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WEDI provides a full suite of resources designed to help organizations better understand and manage health IT.  The Resources section provides access to WEDI’s various tools and library of health IT information.

We strive to make the approval process of our work products as transparent as possible. White papers, issue briefs and surveys must be approved by the Peer Review Committee. Workgroup charters, new workgroups and co-chairs must be approved by the Work Group Leadership Committee. Comment letters and WEDI policies must be approved by the Policy Committee.

Resources

Video: 275 (and 277 RFAI) Early Adopters

August 24, 2023

Knowledge Center 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. Mary Lynn and Sherry share early adopters’ experience with the X12 275 transactions and the embedded HL7…

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

August 22, 2023

Knowledge Center 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 the Use of Prior Authorization Under Medicare Advantage Plans”) requires an “electronic prior authorization program” and “real-time…

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August Emerging Tech Meeting with Mike Rapach, President & CEO of CareFirst Health Plan Maryland

August 18, 2023

Knowledge Center An important aspect to adopting new technology is to partner and justify projects with senior management. Mike Rapach, President & CEO of CareFirst Health Plan Maryland organization, led this meeting. Originally a very innovative technologist, Mike has taken a unique path towards executive management. Please join us to hear his insights how we…

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Podcast Episode 116: Guiding a Path for Patient Centric Health Care, A Conversation with Path’s Kermit Farmer

August 18, 2023

Knowledge Center Michael speaks with Kermit Farmer, founder and Chief Ethos Officer of Paths, a service that gives doctors and team members the ability to create and share educational material to help their patients in the journey from diagnosis through recovery. Learn more at www.villagepaths.com

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

August 17, 2023

Knowledge Center 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 substantial administrative costs, provider burnout, care delays, and in some cases critical adverse health events. As a…

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

August 11, 2023

Knowledge Center 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 United and Optum are doing to leverage data to address health disparities in the country. Join the…

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