Posts by lcanaley
WEDI Blog: Five Insights from the WEDI Summer Forum
Five Insights from the WEDI Summer Forum By: Nancy Spector, WEDI Senior Director, Federal Affairs WEDI’s 2026 Summer Forum in Chicago was a big success with its focus on the CMS Interoperability and Prior Authorization regulations (0057-F and 0062-P). Attendees were offered a “whirlwind” of valuable information from expert speakers (ending day two on the…
Read MoreWEDI Federal Update 8.17.26
CMS Posts Materials from Listening Session on Advancing Adoption of X12 Version 008060. The Centers for Medicare & Medicaid Services (CMS) posted materials from the agency’s July 1 Listening Session on advancing the adoption of X12’s Version 008060 administrative transactions. WEDI and the six Designated Standards Maintenance Organizations (Dental Content Committee, Health Level 7, National…
Read MoreWEDI Federal Update 8.10.26
OMB Reviewing Final Rules for HTI-5 and Transparency in Coverage. The Office of Management and Budget (OMB) is reviewing two final rules. The first regulation is the Office of the National Coordinator for Health Information Technology’s (ONC’s) “Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Prosperity” final rule, known as “HTI-5.” The proposed…
Read MoreWEDI Federal Update 8.3.26
Key Prior Authorization Policies Finalized in FY2027 CMS IPPS Final Rule. The Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) partnered to finalize key Fast Healthcare Interoperability Resources (FHIR®) electronic prior authorization policies impacting the 2024 CMS Promoting Interoperability and Advancing Prior Authorization Final Rule…
Read MoreThe Collective Blog of Health IT, a Podcast Episode Companion: Episode 256
The Collective Blog of Health IT, a Podcast Episode Companion Episode 256- Clinical Decision Support at the Point of Care: Advancing Value-Based Care Through Smarter Laboratory Testing By: Michael McNutt As healthcare organizations continue their journey toward value-based care, clinicians face a growing challenge: making increasingly complex laboratory and genomic testing decisions while navigating fragmented…
Read MoreWEDI Blog: The WEDI Genomics Workgroup – Latest Fact Sheet on Genetic Counselors
The WEDI Genomics Workgroup: Latest Fact Sheet on Genetic Counselors Sandra Rolfe, PhD, Optum, WEDI Genomics Workgroup Chair As chair of WEDI’s Genomics Workgroup, a position I volunteered for and took on a couple of years ago, I have the opportunity to better educate the health IT community on issues related to genomics. The topic…
Read MoreWEDI Blog: WEDI No Surprises Act Provider Survey Results
WEDI No Surprises Act Provider Survey Results The No Surprises Act was signed into law on December 27, 2020, as part of the Consolidated Appropriations Act, 2021 (Public Law 116-260). The requirements for providers to issue Good Faith Estimates (GFEs) to uninsured and self-pay patients were put into place on Jan 1, 2023. Considering that…
Read MoreWEDI Federal Update 7.27.26
CMS Posts New FAQs on CMS-0057-F, Includes Metric Reporting Template. The Centers for Medicare & Medicaid Services (CMS) posted new Frequently Asked Questions (FAQs) on the Prior Authorization application programming interface requirements in the CMS Interoperability and Prior Authorization (CMS-0057-F) final rule. Included in the FAQs is information on the public reporting by impacted payers…
Read MoreWEDI Blog: My Experience at the June X12 Meeting
My Experience at the June X12 Meeting Nancy Spector, WEDI Senior Director, Federal Affairs In my 20 years of involvement in X12 and attending meetings, I have had on multiple occasions to explain what an X12 meeting is and what happens at one. These explanations have been for bosses, colleagues, and newcomers who have either…
Read MoreWEDI Blog – From EDI to APIs: Lessons from a Career Shaping Health care Interoperability
Collective Voice Insights From EDI to APIs: Lessons from a Career Shaping Health care Interoperability Michael McNutt, WEDI VP, Education & Events July 21, 2026 Health care interoperability is often discussed in terms of today’s innovations—FHIR APIs, digital health ecosystems, artificial intelligence, and real-time data exchange. Yet every advancement builds upon decades of policy…
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