From WEDI's Value-Based Care Spotlight in November, Part 1 of a 2 part episode looking at how payers and providers are transforming healthcare through value-based care partnerships.

The moderator was Denny Brennan, WEDI Board Member, Co-Chair of its Education Committee, and Executive Director of the Massachusetts Health Data Consortium.

The panel:

• Anna Taylor, AVP, Population Health & Valiue Based Care, Multi Care Connected Care speaker
• Ben Pollock, PhD, Senior Associate Consultant II, Division of Health Care Delivery Research, Mayo Clinic
• Semira Singh, Director Population Health, Providence
• Brian Wallace, Vice President, Data Analytics and Reporting, Centene Corporation

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 offers his pillars for success and offers his insight on emerging technology and how it can possible reduce cyber incidents.

WEDI Chair Elect Merri-Lee Stine of Aetna CVS Health speaks with Jonathan Blum, Principal Deputy Administrator and Chief Operating Officer with CMS. The two discuss CMS' plans for the rest of the year, success stories during this administration and success stories surrounding the No Surprises Act and the Interoperability and Prior Authorization Rule.

From WEDI's 2024 National Conference, the keynote address by Emblem Health's CEO Karen Ignagni. Karen talks about the challenges of policy, the need for a broader conversation with interoperability, taking a leap toward admin simplification, prioritizing health equity and more.

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 data. An extensive and complicated issue, Martin and Michelle reflect on an outstanding provider directory data panel at last week's WEDI national conference and offer a preview of the topics that will addressed at their special virtual spotlight on November 7 as they and WEDI's No Surprises Act Taskgroup discuss the critical issues with provider directory data and the impact of the act on healthcare stakeholders including patients.

The November 7 event is free and open to all healthcare professionals. Register at wedi.org and select Events.

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.

To learn more about the workgroup, visit https://sequoiaproject.org/interoperability-matters/payer-to-payer-api-workgroup/

Michael welcomes Huthaifa Khan, Director, Solutions Architecture with Virtual Health. Huthaifa, a veteran health care professional, discusses the emergence and rapid adoption of the FHIR standard in healthcare data exchange, along with implementation stories, and its potential future in the industry.

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.

In this episode, Dr. Harris delves into the challenges faced during the transition, culminating in the unfortunate and harrowing experience of being part of the Change Healthcare ransomware attack, revealing the toll it has taken on his practice, and the lessons learned in cybersecurity and data protection.

Hosted by WEDI Privacy and Security Co-Chair Lesley Berkeyheiser, this episode offers a compelling look at the intersection of medicine, evolution, technology, and resilience.