Posts by lcanaley
WEDI Federal Update 11.17.25
WEDI to Participate in CMS Listening Session on Prior Authorization Standard, Holding MPA TODAY-November 17. WEDI has been invited to participate in a listening session on prior authorization being held by the Centers for Medicare & Medicaid Services’ (CMS) National Standards Group on December 10, 2025. The listening session will focus on benefits and challenges…
Read MoreWEDI Federal Update 11.24.25
WEDI Holds MPA on Prior Authorization Standard. WEDI held a Member Position Advisory (MPA) facilitated discussion to review questions from the Centers for Medicare & Medicaid Services (CMS) for its December 10 listening session on evaluating the Fast Health Interoperability Resources (FHIR®) prior authorization standard. WEDI, along with the six Designated Standards Maintenance Organizations, was…
Read MoreEpisode 227 – SDOH, Risk Stratification, and the Road to Proactive Care
Knowledge Center Episode 227 – SDOH, Risk Stratification, and the Road to Proactive Care November 30, 2025 In this episode, Michael welcomes Lightbeam Health CTO Mike Hoxter to discuss how advanced analytics and social determinants of health (SDOH) data are reshaping population health management. As organizations deepen their commitment to value-based care, Mike explains how…
Read MoreWEDI Federal Update 11.10.25
Senators Request Information from CMS on Medicare Advantage Provider Directory Issues. Senators Jeff Merkley (D-OR), Ranking Member of the Senate Budget Committee, and Ron Wyden (D-OR), Ranking Member of the Senate Finance Committee, sent a letter to Centers for Medicare & Medicaid Services (CMS) Administrator Mehmet Oz, MD, requesting responses to potential issues with the…
Read MoreWEDI Federal Update 11.3.25
QHIN Technical Framework V2.1 Posted for Review, Responses Due November 7. The Qualified Health Information Network® (QHIN™) Technical Framework (QTF) v2.1 is available for review on the TEFCA Topics in Change Management webpage. Comments on the draft QTF are being accepted until November 7. The Trusted Exchange Framework and Common Agreement™ (TEFCA™) Topics in Change…
Read More2026 Medicare Physician Fee Schedule Final Rule Includes Health IT Changes
The Centers for Medicare & Medicaid Services (CMS) posted the calendar year 2026 Medicare Physician Fee Schedule (PFS) final rule for public inspection in the Federal Register. Policy changes to Medicare payments under the PFS, and other Medicare Part B issues become effective on or after January 1, 2026. In addition to payment policies, the…
Read MoreWEDI Federal Update 10.20.25
CMS Issues Update on Holding of Claims for Affected Services. The Centers for Medicare & Medicaid Services (CMS) provided an update on the processing of claims and payments for services affected by the expired Medicare legislative provisions as of October 1. CMS has instructed Medicare Administrative Contractors to hold these claims but will continue to…
Read MoreWEDI Federal Update 10.27.25
CMS Contracts Signal Commitment to Development of National Provider Directory. On September 30, the Centers for Medicare & Medicaid Services (CMS) awarded four contracts of $1 each to Availity, LLC, Council for Affordable Quality Healthcare, Inc, Gainwell Technologies, LLC, and Palantir Technologies, Inc. The stated purpose of the contracts is to procure information technology services…
Read MoreEpisode 223 – Understanding the Story of the Patient Through Synthetic Data
Knowledge Center Episode 223 – Understanding the Story of the Patient Through Synthetic Data with University of Chicago’s Julie Johnson, RN October 19, 2025 Michael interviews Julie Johnson, Executive Director of the Center for Research Informatics at the University of Chicago, about synthetic data in healthcare. Julie shares her unconventional career path, which included studying…
Read MoreWEDI Federal Update 10.13.25
OSTP and FDA Request Public Input on AI Use. The White House’s Office of Science and Technology Policy (OSTP) published a Request for Information (RFI) titled “Regulatory Reform on Artificial Intelligence” seeking input on identifying federal legislation, regulations, guidance, or other requirements that impede the development, deployment, and adoption of artificial intelligence (AI) technologies. The…
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