Claim OwnershipThe Collective Voice of Health IT, A WEDI Podcast
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An engaging exchange of ideas and information from the preeminent national membership association for health IT guidance and collaboration. Each week, join host Matthew Albright, Chief Legislative Affairs Officer for Zelis Payment, as he welcomes prominent healthcare thought leaders to discuss best practices, pressing issues and emerging trends within the health IT community
223 Episodes
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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 nursing at Georgetown and conducting video game research to improve surgical skills. They discuss the definition, creation, and potential of synthetic data in accelerating research and improving efficiencies, while addressing challenges such as trust and privacy concerns. Julie emphasizes the importance of validating findings with real-world data and explores the future of synthetic data in reshaping medical research and decision-making.
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 strengthen the connection between oral health and overall health.
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 management. Learn more about them at https://www.mcg.com/
Michael welcomes Raj Godavarthi, MCG’s AVP of Technology and Interoperability to discuss industry progress on payer-provider compliance work on the CMS Final Rule (CMS-0057-F). After that, Michael addresses artificial intelligence with Dr. Jason Gillman, MCG’s Director of Clinical Informatics. Dr. Gillman is currently involved in the NCQA AI Governance workgroup, and he’s MCG’s representative in the “Clinical Decision Support” workgroup at the Coalition of Health AI (or CHAI).
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 Nguyen, WEDI's Privacy & Security Workgroup Co-Chair, Executive Director, Kaiser Permanente
to discuss their workgroups working together to spotlight the intersection between direct to consumer (DTC) genetic tests and some different privacy and security issues associated with these types of tests. The two workgroups collaborated to develop a Fact Sheet to help consumers take action to protect their data, available here- https://www.wedi.org/2025/07/12/direct-to-consumer-genetic-dna-testing-actions-consumers-can-take-to-protect-their-health-data/
Current regulations and requirements Thanh Thien references in the episode
HIPAA Privacy Rule- https://www.hhs.gov/hipaa/for-professionals/privacy/index.html
HIPAA Security Rule- https://www.hhs.gov/hipaa/for-professionals/security/index.html
Genetic Information Nondiscrimination Act of 2008- https://www.govinfo.gov/content/pkg/PLAW-110publ233/pdf/PLAW-110publ233.pdf
Federal Trade Commission Act- https://www.ftc.gov/legal-library/browse/statutes/federal-trade-commission-act
California Consumer Privacy Act of 2018- https://oag.ca.gov/privacy/ccpa
California Privacy Rights Act- https://thecpra.org/
State Privacy Law Tracker- https://iapp.org/resources/article/us-state-privacy-legislation-tracker/
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 Officer and Co-Founder at Imagine Pediatrics, to explore why pediatric value-based care requires its own distinct strategy. From addressing the needs of 14.5 million children with special health care needs to building trust with families and caregivers, Taylor makes the case that centering children in healthcare reform not only improves outcomes for vulnerable populations but also strengthens the foundation for broader Medicaid and commercial models.
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 and regional perspectives. The panelists:
Melissa Kotrys, Chief Executive Officer, Contexture (Colorado and Arizona)
Phil Beckett, Chief Executive Officer, Texas Health Services Authority
Stephanie Brown, Executive Director, CRISP DC
Jolie returns to moderate another interesting HIE panel at WEDI's National Conference, November 3-6 in Washington DC and Zoom (virtual pre-conference on October 31). Visit https://members.wedi.org/event-calendar for more information
From WEDI's recently concluded Summer Forum, the association's Prior Authorization Sub Workgorup Co-Chairs- Heather McComas (AMA), Janice Bakos (Aetna) adn Michael Lunzer (Itiliti Health)- offer their thoughts on educational resources and open items related to industry implementation of CMS-0057F. WEDI's Executive Director Robert Tennant moderates the conversation.
From a WEDI virtual spotlight earlier this summer, hosts and WEDI Privacy & Security Work Group Co-Chairs Lesley Berkeyheiser (DirectTrust) and Thanh-Thien Nguyen (Kaiser Permanente) moderate a conversation with Healthcare Sector Coordinating Council Cybersecurity Leadership and cut through the noise on healthcare cybersecurity. The guests, Healthcare Sector Coordinating Council Executive Director of Cybersecurity Greg Garcia and HSCC Cybersecurity Working Group Chair and Vice Chair Chris Tyberg (Abbott) and Dr. Samantha Jacques (McLaren), share the most valuable resources from HSCC, HHS, and others that every organization should prioritize, with practical advice for small providers on staying vigilant and maintaining strong cyber hygiene. We’ll also explore the current healthcare threat landscape, the biggest opportunities and risks on the horizon, and how new legislative efforts may shape the future. Finally, we’ll highlight the urgent need to grow a diverse pipeline of skilled cybersecurity professionals to protect the sector moving forward.
This podcast episode is sponsored by Edifecs, a Cotiviti Business. For over 25 years, Edifecs has been a market leader in healthcare data interchange. Hundreds of health plans, providers, and government agencies rely on their interoperability solutions to unify, normalize, and exchange clinical and financial data. As the healthcare industry has evolved, Edifecs’ solutions have evolved with it. Their cloud-native, AI-powered solutions are designed to help healthcare organizations thrive in value-based care. Learn more about Edifecs at www.edifecs.com
Michael welcomes Matt Spielman, Senior Director of Product Management with Edifecs, to discuss the latest and greatest regarding the industry's ongoing progress with CMS-0057F, the rule aimed at improving prior authorization and interoperability. What is Matt seeing from his customers and others, and what is the present and future of FHIR?
Guest host Denny Brennan (Executive Director, Massachusetts Health Data Consortium and WEDI Board Chair-Elect, welcomes Patrick Lane, President and COO of Health Gorilla. Patrick discusses his recent White House visit for the Make Health Tech Great Again event and addresses the issue of FWA: Fraud, Waste, and Abuse. Patrick sees the solution in the industry embracing LED: Legitimacy, Efficiency, and Development, and offers thoughts on tools and resources that can best be leveraged to achieve this healthcare dream.
Learn more about the Sequoia Project's CMS0057F Implementation checklist here- https://sequoiaproject.org/interoperability-matters/payer-to-payer-api-workgroup/
Michael welcomes back (Episode 174, Oct 2024) the co-chairs of the Sequoia Project's Payer to Payer API Implementation Workgroup, Nancy Beavin (Medica) and Bob Oakley (Evernorth), to discuss their new work product, a downloadable tool designed to help payers assess their readiness for compliance with the payer-to-payer components of CMS-0057-F. Along with the workgroup's project manager, Jim Adamson (Point of Care Partners), Nancy and Bob offer updates on the workgroup meetings, the origin of the checklist, and their plans for the future.
Michael welcomes Dr. Steven Buslovich, MD, Chief Medical Officer for PointClickCare and a passionate advocate for using technology to augment care for seniors. The two discuss how AI is developing intelligent care management for seniors, improving efficiencies in senior care facilities, and what healthcare stakeholders need to consider when implementing AI into the senior healthcare field.
Michael welcomes Todd Doze, CEO of Janus Health, to discuss how AI is being introduced to address revenue cycle and operational resilience, how AI supports staff rather than replacing them, and strategies hospitals should consider when entering the AI landscape.
Michael welcomes Dr. Jay Anders, Chief Medical Officer at Medicomp Systems to discuss AI hallucinations and their effect on patient safety and clinician trust.
This podcast episode is sponsored by Edifecs, a Cotiviti Business. For over 25 years, Edifecs has been a market leader in healthcare data interchange. Hundreds of health plans, providers, and government agencies rely on their interoperability solutions to unify, normalize, and exchange clinical and financial data. As the healthcare industry has evolved, Edifecs’ solutions have evolved with it. Their cloud-native, AI-powered solutions are designed to help healthcare organizations thrive in value-based care. Learn more about Edifecs at www.edifecs.com
Michael welcomes Brian Hanley, Vice President, Public Sector, with Edifecs. Brian discusses the current state of health care consent management framework, granular consent framework, patient consent management transformation, challenges, and Edifecs consent management solutions.
From a recent WEDI virtual spotlight, WEDI's Emerging Technology Workgroup Chair Nick Radov (Stedi) has a great conversation about how providers are leveraging artificial intelligence to improve the industry and the special place guidance plays in ensuring not only innovation, but also responsibility.
The panel:
Jared Staal, Executive Director, Intelligent Automation & AI, Mayo Clinic, Mayo Clinic
Newar Shara, PhD, Chief, Research Data Science, MedStar Research Institute. Chief of AI Application in Health Data Science (AI CoLab). Co-Director, Center for Biostatistics, Informatics, and Data Science
Frederick Chen, MD, Chief Health and Science Officer, American Medical Association
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, US Department Health and Human Services on their organizations' missions, purposes and the resources they have that can help guide best practices for the healthcare industry as it pertains to cybersecurity.
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, health care tech development, and academia, addresses the history of AI in the industry, its bright future, and how she is preparing the next generation of health care technology professionals.
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), the panel discusses cyber resilience business processes, strategies, collaboration, and resources for both public and private health care entities
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. The panel:
Robert Laumeyer, CTO, Availity
Nick Marzotto, Product Informaticist, Epic
Andy Chu, SVP of Product and Technology Incubation, Providence
Peter Clardy, MD, Senior Staff Clinical Specialist, Google Health
Merage Ghane, PhD, Director of Responsible AI in Health, Coalition for Health AI (CHAI)
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