program

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 4, 2023 The Background to the Seven Elements In 1991, the Department of Health and Human Services (HHS) launched the Workgroup for Electronic Data Interchange (WEDI). WEDI had the objective of reducing administrative costs in the healthcare system…

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March Genomics Workgroup Meeting – Global Alliance for Genomics and Health (GA4GH)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 28, 2023 To provide education about genomic regulations, we had a guest speaker from the Global Alliance for Genomics and Health (GA4GH), the Work Stream and Clinical Projects Manager, Lindsay, who manages international teams developing standards for the…

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Telehealth Reflections Part 2

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 28, 2023 Podcast & Video Options! There are plenty of studies on #telehealth use, especially since the start of the COVID-19 pandemic, but have you listened to patient stories? Jill Dominic, Rob Tennant, and Samantha Holvey share their…

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Telehealth Reflections Part 1

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 27, 2023 There are plenty of studies on Telehealth use, especially since the start of the COVID-19 pandemic, but have you listened to patient stories? WEDI Past Chair, Nancy Spector, and Board Chair, Ed Hafner share their Telehealth…

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WEDI Health Equity Workgroup – How HDUs are different from HIEs

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 23, 2023 The WEDI Health Equity workgroup meeting from March 23rd with Angie Bass, Chief Strategy Officer, Velatura Public Benefit Corporation. Angie discusses how HDUs are different from HIEs and why it’s the next step towards interoperability and…

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Podcast Episode 94: Data Exchange Success Stories from the State Perspective. A Conversation with Minnesota’s David Haugen and Massachusetts’ Denny Brennan

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 17, 2023 In a season of “Raining Regulations” our attention turns to data exchange initiatives from the state level that sometimes occur in spite of or in absence of federal initiatives. Matthew speaks with David Haugen, Administrative Simplification…

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Health Equity Terminology Level Setting

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 15, 2023 To focus this work so we are all “rowing in the same direction,” we need to have a mutual understanding of the terms and their definitions that make up the language of health equity. Download the…

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WEDI Comments on CMS Interoperability and Prior Authorization Proposed Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 13, 2023 WEDI submitted comments to CMS on the NPRM entitled Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid…

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Podcast Episode 93: Lucy Up! Improving Patient Access, Affordability and Outcomes with Arrive Health CEO Kyle Kiser

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 10, 2023 Matthew welcomes back Arrive Health CEO Kyle Kiser to the podcast to discuss the latest at Arrive Health, an industry leader in delivering real-time cost and coverage data to decision-making workflows. Kyle discusses how working with…

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Initially Aggressive on Deadlines, NSA Rollout Becomes Measured

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 7, 2023 By MATTHEW ALBRIGHT If the NSA-implementing agencies could plot out and publish their plan for adopting standards, publishing regulations, and setting new compliance dates for the NSA AEOB and provider directory requirements, it would help tremendously…

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WEDI Celebrates Black History Month

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 28, 2023 Throughout February we have honored Black health care heroes and we hope you enjoy this compilation of inspiring leaders. We will continue to celebrate Black History, but we must also remember that there are long standing…

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Podcast Episode 91: Engaging the Patient with the Hospital Room of the Future. A Conversation with pCare CEO Dave Bennett

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 24, 2023 Michael sits in for Matthew and welcomes Dave Bennett, CEO of pCare, a leading provider of patient engagement solutions for health systems across the country. The two discuss the changing tone and climate of patient experiences…

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Podcast Episode 90: Playing with FHIR! A Conversation with HL7’s Dr. Charles Jaffe and Diego Kaminker

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 17, 2023 Matthew welcomes HL7 CEO Dr. Charles Jaffe and Deputy Standards Chief Implementation Officer Diego Kaminker. With FHIR seemingly on the lips of every health IT professional, Matthew asks the two about FHIR’s history, its multiple accelerators…

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Emerging Technology Meeting: FHIR End-Point Lessons Learned

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 10, 2023 With the recent final and proposed regulations addressing interoperability and prior authorization, understanding the challenges of setting up a successful FHIR server is critical. The Emerging Technology February session focuses on lessons learned from United Healthcare’s…

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Podcast Episode 89: The Boom (or Zoom) of Telehealth. A Conversation with Ron Emerson Zoom Global Healthcare Lead

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 10, 2023 Michael speaks with Ron Emerson, Global Healthcare Lead at Zoom. Recognized as a thought leader in Telehealth, Ron has more than 20 years’ experience in the healthcare industry having worked on a number of Telemedicine programs…

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Industry Survey: Feedback on Prior Authorization & Attachments Proposed Rules

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 8, 2023 The Workgroup for Electronic Data Interchange (WEDI), a non-profit multistakeholder association representing providers, health plans, vendors, standards organizations, and government, is conducting the survey below to obtain  information and perspectives on two Centers for Medicare &…

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In Health Care, Remember the Zebra

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 7, 2023 Written by Samantha Holvey, Director of Workgroups & Communication February is rare disease month and yours truly just happens to be a zebra. A zebra? Yes, in medical school doctors are taught when you hear hoof…

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Podcast Episode 88: Optimizing the Healthcare Experience with Advanced Data Analytics. A Conversation with Advata CEO Julie Rezek

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 3, 2023 This week, Michael welcomes Julie Rezek, CEO of Advata. Advata provides advanced data analytics software to improve decision-making and optimize administrative efficiencies in healthcare. The company’s revenue cycle management solutions are powered by predictive analytics, actionable…

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WEDI Comments on HHS Confidentiality of Substance Use Disorder Patient Records Proposed Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 31, 2023 WEDI submitted comments in response to an HHS proposed rule entitled “Confidentiality of Substance Use Disorder Patient Records Proposed Rule.” Download Comment Letter Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates…

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Address today’s challenges together at WEDI with the New Board Chair

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 31, 2023 Ed Hafner, 2021[/caption] Written by Ed Hafner, AVP Payer Strategy, Medical Network, Change Healthcare, and WEDI Board Chair It is an honor to serve the WEDI community as its new Board Chair. As I start my…

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Podcast Episode 87: Third Party Vendors Security Concerns in Healthcare. A Chat with Phil Englert of H-ISAC

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 27, 2023 Data breaches from healthcare vendors, which are considered “business associates” under HHS’ Office of Civil Rights breach portal have grown over the past 5 years, including 116 reported business associate breaches since November 2022 which have…

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WEDI Board Chair Reflections

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 24, 2023 As 2022 came to an end, so did my two-year term as the Chair of WEDI. Being the time of the year when we reflect on many things, I can’t help but think about the work…

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WEDI Testimony: NCVHS X12 & CAQH CORE Hearing

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 20, 2023 The National Committee on Vital and Health Statistics Standards Subcommittee hearing has taken place this week, Jan.18 & 19, examining the new and updated transaction standards and operating rules. The first day focused on the X12…

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Podcast Episode 85: Improving the Patient Experience Through Telehealth Innovation. A Conversation with Mend’s Matt McBride

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 20, 2023 Matthew chats with Matt McBride, Co-Founder and CEO of Mend (Mend.com) a patient engagement and telehealth platform designed to help healthcare organizations scale their practice and care for more patients. Matt discusses the change in telehealth…

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Despite challenges ahead, ONC and industry more aligned than ever

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 18, 2023 The agency “has had a singular vision from the outset. They’ve gone through multiple administrations that had different perspectives on healthcare – ONC has stayed pretty consistent, driven by bipartisan legislation,” adds Rob Tennant, vice president…

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Health IT: What’s “In” in 2023?

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 11, 2023 The “In and Out” trend is replacing “New Year’s Resolutions” and WEDI is here to share what’s IN for health IT in 2023! In no particular order: The WEDI Raining Regs series for all your 2023…

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WEDI Comments on CMS NPRM: NCPDP Standards

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 10, 2023 WEDI submitted comments in response to the publication of a Notice of Proposed Rulemaking entitled “Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail…

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Podcast Episode 84: HIEs Solving National Problems at the Regional Level

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 6, 2023 From WEDI’s National Conference this past October in Washington DC, Civitas Networks for Health’s CEO Lisa Bari hosts an engaging panel on the power of Health Information Exchanges with Nichole Sweeney, General Counsel and Chief Privacy…

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Podcast Episode 83: Leading the Charge for Big Data and Interoperability. A Conversation with Epic’s Dr. Dave Little and Phil Lindemann

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 6, 2023 Matthew talks about the importance of data with Epic’s Phil Lindemann, VP of Business Intelligence and Dave Little, MD, Clinical Informaticist. Epic manages electronic health records for more than 250 million patients and is now expanding…

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January 5th: Raining Regs Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 6, 2023 Check out WEDI’s Raining Regs email for everything you need to know about 2023 health IT regulations! Only WEDI members can subscribe. Please contact Bill Allder to learn more about becoming a member. January 5th: Raining…

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Prior Authorization and Attachments Proposed Rules Now Published: Share your Perspectives on these Critical Regulations

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 4, 2023 Written by Robert Tennant, Vice President Federal Affairs The Centers for Medicare & Medicaid Services (CMS) has released two long-awaited proposed rules that will significantly impact the health care industry. December 13 saw the release of…

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Podcast Episode 82:Early Insight on the Proposed Prior Authorization and Attachments Rules with HCSC’s Durwin Day

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 22, 2022 Michael chats with Durwin Day, Health Information Manager with Health Care Service Corporation (HCSC). Durwin also is a long standing member of WEDI’s Board of Directors and is the co-chair of its Attachments Subworkgroup. Durwin offers…

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On-Demand: Insight on the Prior Authorization & Attachments Proposed Rules

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 22, 2022 Featured Speakers: Alexandra Mugge, CMS Viet Nguyen, MD, HL7 Lynda Rowe, InterSystems Daniel Kalwa, CMS Subscribe to WEDI YouTube Channel Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating…

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STRUGGLING WITH GFES? REVENUE CYCLE LEADERS WILL SEE NEEDED RELIEF

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 13, 2022 KEY TAKEAWAYS GFEs need to cover not only the provider’s own services, but those of downstream providers expected to be needed to complete treatment. Enforcement of this part of the No Surprises Act requirement was expected…

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CMS Releases Interoperability and Prior Authorization Proposed Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 7, 2022 The Centers for Medicare & Medicaid Services (CMS) has released the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule. With this rule, the Agency seeks to improve patient and provider access to health information and streamline processes…

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HHS Gives Providers More Time for Good Faith Estimate Compliance

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 6, 2022 December 06, 2022 – HHS has extended enforcement discretion for the delivery of some good faith estimates (GFEs) under the No Surprises Act, according to new guidance. The guidance released by HHS on Friday says that CMS…

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WEDI Comments on CMS National Provider Directory RFI

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 6, 2022 WEDI submitted a comment letter in response to: “Request for Information; National Directory of Healthcare Providers & Services” released by the Department of Health and Human Services, Centers for Medicare & Medicaid Services. In our letter,…

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WEDI Applauds HHS Decision to Extend Enforcement Discretion for Critical Component of the No Surprises Act

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 2, 2022 Department Recognizes Need for Additional Time to Develop Standards WASHINGTON, DC, Dec. 2, 2022 — WEDI applauds the Department of Health and Human Services (HHS) for issuing guidance that extends the enforcement discretion period for the convening…

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How to Balance Third-Party Health App Benefits With Security, Privacy Risks

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 29, 2022 Experts from WEDI, the Healthcare Leadership Council, and AHIP discuss the benefits of third-party health apps while weighing privacy and security risks.   Read More Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases…

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WEDI comments address No Surprises Act, cyber incident reporting

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 29, 2022 Organization renews call for delays in implementing NSA, and it calls for change in defining ransomware attacks as data breaches. The Workgroup for Electronic Data Interchange last week submitted comments to two federal agencies, focusing on…

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WEDI Submits New Approach for No Surprises Act to HHS and OPM

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 15, 2022 WEDI Submitted comments to the Request for Information entitled: “Advanced Explanation of Benefits and Good Faith Estimate for Covered Individuals” released by the Departments of Health and Human Services, Labor, and the Treasury and Office of…

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WEDI Comments on CISA’s RFI on Cyber Incident Reporting

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 14, 2022 WEDI submitted a response to the Cybersecurity Infrastructure and Security Agency (CISA) “Request for Information on the Cyber Incident Reporting for Critical Infrastructure Act of 2022.” WEDI offered suggestions on how best to develop a cyber…

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WEDI to HHS – Industry lacks standards for No Surprises Act

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 14, 2022 Standards and essential workflows are lacking, and a collaborative approach to implementation would increase chances for success, group contends. Read More Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs &…

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6 Recommendations for Overcoming No Surprises Act Hurdles

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 11, 2022 Key Takeaways: The No Surprises Act contains provisions that protect patients from surprise medical billing and out-of-network emergency care costs not reimbursed by insurance. Although considered a win for patients, the law (and its many nuances)…

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WEDI Calls on HHS to Delay No Surprises Act Data Exchange Requirements

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 10, 2022 WEDI said that HHS should employ a glidepath approach to the No Surprises Act data exchange requirements until the industry has adopted data standards to support GFEs.   Read More Back to Knowledge Center Categories Comments…

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HHS advisory group submits No Surprises Act data exchange recommendations

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 10, 2022 The Workgroup for Electronic Data Interchange advisory group yesterday urged Health and Human Services Secretary Xavier Becerra to work closely with standards development organizations and other health care partners to identify and pilot test appropriate No…

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WEDI Member Position Advisory Session; Standards and Operating Rules

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 10, 2022 WEDI welcomed member feedback and insight on the X12 standards and CAQH CORE Operating rules recommendations submitted to NCVHS this summer. On May 23, 2022, CAQH CORE requested review of a set of new and updated…

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Digital tools keep patients from falling through social risk cracks

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 9, 2022 Written by Samantha Holvey, MHL, Director, Workgroups & Communication As the national spotlight on health equity intensifies, social risk (e.g., poverty, race and/or ethnicity, limited community resources) screenings are growing in popularity with health systems. Currently,…

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WEDI Submits Letter to Secretary Becerra about No Surprises Act Industry Glidepath

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 7, 2022 WEDI sent a letter to HHS Secretary Xavier Becerra outlining our concerns regarding implementation of the data exchange provisions of the No Surprises Act and offering recommendations for an industry glidepath. Download Comment Letter Back to…

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WEDI Comments on CMS “Make Your Voice Heard” RFI

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 7, 2022 WEDI submitted comments to CMS is response to a Request for Information entitled “Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs.” WEDI’s comments focused on health equity, telehealth, and continuing efforts to promote…

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October 20, 2022 Member Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 20, 2022 This edition includes: Federal Update Report Where APIs meet Health Equity by Design: Introducing the FHIRedApp Health Innovation UPMC Tests Digital Health App for Surgery Patients Best Practices for Health Plans that Sub-Contract Creation of the…

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WEDI highlights challenges in integrating telehealth data into EHRs

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 19, 2022 More than a third of adults used telehealth services in 2021, and now providers face the hard work of integrating results from standalone platforms. Read More Back to Knowledge Center Categories Comments & Letters Podcasts Press…

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WEDI paper seeks to offer guidance on remittance advice

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 17, 2022 The use of third-party business associates has complicated the resolution of claims communications with providers; standards, communication can help. Click for Article Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs…

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Podcast Episode 81: The Healthcare Metaverse; How will it Impact and Improve Patient Care. Cloud DX CEO Robert Kaul

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 30, 2022 This episode is part of Telehealth Awareness Week, #TelehealthisHealth Michael has a fascinating conversation with Cloud DX CEO Robert Kaul. Cloud DX is working on developing healthcare within the relatively new and mysterious metaverse, which consists…

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Best Practices for Health Plans that Sub-Contract Creation of the Remittance Advice

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 29, 2022 Providers are experiencing challenges in situations where they have a relationship/contract with a specific health plan (and submit their claims to that health plan), but that health plan then sub- contracts some or all services to…

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WEDI Submits Comments to NIST on Cybersecurity Resource Guide

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 23, 2022 WEDI responsed to the publication in July 2022 of the National Institute of Standards and Technology (NIST) Special Publication 21 NIST SP 800-66r2 ipd “Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule: A…

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September 22, 2022 Member Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 23, 2022 This edition includes: Federal Updates RFI Released to Solicit Input on AEOB Requirement of the No Surprises Act. Melanie Fontes Rainer Tapped as OCR Director-Will Speak at WEDI National Conference. House Passes Prior Authorization Legislation. CMS Innovation Center…

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Integrating Telehealth Data from Standalone Platforms into EHRs

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 21, 2022 As the use of telehealth services through standalone platforms becomes more prevalent, there will be an increased need to integrate health data from those platforms into patients’ electronic health records (EHR). This paper will provide an…

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Podcast Episode 80: At-Home Care and How AI is the Key to its Long Term Success: A Conversation with Robin Farmanfarmaian

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 19, 2022 WEDI is a proud partner for Telehealth Awareness Week #TelehealthisHealth To commemorate Telehealth Awareness Week, Matthew sits down with Robin Farmanfarmaian, a professional speaker and healthcare entrepreneur working with cutting-edge Artificial Intelligence Software, Device and Pharma…

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Emerging Tech Meeting with Brad Ryan, NCQA’s Chief Product Officer

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 15, 2022 As value-based payment models gain traction, effective and scalable quality measurement is essential for provider and health plan collaboration. In the digital age, there’s the opportunity to make measurement more accessible and actionable closer to the…

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Podcast Episode 79: How Artificial Intelligence is Making Healthcare Better for Everyone; Sponsored by MCG Health

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 6, 2022 This episode is sponsored by MCG. MCG artificial intelligence and technology solutions, infused with this objective clinical expertise, enable hospitals, health plans, TPAs, and government agencies to prioritize and simplify their workflow. Matthew chats with Zack…

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Interview with Ron Emerson, Zoom, Global Healthcare Lead – Telehealth Awareness Week

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 31, 2022 WEDI is a proud supporter of Telehealth Awareness Week, September 18-24 #TelehealthisHealth Michael McNutt, WEDI Director of Events & Education, sits down with Ron Emerson, Zoom Global Healthcare Lead to discuss all things Telehealth. Learn more…

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Podcast Episode 78: Unlocking the Potential of Healthcare with Ray Jebsen, Chief Commercial Officer, Avaneer Health, Sponsored by Avaneer Health

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 29, 2022 This episode is sponsored by Avaneer Health Matthew discusses data liquidity and the need for improved healthcare efficiency with Avaneer Health Chief Commercial Officer Ray Jebsen. In 2019, Avaneer Health was founded by a consortium of…

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Let’s Work Together

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 26, 2022 Written by Samantha Holvey, MHL, Director, Workgroups & Communications 2022 marks 10 years that I have been working at WEDI and managing the workgroups has been the most amazing journey. The hundreds of member volunteers that…

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Agencies release a final rule for No Surprises Act

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 26, 2022 The update includes guidance on how entities conducting independent reviews of disputes about charges can resolve differences. Three federal agencies have released a final rule updating several key provisions of the No Surprises Act. The No…

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Avoid Surprises by Staying Abreast of Surprise Billing

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 19, 2022 CMS regulations and accompanying surprise billing updates are changing faster than revenue cycle leaders can keep up. Read the Article Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating…

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Emerging Tech Meeting: Synaptic Health Alliance & Blockchain

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 18, 2022 Guest speaker: Kyle Culver, Director, Emerging Technologies, Humana & Co-founder of the Synaptic Health Alliance, an alliance of health leaders working to solve our industry’s toughest problems through blockchain technology. Kyle presents an overview of Synaptic…

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WEDI submits letter to CMS on virtual credit card concerns

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 17, 2022 The Workgroup for Electronic Data Interchange is warning that the use of virtual credit cards by healthcare payers to make payments to providers, while mitigating some fraud issues, can cause problems for providers that are out…

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No Surprises Act compliance: Sizing up the challenges

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 11, 2022 By Fred Bazzoli, Editor-in-Chief, HDM A WEDI forum addresses the difficulties in providing consumers with accurate estimates of healthcare expenses in advance of receiving services. The No Surprises Act is based on the premise that cost-conscious…

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WEDI Submits Letter to CMS on Administrative Simplification Guidance

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 9, 2022 WEDI submitted comments in response to the publication by CMS of administrative simplification guidance in the areas of: (i) Covered Entities’ responsibility for ensuring Business Associates’ compliance with HIPAA regulations; and (ii) Health plans’ payment of…

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HHS Asked to ‘Expeditiously Address’ GFE Provision

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 29, 2022 A workforce group takes aim at part of the No Surprises Act and asks HHS to act. The Workgroup for Electronic Data Interchange (WEDI) released a letter to HHS regarding the No Surprises Act. The workgroup takes…

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Genomics Workgroup – Pharmacogenetics

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 26, 2022 Presentation on Pharmacogenetics, the science of using genetics to determine drug optimization based on precision medicine. Our speaker is Daniel Dowd, SVP, Medical Affairs for Genomind. His presentation covers the basics of the field and introduces…

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Emerging Tech SWG Meeting – Featuring Amy Berk MSN, RN, Director, Population Health from Microsoft

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 21, 2022 Amy Berk MSN, RN, Director, Population Health from Microsoft joined us to present unique services that cloud providers offer including those that provide stronger reliability, scalability, recovery, security, and health care specific services such as FHIR,…

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July 14, 2022 Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 15, 2022 This edition includes: Federal Updates Proposed Physician Fee Schedule Rule Includes Telehealth Expansion Federal Government Warns Health Care Sector of New Ransomware Threat GAO calls on HHS to Improve Data Breach Reporting Process CMMI Identifies Implicit…

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Podcast Episode 77: Dissecting the Recent American Medical Association Prior Authorization Survey

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 11, 2022 Matthew welcomes Heather McComas, Director, Administrative Simplification Initiatives and Tyler Scheid, Senior Policy Analyst with the American Medical Association to discuss findings from the AMA’s recent prior authorization survey. Heather and Tyler address the AMA’s advocacy…

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June 30, 2022 Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 1, 2022 This edition includes: Federal Update WEDI Submits Recommendations to NCVHS Bipartisan Gun Bill Signed into Law with Telehealth Provisions President Biden Signs Two Cybersecurity Bills into Law GAO Seeks HITAC Nominations ONC Conducting Survey on State…

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WEDI Submits Letter to HHS on No Surprises Act

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 30, 2022 The No Surprises Act, signed into law as part of the Consolidated Appropriations Act of 2021, was an important step toward increased transparency and removing a significant financial challenge for patients. WEDI has identified an important…

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Protecting Half the Sky

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 29, 2022  Written by Samantha Holvey, MHL, Director, Workgroups & Communication Updated 7/8/22 Back in 2009 when I was thinking about going to grad school but wasn’t quite sure what I wanted to study, I read “Half the…

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Building Trust in Digital Health

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 28, 2022 By Michael Perretta, co-creator of Docket® “It takes 20 years to build a reputation and five minutes to ruin it.” – Warren Buffett Taking a “Shot” at Immunization Records There wasn’t a noticeable demand for immunization…

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Podcast Episode 76: Measuring the Value of Standards. Post NCVHS Listening Session Discussion (part 2) with WEDI Chair Nancy Spector

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 27, 2022 The National Committee on Vital and Health Statistics (NCVHS) Standards Subcommittee held a Listening Session June 9 on Standardization of Information for Burden Reduction and Post-Pandemic America “Convergence 2.0.” The Subcommittee conducted three panels: (i) Advance…

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CHIME and WEDI Caution Consumers Against Health Information Loss

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 24, 2022 A new resource developed by the two groups can be customized to help patients guard their data on third-party health sites. With third-party applications gaining more access to patients’ health information, the College of Healthcare Information…

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WEDI Comments to NCVHS on the Standardization of Information for Burden Reduction and Post-Pandemic America

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 24, 2022 WEDI has submitted the linked letter below in response to the National Committee on Vital and Health Statistics (NCVHS) Standards Subcommittee Listening Session entitled Standardization of Information for Burden Reduction and Post-Pandemic America “Convergence 2.0” held…

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Major Medical Groups Pen Complaints of GFE ‘Convener’ Requirement

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 23, 2022 A flurry of stakeholder complaints around the “convener” requirement for good faith estimates (GFE) has put pressure on CMS to take action. Read the article Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases…

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Podcast Episode 75; Measuring the Value of Standards. Post NCVHS Listening Session Discussion (part 1) with WEDI Chair Elect Ed Hafner

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 20, 2022 The National Committee on Vital and Health Statistics (NCVHS) Standards Subcommittee held a Listening Session June 9 on Standardization of Information for Burden Reduction and Post-Pandemic America “Convergence 2.0.” The Subcommittee conducted three panels: (i) Advance…

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No Surprises Act Convening Provider Requirements Create Burden

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 20, 2022 The convening provider requirements in the No Surprises Act pose challenges for providers, who would rather delay the obligation until data exchange standards are in place, according to a survey by the Workgroup for Electronic Data…

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June 16, 2022 Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 16, 2022 This edition includes: Federal Updates WEDI, CAQH CORE, HL7, NCPDP and X12 Send Joint Letter to HHS WEDI Testifies at NCVHS Listening Session WEDI Submits Comments to OCR Bipartisan, Bicameral Draft Privacy Legislation Introduced, Hearing Planning…

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Podcast Episode 74: The Benefits, Challenges and Myths Behind Virtual Staffing with Dr Steven Kupferman, Co-Founder and Chairman of MedVA.com

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 13, 2022 Matthew welcomes Steven Kupferman, DMD, MD, the Co-founder and Chairman of MedVA.com a premier healthcare Virtual Assistance Service, designed to improve patient care within thriving medical and dental practices. Dr. Kupferman discusses how virtual assistants support…

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Friday at Five: Recent Studies, Surveys and Reports

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 13, 2022 2022 WEDI No Surprises Act Survey Results The WEDI (@WEDIonline) No Surprises Task Group developed a survey in April, which collected input from 274 industry stakeholders. “While the No Surprises Act includes much needed consumer protections…

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CAQH, HL7, NCPDP, X12 and WEDI Send Joint Letter on Administrative Standards

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 8, 2022 This joint letter was sent to HHS Secretary Xavier Becerra from the HIPAA-designated Standards Development Organizations and Operating Rules Entity (CAQH Committee on Operating Rules for Information Exchange, Health Level Seven, National Council for Prescription Drug…

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2022 WEDI No Surprises Act Survey Results

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 8, 2022 The WEDI No Surprises Task Group developed a survey in April, which collected input from 274 industry stakeholders. Use the link below to see the full survey results. Contact sholvey@wedi.org if you would like to participate…

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AMGA Asks CMS to Amend Good Faith Estimate Policy, Guidance

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 8, 2022  The good faith estimate policy creates substantial administrative burden for healthcare practices, which could negatively impact patient care, AMGA said. The Workgroup for Electronic Data Interchange (WEDI) also highlighted issues with the policy. The group urged…

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WEDI Comments on Amended HITECH Act

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 6, 2022 WEDI submitted a comment letter to the HHS Office for Civil Rights in response to the agency’s Request for Information entitled Considerations for Implementing the Health Information Technology for Economic and Clinical Health Act. Use the…

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Podcast Episode 73: Marrying Eastern and Western Ideals with Technology; A Conversation with Clever Care Health Plans’ Unmesh Srivastava

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 3, 2022 We chat with Unmesh Srivastava, Chief Technology & Digital Innovation Officer, Clever Care Health Plan. Unmesh covers a great deal of topics, including how technology in health care is affecting health equity, value based care and…

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Emerging Technology Meeting – Transitioning to the Cloud

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 1, 2022 It was not until recently that health care organizations felt comfortable to migrate their applications to the cloud. Decision makers experienced fear, uncertainty, and doubt about the cloud’s ability to be secure and resilient running their…

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CHIME, WEDI Launch Patient Education Campaign on Health Data Sharing

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 25, 2022 The initiative will include a 5-step checklist to increase patient education about health data sharing, helping patients protect their health information while using third-party apps. CHIME, WEDI Launch Patient Education Campaign on Health Data Sharing Back…

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CHIME & WEDI Create “Think Before You Click” Campaign

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 20, 2022 CHIME and WEDI have developed the “THINK BEFORE YOU CLICK” resource to assist consumers who are looking to share their health information with third-party apps. This initiative, which includes a 5-step checklist, is designed to educate…

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May 19, 2022 Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines This edition includes: CMS Opens Promoting Interoperability Hardship Exception Process ONC Highlights STAR HIE Program Accomplishments Department of State Offers $10M Ransomware Reward Mayo Clinic Study Finds AI Predicts Heart and Cognitive Issues Inclusion of SDOH Data Improves Sepsis…

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Edifecs’ Leaders to Speak at WEDI 2022 Spring Virtual Conference

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 19, 2022 Edifecs, Inc., a global health information technology solutions company, is hosting sessions at the Workgroup for Electronic Data Interchange (WEDI) 2022 Spring Conference, held virtually May 23-26. Edifecs experts are presenting a demo on patient cost…

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Why WEDI, with Ed Hafner

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 13, 2022 “Why WEDI” is a series of short interviews with WEDI members and leaders in health IT. This week we interviewed Ed Hafner, Chair-Elect, WEDI Board of Directors and Coding and AVP Payer Strategy – Medical Network, Change…

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WEDI Workgroups – Open House

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 12, 2022 Industry leaders – like YOU – have been an integral part of WEDI workgroups, providing thoughtful leadership and common-sense approaches to enhance the exchange of clinical and administrative health information since the 1990s. By collecting input,…

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New framework aims to secure digital health apps not covered by HIPAA

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 9, 2022 Several healthcare stakeholder groups developed a new framework that addresses privacy and security risks associated with digital health tools and apps that fall outside of HIPAA regulation. Use the link below to read the full article.…

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Why WEDI, with Nancy Spector

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 3, 2022 “Why WEDI” is a series of short interviews with WEDI members and leaders in health IT. This week we interviewed Nancy Spector, Chair, WEDI Board of Directors and Coding and HIT Advocacy Director, American Medical Association. When did…

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Podcast Episode 72; Balancing Experience and Security in Remote Working. A Conversation with Mobile Mentor’s Denis O’Shea

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 2, 2022 WEDI Education Director Michael McNutt sits in for Matthew and chats with Denis O’Shea, founder of Mobile Mentor, a global leader in endpoint ecosystem, helping clients navigate the right balance between security and employee experience. The…

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WEDI Makes Healthcare-Specific Recommendations for Improving the NIST Cybersecurity Framework

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 29, 2022 The Workgroup for Electronic Data Interchange (WEDI) has responded to the request for information from the National Institute of Standards and Technology (NIST) and has made several recommendations for improving the NIST cybersecurity framework and supply…

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NIST urged to help small healthcare providers, add ransomware to framework

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 28, 2022 As malware- and ransomware-based intrusions will continue to plague healthcare into the foreseeable future, the Workgroup for Electronic Data Interchange (WEDI) is urging NIST to combine its ransomware guide to its flagship cybersecurity framework to provide…

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WEDI Responds to NIST’S RFI, Urges Increased Focus on Ransomware

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 27, 2022 In response to NIST’S request for information, WEDI urged the institute to increase its focus on ransomware and address third-party app security challenges. Read the full article linked below. WEDI Responds to NIST’S RFI, Urges Increased…

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WEDI Submits Comments to NIST

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 25, 2022 WEDI submitted comments in response to the National Institute for Standards and Technology’s Request for Information: Evaluating and Improving Cybersecurity Resources: The Cybersecurity Framework and Cybersecurity Supply Chain Risk Management. Use the link below to read…

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Why WEDI, with Jay Eisenstock

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 25, 2022 “Why WEDI” is a series of short interviews with WEDI members and leaders in health IT. This week we interviewed Jay Eisenstock, past Chair, WEDI Board of Directors and current Principle, JEConsulting. When did you join WEDI?…

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The Burke Stomach: A Story of Health Equity

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 21, 2022 Written by Samantha Holvey As a child growing up in Appalachia, I knew of an ailment called “The Burke Stomach.” My mom and grandpa were self-diagnosed with this terrible disease that caused them to writhe in…

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Podcast Episode 71: Unlocking Digital Healthcare with Damo Consulting CEO Paddy Padmanabhan

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 18, 2022 Matthew speaks with Paddy Padmanabhan, award-winning business leader, entrepreneur and best-selling author Paddy Padmanabhan, CEO of Damo Consulting. The two discuss what healthcare organizations should be prioritizing regarding digital health transformation, creating a frictionless digital health…

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The Quest to Improve Security, Privacy of Third-Party Health Apps

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 13, 2022 From HealthITSecurity WEDI and the Confidentiality Coalition proposed recommendations for improving the transparency, security, and privacy of third-party health apps with access to PHI. The Quest to Improve Security, Privacy of Third-Party Health Apps Back to…

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WEDI Joins HCEG in offering the annual Industry Pulse Survey

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 12, 2022 The 11th Annual Industry Pulse Research Survey, co-developed and co-commissioned by the HCEG and WEDI, is now open! We need your opinions and your answers to national survey questions.  WEDI members are asked to Take the survey…

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April 7, 2022 Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 7, 2022 This edition includes: Federal Updates OCR Announces New Enforcement Actions Senators Introduce Legislation to Bolster America’s Cybersecurity Posture White House Releases FY 2023 Budget OIG Reports 2 in 5 Medicare Beneficiaries used Telehealth During First Pandemic…

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Privacy risks loom without third-party app and API standards, healthcare groups say

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 30, 2022 As the interoperability push continues in healthcare, the Workgroup for Electronic Data Interchange (WEDI) and the Confidentiality Coalition are again urging regulatory leaders to address patient privacy and security risks posed by third-party apps generating healthcare…

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WEDI: ONC Health IT Certification Should Require ePA Data Exchange

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 30, 2022 In a letter responding to an ONC request for information, WEDI gave several recommendations on transitioning the industry to ePA data exchange. Use the link below to read the full article. WEDI: ONC Health IT Certification…

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WEDI Comment Letter on ONC ePA RFI

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 25, 2022 WEDI submitted comments in response to the Office of the National Coordinator for Health IT’s “Request for Information: Electronic Prior Authorization Standards, Implementation Specifications, and Certification Criteria” Use the link below to view the full comment…

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Podcast Episode 70: Advancing the Representation Medical Device Development and Clinical Research

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 25, 2022 Matthew has a fantastic conversation with Kendal Whitlock, Chair of Product Development and Clinical Research for the Med Tech Color Collaborative Community. MedTech Color has convened this Collaborative Community to create a forum where medtech professionals…

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WEDI Joint Letter on 3rd Party Apps and Patient Data

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 25, 2022 WEDI joined with the Confidentiality Coalition on a letter to the Secretary of the Department of Commerce and the Secretary of the Department of Health and Human Services on the issue of third-party apps and the…

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WEDI Member Alert: CMS Issues new Guidance on ePayments and ERA

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 23, 2022 The Centers for Medicare & Medicaid Services (CMS) today issued guidance to clarify requirements for covered entities conducting transactions using Virtual Credit Cards (VCCs), electronic funds transfer (EFT) and electronic remittance advice (ERA). In the guidance, CMS addresses…

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Fact Sheet: Data issues in Clinical Genomics

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 17, 2022 What can EHR systems do now to support genomics in clinical practice In general, the health care industry struggles to understand how to better incorporate genomics into patient care. Some of these challenges are attributed to…

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Data Exchange: The Engine that Powers US Healthcare

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 14, 2022 Written by Charles Stellar, WEDI President & CEO The engine that runs the US healthcare system is data exchange between patients, providers, and health plans. While we’ve made great strides in the last quarter century making…

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Podcast Episode 69: The Need to Incorporate AI Training for the Healthcare Workforce- with Kimberly Lomis, MD, American Medical Association

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 14, 2022 Matthew welcomes Kimberly Lomis, MD, vice president of undergraduate medical innovations at the American Medical Association. Dr Lomis participated in a National Academy of Medicine Discussion Paper titled Artificial Intelligence in Health Professions Education. The paper examines…

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WEDI Comments on No Surprises Act RFI

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 8, 2022 WEDI submitted comments in response to a Request for Information (RFI) from the Centers for Medicare & Medicaid Services (CMS) on challenges associated with the No Surprises Act (NSA). While reiterating general support for the intent of the…

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Podcast Episode 68: Discussing Price Transparency & Machine Readable Files with HealthSparq’s Matt Parker and MHDC’s Denny Brennan

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 7, 2022 Guest host Ferris Taylor of HCEG welcomes Matt Parker, Senior Vice President of Product for HealthSparq and Denny Brennan, Executive Director of the Massachusetts Health Data Consortium (MHDC) for an in-depth discussion on aspects of the…

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Podcast Episode 67: DREAM BIG for Maternal Care- Holly Varnell, SERA Prognostics, Dr. Sharon Hibay, CEO Advanced Health Outcomes

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 4, 2022 Matthew welcomes Holly Varnell of SERA Prognostics and Dr Sharon Hibay of Advanced Health Outcomes. To learn more about prenatal advancements discussed in this podcast, click here: PreTRM® Based on data from the World Health Organization,…

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2021 WEDI Annual Report

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 4, 2022 WEDI was formed in 1991 by then-Secretary of Health and Human Services (HHS) Dr. Louis Sullivan to be a national, multi-stakeholder organization to serve as a voice for the health care industry to improve health information…

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Millennial Medicine

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 2, 2022 Written by Samantha Holvey As an elder millennial I can speak from personal experiences, challenges, and the desires of my peers when it comes to our health care and the future of health care as we…

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Podcast Episode 66:A Culture of Support – A Conversation with HIT Like A Girl Podcast Founder and Host Joy Rios

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 31, 2022 Matthew chats with founder and host of the HIT (Health IT) Like a Girl podcast Joy Rios (https://www.hitlikeagirlpod.com/). The podcast’s mission is to celebrate women leaders in healthcare and health IT. They advocate for and create…

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January 27, 2022 Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 27, 2022 This edition includes: Overview of federal updates TEFCA release Draft USCDI v3 for review ONC Annual Meeting Lantern Workshop updates PHE extended until Apr. 16, 2022. Digital front door information TEFCA goals New Opportunity to help…

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WEDI Emerging Technologies SWG Meeting – January 20, 2022

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 24, 2022 The Emerging Technologies Subworkgroup meets on the 3rd Thursday of each month from 3-4 ET. Topic: Coordinated Convergence: Digital strategies to transform the member experience Speaker Panel: Eric Shultz, President, FluidEdge Consulting and former CEO, Harvard…

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TEFCA – What You Need to Know

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 19, 2022 To assist members and the industry better understand the Technical Framework, WEDI invited ONC and Sequoia Project leaders to walk through both the Technical Framework and TEFCA timeline. Back to Knowledge Center Categories Comments & Letters…

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January 13, 2022 Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 14, 2022 We have reformatted the WEDI Newsletter for 2022 and hope you enjoy this streamlined approach. This edition includes: Overview of Federal Updates 9 Cybersecurity Predictions for 2022 Noteworthy Updates to the Interoperability Standards Advisory (ISA) Reference…

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Podcast Episode 63: Understanding Data Segmentation with PP2PI’s Dr Hannah Galvin (Cambridge Health Alliance) and Laura Hoffman (AMA)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 3, 2022 Matthew welcomes Dr Hannah Galvin, CMIO from Cambridge Health Alliance and Laura Hoffman, Assistant Director, Federal Affairs with the AMA. Dr. Galvin is the founder of the Protecting to Promote Interoperability Workgroup (PP2PI),  a group that…

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Health IT Industry Leader Awards Announced at WEDI Annual Meeting

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 20, 2021 Industry leaders honored for contributions to further association mission and national health IT industry initiatives. WASHINGTON, D.C. — December 20, 2021 — WEDI announced the winners of its annual awards program, honoring the significant contributions of industry…

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WEDI Announces 2022 Board of Directors

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 20, 2021 Multi-stakeholder board comprised of health plans, providers, government regulators, industry vendors and standards organizations ensure the inclusion of diverse perspectives on a leading HHS advisor’s governing body. WASHINGTON, D.C. — December 20, 2021 — WEDI today…

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Podcast Episode 62: Addressing Health Disparities, Catching up with former National Coordinator for Health IT Dr. Vindell Washington

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 20, 2021 This week we are honored to welcome former National Coordinator for Health IT Dr. Vindell Washington to the program. Dr. Washington is Chief Clinical Officer of the Verily Health Platforms group and CEO of Onduo. We…

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December 16th Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 16, 2021 News you can use! December 16th Newsletter Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in the News WEDI Newsletters WEDI Papers…

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Unified Agenda Provides Glimpse into Potential Federal Government Regulations in 2022

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 16, 2021 Written by Robert Tennant, Vice President Federal Affairs The Fall 2021 Unified Agenda is a document released by the federal government outlining, by department and agency, future regulatory action. While the government is not bound by…

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Podcast Episode 61: They Are After Us – It‘s Time to get Serious about Healthcare Data Security with David Finn, VP CHIME

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 13, 2021 Use the code PODCAST to save 20% off our Virtual Spotlight on Healthcare Privacy & Security, taking place January 13-14, 2022. Matthew welcomes David Finn, VP with the College of Healthcare Information Management Executives (CHIME) and…

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Staging the Data Exchange Provisions of the No Surprises Act: One Pathway to Success

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 9, 2021 Written by Robert Tennant, Vice President Federal Affairs In submitting our comments in response to the Interim Final Rule with Comment (IFR) entitled, “Requirements Related to Surprise Billing; Part II,” WEDI reiterated support for the intent…

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WEDI Comments on No Surprises Act Interim Final Rule Part 2

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 7, 2021 WEDI is pleased to submit the following comments in response to the Interim Final Rule with Comment (IFR) entitled, “Requirements Related to Surprise Billing; Part II,” published in the Federal Register on October 7, 2021 (86…

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NACHA Data Security Requirement Updates for Healthcare Entities

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 17, 2021 This paper outlines updates made to the NACHA Operating Rules (Article 1, section 1.6 Security Requirements) regarding security requirements for account numbers used in healthcare claim payments and other electronic payments made by healthcare entities. NACHA…

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No Surprises Act National Summit

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 17, 2021 WEDI convened industry stakeholders to discuss the Good Faith Estimate (GFE) and Advanced Explanation of Benefits (AEOB) requirements of the 2020 No Surprises Act. The goal for the Summit was to not only identify challenges, but…

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Podcast Episode 60: Addressing the Prior Authorization Problem. Sponsored by MCG

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 15, 2021 This episode is sponsored by MCG. MCG’s transparent assessment of the latest research and scholarly articles, along with its own data analysis, gives patients, providers and payers the vetted information they need to feel confident in…

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Podcast Milestone – 5000+ Downloads!

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 12, 2021 Written by Michael McNutt The Collective Voice of Health IT podcast was started last year to enhance WEDI’s educational outreach and tap into a popular new media format. Produced by WEDI, the podcast offers relevant conversations…

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WEDI Spotlight: Standards and Operating Rules

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 10, 2021 WEDI held a webinar for members to attend this important spotlight as SDOs (Standard Development Organizations) and Operating Rules Entities offering updates on their activities and addressing any questions from the audience. Members could learn more…

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Fact Sheet: Privacy and Security in Telehealth

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 10, 2021 The Health Insurance Portability and Accountability Act (HIPAA) requires covered entities (e.g., health care provider, payer, or clearinghouse) to protect PHI they maintain or transmit to other covered entities or business associates. The requirement is to…

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November 4, 2021 Newsletter

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 4, 2021 News you can use! November 4, 2021 Newsletter Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in the News WEDI Newsletters WEDI…

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Podcast Episode 59: CEO Summit; Developing the Perfect Consumer Experience through the New App Economy with Jennifer Blumenthal (OneRecord) and Kristen Valdes (bWell)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 4, 2021 In its early stages, how has the New Healthcare App Economy delivered a streamlined and transparent experience for consumers? This week we chat with two CEOs at the forefront of this new economy; Jennifer Blumenthal, Co-Founder…

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Podcast Episode 58: Cybersecurity Consideration from Top Healthcare CISOs

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 25, 2021 In recognition of Cybersecurity Awareness month, WEDI is pleased to present a cybersecurity session from our recently concluded national conference. An excellent “CISO Summit” featuring Jacki Monson of Sutter Health, Erik Decker of Intermountain and Omar…

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WEDI Provides Comments and Recommendations on the Common Agreement

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 21, 2021 WEDI commends the Office of the National Coordinator for Health Information Technology (ONC) and the Recognized Coordinating Entity (RCE) for the release of the proposed elements of the Common Agreement for the Trusted Exchange Framework and…

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Health Literacy Month

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 21, 2021 To mark Health Literacy Month, we’re highlighting resources that can help providers better explain the services that are available to their patients through their health coverage: Review and share Coverage to Care resources, which help patients…

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Prior Authorization Workflow Barriers and Guiding Principles

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 4, 2021 Based on its discussions, the Prior Authorization Subworkgroup developed a set of guiding principles that will support optimal industry implementation of the X12 278 transactions and help stakeholders achieve increased benefits and cost savings associated with…

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Podcast Episode 56: The Economic Importance of Health Equity with Priya Bathija from the American Hospital Association

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 4, 2021 From our 2021 Quest for Health Equity event, we hear from Priya Bathija, Vice President of Strategic Infinitives with the American Hospital Association. Priya makes the case for Health Equity, not only from the moral perspective,…

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WEDI Letter to Lisa J. Pino, JD, Director of the Office for Civil Rights

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 1, 2021 WEDI congratulates Lisa J. Pino, JD on her appointment as the Director of the Office for Civil Rights (OCR) at the Department of Health and Human Services (HHS). Given her background as the New York State Department…

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The Challenge of Health Care Literacy

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 28, 2021 Written by Samantha Holvey Universal health care might be out of the question for the U.S. but what about a universal ability of patients to understand the health care system? WEDI President & CEO, Charles Stellar…

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Best Practices for Secondary EDI Claim Submissions

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 27, 2021 Mitigation steps that providers, software vendors, clearinghouses, and health plans can take to reduce consumption of resources at all levels, eliminate questions and confusion, reduce errors, and result in faster and more accurate payments to providers.…

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Podcast Episode 55: Mother‘s Need Best; The Maternal Health Crisis in America

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 27, 2021 We welcome Caryn Marks, Policy Advisor, Office of Intergovernmental and External Affairs in the Office of the Secretary of HHS and Rachel Abbey, Public Health Analyst with HHS’ Office of the National Coordinator for Health Information…

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Podcast Episode 54: Experiencing a Ransomware Incident, NCPDP‘s John Klimek and X12‘s Andrew Fitzpatrick

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 20, 2021 From our December 2020 virtual event on Ransomware, we have John Klimek from NCPDP and Andrew Fitzpatrick from X12 discussing their respective cyber attacks from 2020. This is moderated by WEDI’s Privacy and Security Workgroup Co-Chairs,…

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WEDI Submits Comments on QHIN and TEFCA

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 17, 2021 WEDI submitted a formal letter to the Recognized Coordinating Entity (RCE) in response to the draft Qualified Health Information Network (QHIN) framework, a key component of the Office of the National Coordinator for Health IT’s (ONC’s)…

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WEDI: HHS No Surprises Act Needs Data Standards to Prevent Burden

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 14, 2021 WEDI gave several recommendations related to HHS’ No Surprises Act, such as the development of data standards to prevent administrative burden. In response to the Department of Health and Human Services (HHS) interim final rule implementing…

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Podcast Episode 53: TEFCA Table Talk Part 2- Stakeholder Perspective Panel

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 13, 2021 Moderated by Edifecs’ John Kelly, we present part 2 of our TEFCA stakeholder panel, featuring Hans Buitendijk (Cerner), Tim Pletcher (MiHIN) and Danielle Lloyd (AHIP). The panel was originally broadcast live on September 1 on Zoom…

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TEFCA! C-CDA to FHIR Conversion

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 9, 2021 As part of our final web event focused on TEFCA, we welcomed Rick Geimer, Chief Innovation Officer with Lantana Consulting, who covered CDA, C-CDA, and FHIR documents; discussed the relationship between C-CDA-on-FHIR and the US Core;…

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WEDI Podcasts Reach New Heights

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 9, 2021  Written by Michael McNutt The summer of 2020 saw WEDI launch a new venture– a podcast series called “The Collective Voice of Health IT”. The weekly program, hosted by Matthew Albright, WEDI Board Member, Communications Committee…

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No Surprises Act Interim Final Rule and Data Exchange Challenges

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 8, 2021 Written by Robert Tennant, Vice President Federal Affairs The federal government issued the first of potentially multiple interim final rules implementing provisions of the No Surprises Act. Overall, WEDI strongly endorses the overall goals of the…

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WEDI Comments on the Requirements Related to Surprise Billing; Part 1

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 8, 2021 WEDI is pleased to submit the following comments in response to the Interim Final Rule with Comment (IFR) entitled, “Requirements Related to Surprise Billing; Part 1,” published in the Federal Register on July 13, 2021. We…

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Podcast Episode 52: TEFCA Table Talk: Stakeholder Panel with Hans Buitendijk (Cerner), Tim Pletcher (MiHIN) and Danielle Lloyd (AHIP)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 8, 2021 Part 1 of a great roundtable discussion on TEFCA and how it will affect the industry from numerous perspectives. Moderated by WEDI board member John Kelly, we welcome: Hans Buitendijk, Director, Interoperability Strategy, Cerner Tim Pletcher,…

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TEFCA! Healthcare Stakeholder Panels

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 1, 2021 A follow up to our August 26 TEFCA web event with ONC and the Sequoia Project, WEDI welcomed an all-star faculty to discuss TEFCA; what will it mean for payers, providers, vendors and more? 11:00am- 11:45am,…

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Podcast Episode 51: The “Gravity” of Integrating Medical and Social Care with HL7 Gravity Project’s Evelyn Gallego

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 30, 2021 Matthew welcomes Evelyn Gallego, CEO and Founder of EMI Advisors and Program Manager for HL7 Gravity Project, a multi stakeholder public collaborative that develops consensus based data standards for Social Determinants of Health (SDOH). Evelyn discusses…

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TEFCA! Live in 2022- What You Need to Know

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 27, 2021 To assist members and the industry better understand the Technical Framework, WEDI invited ONC and Sequoia Project leaders to walk through both the Technical Framework and TEFCA timeline. This is a free on-demand recording of that…

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WEDI Testifies at the NCVHS Subcommittee on Standards Listening Session

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 25, 2021 The National Committee on Vital and Health Statistics (NCVHS) Standards Subcommittee held a listening session on Healthcare Standards Development, Adoption and Implementation. Nancy Spector, WEDI Board Chair, presented the WEDI testimony to NCVHS on the “Information exchange and…

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Podcast Episode 50: Aspire and Achieve- ONC’s Health Interoperability Outcomes 2030 project with ONC’s Steven Posnack

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 23, 2021 From WEDI’s July Summer Forum, we present our keynote from ONC’s deputy national coordinator, Steven Posnack. Over the summer, ONC launched a new initiative to plot out interoperability goals to drive the industry forward. Through its…

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WEDI Letter to Secretary Becerra on the NSA – AEOB Issue

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 19, 2021 The No Surprises Act, signed into law as part of the Consolidated Appropriations Act of 2021, was an important step toward increased transparency and removing a significant financial challenge for patients. As the compliance date soon…

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Podcast Episode 48: Da Vinci Discusses Payer to Payer Data Exchange

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 9, 2021 From July’s Summer Forum, a session focusing on the work the HL7 FHIR Da Vinci Project is conducting on Payer to Payer Data Exchange. We welcomed Jocelyn Keegan, Program Manager of HL7’s Da Vinci Project and…

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Podcast Episode 47: Standards and Solutions; A Conversation with NCPDP’s John Klimek

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 2, 2021 Matthew welcomes John Klimek, Senior Vice President, Industry Information Technology with the National Council for Prescription Drug Programs (NCPDP). John discusses NCPDP’s latest work with real-time transactions, specialty pharmacies and the Universal Patient Identifier (UPI). Podcast…

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WEDI Comment Letter to NCVHS on Healthcare Standards Development, Adoption and Implementation

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 30, 2021 WEDI is pleased to submit the following letter in response to the Request for Public Comment (RPC) from the National Committee on Vital and Health Statistics (NCVHS) Standards Subcommittee entitled “Healthcare Standards Development, Adoption and Implementation”…

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Podcast Episode 46: WEDI Spotlight, Privacy and Security Workgroup Co-Chairs

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 26, 2021 This week we speak with WEDI’s Privacy and Security Workgroup Co-Chairs, Marilyn Zigmund Luke from AHIP and Tina Grande from the Healthcare Leadership Council. The workgroup meets monthly to identify and work towards resolution on all…

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2021 WEDI Industry Survey

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 16, 2021 WEDI is conducting this survey to gather feedback on critical industry topics and learn how WEDI can be of better service to our constituents. The survey will remain open until July 30th. The survey should take…

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WEDI Letter to The Honorable Meena Seshamani, MD, Ph.D.

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 15, 2021 WEDI, the nation’s leading authority on health information technology (IT), extends our warmest congratulations on your being named Deputy CMS Administrator and Director of the Center for Medicare. With your background as vice president of clinical…

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Sneak Peek: Emerging Technologies Subworkgroup Meeting

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 15, 2021 Here is your chance to check out one of our workgroup meetings! On this Emerging Technologies SWG call, we discussed Advanced Explanation of Benefits (AEOB) that is expressed within the No Surprises Act.  We quickly reviewed the…

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Podcast Episode 44: The Evolution of Ransomware with Google Cloud’s Director of Security and Compliance Jeanette Manfra

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 12, 2021 This week’s episode comes courtesy of WEDI’s virtual event on ransomware held in late 2020. This one day summit highlighted the growing concern of ransomware and other cyberattacks facing the healthcare industry, a concern that continues…

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WEDI Member Regulatory Alert

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 6, 2021 Biden Administration releases first No Surprises Act Regulation: The first of potentially several regulations seeking to implement the requirements of the No Surprises Act passed by Congress in late 2020 has been released. The Interim Final…

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Podcast Episode 42: Beyond HIPAA; Privacy & Security in a Consumer Driven Healthcare Space

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 29, 2021 From our National Conference, WEDI’s Privacy and Security workgroup co-chairs, Marilyn Zigmund Luke (AHIP) and Tina Grande (Healthcare Leadership Council) host a roundtable discussion on the evolution and challenges of securing patient data in today’s healthcare…

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Letter to CMS on the WEDI EFT/ERA Survey Results

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 23, 2021 WEDI developed the EFT/ERA survey questions instrument through our Remittance Advice and Payment Subworkgroup with CMS staff participating. The intent of the survey was to gather information on enhanced services and additional fees charged for receiving…

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Fact Sheet: Privacy and Security in Telehealth, Security Risk Assessments

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 23, 2021 A recent WEDI white paper found that privacy and security concerns are obstacles for providers and patients use of telehealth services. As such, the privacy and security of protected health information (PHI) is critical for telehealth’s…

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Fact Sheet: Privacy & Security in Telehealth, Business Associates Agreements

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 23, 2021 A recent WEDI white paper found that privacy and security concerns are obstacles for providers and patients use of telehealth services. As such, the privacy and security of protected health information (PHI) is critical for telehealth’s…

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Provider Adjustments (PLB) in the Electronic Remittance Advice (835)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 22, 2021 This paper will be published in a series of iterations, with updated information being provided in additional appendices. This will allow the WEDI Remittance Advice and Payments Subworkgroup (SWG) to provide information in a timely manner,…

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Podcast Episode 41: The CORE of Healthcare: A Conversation with CAQH CORE Board Chair Tim Kaja (Optum) and Vice Chair Linda Reed (St Joseph’s Health)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 21, 2021 Matthew welcome CAQH CORE Board Members Tim Kaja (Chair) and Linda Reed (Vice Chair). Tim is Senior Vice President at Optum Care and Linda is the Vice President and Chief Information Officer at St Joseph’s Health.…

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ONC releases draft of address standardization specification

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 17, 2021 The U.S. Office of the National Coordinator for Health Information Technology has partnered with standards development organizations and other experts to release the Project US@ Draft Technical Specification Version 1.0 for public comment. The draft specification…

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Podcast Episode 39: Chief Health Equity Officer Conversation; Dr Aletha Maybank (AMA) & Michael Currie (UnitedHealthGroup) from WEDI 2021 Conference

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 7, 2021 This week, WEDI presents a session recorded from our annual spring event, WEDI 2021 with Chief Health Equity Officer Dr. Aletha Maybank of the American Medical Association and Michael Currie of UnitedHealthGroup. Moderated by WEDI Chair…

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WEDI Letter to The Honorable Chiquita Brooks-LaSure

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 1, 2021 On behalf of our members, we offer our best wishes for great success as CMS Administrator and, as the collective voice of the health care industry on health IT issues, WEDI looks forward to continuing our…

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Chiquita Brooks-LaSure confirmed to lead Centers for Medicare and Medicaid Services

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 26, 2021 Providers and others applaud Brooks-LaSure’s work on the ACA and her advocacy on health equity issues and for the underserved. Charles Stellar, president and CEO of  WEDI, the Workgroup for Electronic Data Interchange, said, “Administrator Brooks-LaSure…

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Epic’s EHR Optimization Mitigates SDOH, Promotes Care Coordination

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 26, 2021 Epic’s EHR optimization services boost care coordination and help providers address social determinants of health, according to a recent health equity presentation for WEDI’s annual conference. Use the link below to read the full article. Epic’s…

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WEDI Statement on Chiquita Brooks-LaSure Confirmation as CMS Administrator

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 26, 2021 “WEDI congratulates Chiquita Brooks-LaSure for her confirmation as Administrator of the Centers for Medicare & Medicaid Services (CMS). Administrator Brooks-LaSure is now in a position to lead the nation’s COVID-19 relief efforts and reform of the…

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Tripathi: Let’s Do Great Things With EHR Systems, Interoperability

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 20, 2021 The Office of the National Coordinator for Health IT (ONC) is maintaining its focus on information blocking, interoperability, and coordination between federal agencies, according to Micky Tripathi, national coordinator for health IT. “We built this foundation…

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New ONC Standards Bulletin Issue Available!

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 20, 2021 The ONC Standards Bulletin is a periodically published communication for healthcare stakeholders that includes updates about ONC health IT standards initiatives. It is part of an ongoing effort to communicate, coordinate, and promote the adoption and use of interoperability standards to facilitate the access, exchange, and use…

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Help ONC Define Health Interoperability Outcomes for the Next Decade

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 20, 2021 What health interoperability outcomes would you like to see before/by 2030? ONC is looking for your input for “Health Interoperability Outcomes 2030” which we kicked off last week. You can submit your interoperability outcomes by July…

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Podcast Episode 36: Nearing the Goal Line Against COVID-19 with Dr. William Winkenwerder, Chairman of CitiusTech and former Assistant Secretary of Defense for Health Affairs

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 18, 2021 Matthew sits down and discusses the vaccine rollout with Dr. William Winkenwerder, Chairman of CitiusTech, former CEO of Highmark Health, and the former Assistant Secretary of Defense for Health Affairs under George W. Bush. What needs…

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Podcast Episode 35: WEDI Workgroup Spotlight; Provider Information Subworkgroup

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 10, 2021 Everyday, WEDI members volunteer their time and talent to WEDI workgroups to provide thoughtful leadership and common-sense approaches that enhance the exchange of clinical and administrative healthcare information. They collect input, exchange ideas, and make recommendations…

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WEDI Comments: Proposed Modifications to the HIPAA Privacy Rule to Support, and Remove Barriers to, Coordinated Care and Individual Engagement

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines May 6, 2021 WEDI is pleased to submit the following comments in response to the Notice of Proposed Rule Making (NPRM) entitled, “Proposed Modifications to the HIPAA Privacy Rule to Support, and Remove Barriers to, Coordinated Care and Individual…

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ONC: Information Blocking Opens Doors for Interoperability

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 29, 2021 ONC’s Micky Tripathi led a recent information blocking event  hosted by WEDI, to give healthcare stakeholders his thoughts on the present and future of the information blocking regulations. Read the full article linked below. ONC: Information…

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WEDI Comments: No Surprises Act

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 20, 2021 WEDI has submitted the letter linked below to HHS Secretary Becerra. The letter describes the level of WEDI support for the No Surprises Act as an important step towards increased transparency and removing financial hurdles for…

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Podcast Episode 32: The Blueprint, Brick by Brick. A Conversation with HL7 Da Vinci Project Chair Sagran Moodley (UnitedHealth Group)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 19, 2021 This week Matthew has a conversation with Sagran Moodley, Chair of the HL7 Da Vinci Project Steering Committee and Senior Vice President of Clinical Data Services & Technology for UnitedHealthcare’s Clinical Services organization. Sagran offers his…

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WEDI Letter to The Honorable Xavier Becerra

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 6, 2021 As the collective voice of the health care industry on health IT issues, we offer you our best wishes for great success as HHS Secretary and look forward to continuing our important partnership. Read the entire…

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Podcast Episode 29: The “Art” of Interoperability with HL7 Da Vinci Project’s Program Manager Jocelyn Keegan

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 29, 2021 Matthew welcomes Jocelyn Keegan, senior health information technology consultant with Point-of-Care Partners and Program Manager of HL7’s Da Vinci Project. Jocelyn a primer on Da Vinci, a private sector initiative that addresses the needs of the…

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Telehealth and COVID-19 Fact Sheet

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 24, 2021 The onset of the spread of COVID-19 and the declaration of the pandemic in March 2020 spurred interest in implementing telehealth services. Telehealth is a viable and proven modality through which to provide healthcare services to…

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Podcast Episode 28: Administrative Data History Tour with Lorraine Doo, Health Informatics and Interoperability Group, CMS Office of Burden Reduction and Health Informatics

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 22, 2021 We offer a fantastic view of the history of HIPAA, a look at the bright future of interoperability and the greater meaning of compliance with Lorraine Doo, Senior Policy Advisor of the Health Informatics and Interoperability…

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Survey on Fees for Remittance Advice and Electronic Funds Transfer Transactions

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 15, 2021 WEDI is conducting a survey to gather information on enhanced services and additional fees charged for receiving the electronic remittance advice (ERA) via the X12 835 transaction (subsequently referred to as “835”) and/or payment made via…

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Podcast Episode 27: Set it, Tune it, Tweak it- Maintaining Security Fundamentals with Fortified Health Security’s CEO Dan L. Dodson

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 15, 2021 We welcome Dan L. Dodson, Fortified Health Security’s CEO to talk about how telework due to COVID-19 and advancing technology may disrupt cybersecurity in healthcare. All is not lost however, as Dan offers insight on how…

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Key Healthcare and Health IT Components of HR 1319

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 12, 2021 Click below for a description of the key healthcare and health IT provisions in the American Rescue Plan Act of 2021. Key Healthcare and Health IT Components of HR 1319 Back to Knowledge Center Categories Comments…

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Podcast Episode 26: Surviving the Jolts; Organizational Leadership with GWU’s Dr. Leonard Friedman

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 8, 2021 Class is in session! Matthew welcomes Dr. Leonard Friedman, Professor, Department of Health Policy and Management, The George Washington University, Milken Institute School of Public Health. How have healthcare organizations managed through the pandemic, the sudden emergence of telehealth and how…

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Updated Telehealth Resource Guide

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 2, 2021 The scope of this document is to provide telehealth resources and the goals are to: Provide a convenient place to access various telehealth resources; Identify telehealth resources that are relevant, up-to-date, and represent a diversity of…

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Podcast Episode 25: APIs-Unlocking the Data to Transform Care Delivery and Quality. Ben Moscovitch, Pew Charitable Trusts

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 1, 2021 Matthew welcomes Ben Moscovitch, Project Director, Health Information Technology with the Pew Charitable Trusts. The two discuss APIs at length; what their inclusion in healthcare will mean for patients, payers, providers and regulators. Podcast Episode 25:…

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WEDI Letter to CMS on Prior Authorization/Interoperability Regulation

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 26, 2021 Nancy Spector, as WEDI Board Chair, sent this letter to Elizabeth Richter, Acting CMS Administrator. As the agency is currently reviewing the Prior Authorization and Interoperability regulation, this communication outlined our strong support for adoption of standards that…

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Podcast Episode 24: Dancing with the…Standards. ADT talk with DirectTrust’s Scott Stuewe

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 23, 2021 Matthew welcomes DirectTrust’s President and CEO Scott Stuewe who has a huge announcement regarding Admission, Discharge and Transfer (ADT) Notifications. More information about DirectTrust’s announcement can be found here- https://directtrust.org/standards/event-notifications-via-direct Podcast Episode 24: Dancing with the…Standards.…

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Chiquita Brooks-LaSure Tapped by President Biden to Lead CMS

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines February 18, 2021 WEDI applauds President Joe Biden for his selection of Chiquita Brooks-LaSure to lead the Centers for Medicare & Medicaid Services (CMS). Once confirmed, Brooks-LaSure will take on the role of Administrator at a critical time-with the…

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Health Equity: What is it, Why does it matter, and What can we do about it?

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines Health inequity is one of the most dangerous issues facing healthcare today. It refers to the health disparities that create gaps in healthcare for different groups of people. Use the blue link below to learn more. Health Equity: What…

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WEDI 2020 Annual Report

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 27, 2021 A message from WEDI’s CEO, Charles Stellar 2020 has met the criteria for being a challenge to our health care delivery system and unfortunately for the loss of lives that the pandemic has created. Amid so…

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Podcast Episode 20: Considering the HUMAN System in Healthcare; A Talk with George Halvorson, Chair and CEO of the Institute for InterGroup Understanding

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 25, 2021 An truly impactful conversation with one of healthcare’s most influential thought leaders, George Halvorson, Chair and CEO of the Institute for InterGroup Understanding. George talks with Matthew about understanding our uniqueness, and how overcoming the “Us”…

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Podcast Episode 19: Setting, Aligning and Meeting Expectations with Softheon Founder and CEO Eugene Sayan

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 18, 2021 Matthew sits down with Softheon Founder and CEO Eugene Sayan to discuss the growth of healthcare IT services, the ACA and the consumerization of healthcare. Podcast Episode 19: Setting, Aligning and Meeting Expectations with Softheon Founder…

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Member Advisory: CMS Puts Patients Over Paperwork with New Rule that Addresses the Prior Authorization Process

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 15, 2021 WEDI believes the Final Rule issued by CMS is an important step towards improving administrative transactions such as prior authorization and effective and secure data flow between patients, providers, and payers. As we have done with…

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A Framework for Implementing Telehealth

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 6, 2021 Providers need to determine which telehealth capabilities are right for their practice and patients by defining the population(s) with whom they can be most successful when delivering care virtually. A Framework for Implementing Telehealth Back to…

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Comment Letter: CMS Rules to Reduce Administrative Burden and Improve the Prior Authorization Process

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines January 4, 2021 Submitted via the Federal Regulations Web Portal, www.regulations.gov RE: Medicaid Program; Patient Protection and Affordable Care Act; Reducing Provider and Patient Burden by Improving Prior Authorization Processes, and Promoting Patients’ Electronic Access to Health Information for…

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WEDI Welcomes the Biden Administration

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 23, 2020 On behalf of the Workgroup for Electronic Data Interchange (WEDI), I would like to take this opportunity to extend our congratulations on your election victory and introduce you to our organization. As you begin to develop…

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Podcast Episode 17: WEDI Chair Jay Eisenstock

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 21, 2020 Matthew closes 2020 with a great conversation with outgoing WEDI Chair Jay Eisenstock, principal of JE Consulting. Jay discusses the year in healthcare, his time leading WEDI’s board and how the association will help lead the…

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2020 WEDI Awards

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 18, 2020 Leadership in Volunteerism – The Andrew Melczer Award Named in honor of the late Andrew Melczer who committed his career to healthcare and devoted his life to helping, teaching, and sharing with others. This award recognizes…

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Podcast Episode 16: One on One with Dr Donald Rucker, National Coordinator, ONC

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 14, 2020 We are honored to welcome Dr. Donald Rucker, National Coordinator, Office of the National Coordinator for Health Information Technology (ONC) to the show this week. We discuss ONC’s latest work on supporting interoperability, the effect of…

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Say “Hey!” to Project US@ – a Unified Specification for Address in Health Care

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 7, 2020 The Office of the National Coordinator for Health Information Technology (ONC) in collaboration with Health Level 7 (HL7), the National Council for Prescription Drug Programs (NCPDP), and X12 (along with the other standards development organizations (SDOs)…

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Comment Letter: Securing Updated and Necessary Statutory Evaluations Timely Notice of Proposed Rulemaking (RIN 0991- AC24)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines December 7, 2020 WEDI is a named advisor to the Secretary of the U.S. Department of Health and Human Services (HHS) in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), a frequent commenter on administrative simplification regulations,…

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Podcast Episode 14: Teamwork Makes the (Healthcare) Dream Work. A Conversation with Mary Grealy of the Healthcare Leadership Council

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 23, 2020 Matthew welcomes Mary Grealy, President of the Healthcare Leadership Council, for a fantastic conversation on how collaboration in the industry can truly usher in a new age in healthcare innovation. Mary discusses HLC’s upcoming Disaster Preparedness…

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Cybersecurity Resources

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 20, 2020 Viruses, malware and hackers pose a threat to the entire health care system. The American Medical Association (AMA) and the American Hospital Association (AHA) have curated resources and tips to protect patient health records and other…

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Podcast Episode 13: Your Organizational Hygiene Habits to Combat Ransomware and Other Cyber Attacks with EHNAC’s Lee Barrett

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 16, 2020 Matthew Albright sits with EHNAC Executive Director and CEO Lee Barrett, a veteran healthcare leader and subject matter expert on data security. As the US healthcare industry is threatened with ransomware attacks from cyber actors, Lee…

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Podcast Episode 12: Surveying the Healthcare Landscape with Madaket CEO Eric Demers

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 9, 2020 Matthew welcomes recently named CEO of Madaket Health Eric Demers to the show. The two discuss Madaket’s mission to improve administrative simplification, the impact of COVID-19 on multiple levels of the industry, and how consumers and…

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Podcast Episode 11: The Innovative State with CareJourney’s Aneesh Chopra, The Playbook for a New, More Collaborative Healthcare Industry

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines November 2, 2020 Aneesh Chopra, President of CareJourney and the first U.S. Chief Technology Officer, serving under the Obama Administration from 2009-2012. Aneesh discusses how new technology and innovation are key to transforming the current business model, the need…

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WEDI Member Update: Privacy & Security Resources

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 29, 2020 The U.S. Department of Health and Human Services, the Federal Bureau of Investigation, and the Department of Homeland Security are warning of “imminent and credible” threats against the U.S health sector. Malicious cyber actors are targeting…

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ONC Announces Interim Final Rule with Comment Period

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 29, 2020 WEDI applauds the Office of the National Coordinator for Health Information Technology (ONC) for releasing today an interim final rule extending by six months the compliance deadline for the information blocking provisions of the Cures Act…

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Podcast Episode 10: WEDI Workgroup Showcase: The Opportunities and Challenges of Genomics and Genetics Testing

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 19, 2020 We welcome Grant Wood, Senior IT Strategist for Intermountain Healthcare’s Clinical Genetics Institute and the chair of WEDI’s Genomics Workgroup and Marilyn Zigmund Luke, Vice President at America’s Health Insurance Plans (AHIP) for a in-depth presentation…

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Podcast Episode 9: Conversation with an HIE Triple Threat, Tim Pletcher of MiHIN

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 12, 2020 Matthew chats this week with Tim Pletcher, the Executive Director for the Michigan Health Information Network Shared Services (@MiHIN), the President and CEO for Velatura LLC and the CEO of the Interoperability Institute. Tim discusses his…

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Podcast Episode 8: The Ultimate Telehealth Policy Primer with WEDI Telehealth Workgroup Co-Chairs Nancy Spector (AMA) and Alison Armstrong (Anthem)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 5, 2020 Matthew has a great, in-depth discussion about telehealth policy with Nancy Spector of the AMA and Alison Armstrong of Anthem- the WEDI Telehealth Workgroup Co-Chairs. How did COVID-19 accelerate Telehealth policy, what should we expect or…

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Podcast Episode 7: Connected Care: Placing the Patient at the Center of the Equation, Rick Krohn, HealthSense

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 28, 2020 Matthew speaks with healthcare innovator and prolific author and writer Rick Krohn (@RickKrohn) President of HealthSense. Find out how Rick’s idea of a Connected Health Ecosystem could improve healthcare efficiency and experiences by creating knowledge and…

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Help Us Guide Health Care’s Future Leaders

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 21, 2020 Over the years, many of you have grown your own network, knowledge and skillset by participating in WEDI workgroups, conferences, webinars and more. Next year is WEDI’s 30-year anniversary, prompting us to re-examine our accomplishments, consider…

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Podcast Episode 6 – WEDI Workgroup Showcase: Remittance Advice and Payment

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 21, 2020 This week, we welcome the co-chairs of WEDI’s Remittance Advice & Payment Subworkgroup; Pam Grosze ( PNC Bank), Patricia Wijtyk (Cognizant) and Mary Lynam (DST Health). The primary goals of the SWG are to facilitate the…

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Podcast Episode 5- Privacy by Design; Cybersecurity as a Patient Safety Issue with Laura Hoffman from the AMA

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 15, 2020 This week we welcome Laura Hoffman (@lgh_dc on Twitter), Assistant Director, Federal Affairs with the American Medical Association. Laura talks about how the surge in telemedicine not only advanced policy but also allowed physicians to offer…

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Best Practices for Reducing Unnecessary Duplicate Claim Submissions

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 9, 2020 The industry suffers from a high rate of rejections and/or denials caused by duplicate claim submissions to the payer. Handling duplicate claims consumes valuable staff time and incurs cost and burden to those stakeholders impacted: providers,…

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Patient Identity & Matching comment letter to ONC

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 4, 2020   WEDI’s comment letter to Dr. Rucker, National Coordinator for Health Information Technology, HHS regarding the technical and operational methods to improve patient identity and matching.  Our comments based, on membership input, are provided to ONC…

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WEDI Applauds CMS

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 3, 2020 WEDI applauds CMS’ proposal to improve remote access to healthcare through the 2021 Physician Fee Schedule Proposed Rule (PFS) that seeks to make some of the emergency expansion of telehealth services permanent. WEDI urges the industry…

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Payment Models Workgroup — Did You Know?

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 1, 2020 This issue brief is the first in an ongoing series of briefs intended to provide education and clarification related to payment models and related technologies, terminology and trends. Payment Models Workgroup — Did You Know? Back to…

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Podcast Episode 4- Treading Lightly Through the Brave New World of Consumer Data Access with CHIME’s Mari Savickis

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines September 1, 2020 Matthew chats with longtime friend and healthcare veteran Mari Savickis (@Mari_Savickis on Twitter), Vice President of Public Policy with CHIME, the College of Healthcare Information Management Executives. Is privacy dead? With the new regulations granting consumers…

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WEDI Comments: Health Breach Notification Rule

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 20, 2020 The Workgroup for Electronic Data Interchange (WEDI), appreciates the opportunity to submit comments in response to the Federal Trade Commission’s (FTC’s) regulatory review and request for public comment concerning the 2009 Health Breach Notification (HBN) Rule…

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Podcast Episode 3- Power (Back) to the Provider; Health IT Insight with Holon Solutions’ Jon Zimmerman and Robert Connely

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 19, 2020 Matthew welcomes Holon Solutions’ CEO Jon Zimmerman (@HolonSolutions) and Chief Strategy and Product Officer Robert Connely (@robertconnely). The three discuss the industry’s response to COVID-19 and the continuing evolution of digital healthcare, the war on fragmentation…

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WEDI Administrative Automation Survey Results

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 14, 2020 After more than 20 years of effort following enactment of HIPAA and related rules, the industry continues to experience administrative burdens and the costs associated with a reliance on manual approaches to the exchange of health…

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WEDI Podcast, Ep 2: Information Blocking, Interoperability, Innovation and Impact

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines August 3, 2020 Matthew chats with ONC’s Deputy National Coordinator Steven Posnack (@HealthIT_Policy) on the recent ONC Cures Act Final Rule, how innovation will aid in the battle against COVID-19 and the financial impact providers are facing during the…

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Incorrectly Routed Payments And Remittance Advice

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 29, 2020 This paper provides education and guidance to payers and providers on situations that occur when electronic healthcare claim payments and/or remittance advice are routed to a receiver incorrectly; for example, using the provider’s Taxpayer Identifier Number…

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The Collective Voice in Health IT, A WEDI Podcast

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines July 23, 2020 Ep 1: The Shift in Healthcare Priorities; A Conversation with HCEG’s Ferris Taylor Host Matthew Albright discusses how COVID-19 has affected priorities in the healthcare industry with Ferris Taylor, Executive Director of the HealthCare Executive Group…

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NCVHS Meeting June 17-18, 2020

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines June 22, 2020 The National Committee on Vital and Health Statistics Virtual Meeting was held June 17-18, 2020. The agenda can be seen here. The meeting notes have been added to the Resources in the WEDI Member Center. If you…

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Telehealth and COVID-19

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 20, 2020 The onset of the spread of COVID-19 and the declaration of the pandemic in March 2020 has spurred the interest in implementing telehealth services. Telehealth is a viable and proven platform through which to provide health…

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Overcoming Barriers to the Broader Adoption of Telehealth

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines April 9, 2020 Note: This paper was written during 2019 and early 2020 and is a summary of WEDI’s fall 2018 Barriers to the Broader Adoption of Telehealth survey and the industry’s on telehealth adoption between fall 2018 and…

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COVID-19 Resources & Information

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines Updated May 18, 2020 WEDI is providing the following links to resources related to COVID-19 (aka “coronavirus”).  We recognize that the information on COVID-19 is changing rapidly and hope these links can provide you with up-to-date information on privacy…

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Provider Adjustments (PLB) in the Electronic Remittance Advice (835)

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 12, 2020 The purpose of this paper is to provide guidance and information on the functionality and usage of the Provider Adjustment Segment (PLB) within the electronic remittance advice (ASC X12N 835 transaction) for specific business use cases,…

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WEDI Comments: 2020-2025 Federal Health IT Strategic Plan

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines March 9, 2020 WEDI has reviewed the Office of the National Coordinator for Health Information Technology (ONC) 2020-2025 Federal Health IT Strategic Plan (Strategic Plan) released in January 2020. Overall, we support the high-level goals and objectives identified in…

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