Health IT & Interoperability
Expert articles and analysis related to health it & interoperability.
AI Summary — Last 7 Days
The Trump administration’s Medicare AI prior authorization pilot (WISeR) became the week’s central interoperability-and-VBC flashpoint: Senate Republicans blocked an effort to halt the test, while CMS reportedly ordered a corrective action plan for an AI vendor—signaling that the model will proceed but under heightened scrutiny around automation, transparency, and beneficiary/provider burden (STAT). For ACOs, risk-bearing providers, and payers, the tension is whether AI-enabled utilization management can reduce low-value care without undermining timely access or shifting administrative costs back onto care teams. In parallel, the Health Care Transformation Task Force’s Henry Ford–Health Alliance Plan–Protera MSK case study points to the delivery-side countertrend: using digital specialty care, wraparound services, and payer-provider integration to manage episodes more proactively under value-based arrangements (HCTTF).
Related Articles
Understanding TEFCA Oversight: New Measures and Implications for Healthcare Data Exchange
Understanding TEFCA Oversight: New Measures and Implications for Healthcare Data Exchange HCI Innovation Group
INFOGRAPHIC: Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks - Office of Inspector General (.gov)
INFOGRAPHIC: Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks Office of Inspector General (.gov)
The Semantic Gap in Healthcare: Why Interoperability Alone Won’t Fix What’s Broken
The following is a guest article by Dr. Kaushal Kulkarni, M.D., Physician and Chief Medical Officer at Predoc In the computer science world, there is a commonly discussed problem known as the semantic...
Availability of Telehealth Services for Children at Mental Health Treatment Facilities
Availability of Telehealth Services for Children at Mental Health Treatment Facilities RAND
CMS proposal to block third-party vendors will upend remote monitoring services, health tech leaders say
CMS proposal to block third-party vendors will upend remote monitoring services, health tech leaders say Fierce Healthcare
Doctors want to use wearables data. Health, regulatory systems aren’t ready.
If a wearable shares health information but no doctor is around to hear it, does it make a sound?
The EHR interoperability gap that costs lives
The EHR interoperability gap that costs lives KevinMD.com
CMS killed the fax for billing. Now do it for patient care.
CMS proposes ban on third-party remote patient monitoring: 6 notes
CMS proposes ban on third-party remote patient monitoring: 6 notes Becker's Hospital Review
Interoperability is an International Team Sport + Other Lessons and Innovations from eHealth26
The vibe at eHealth26 was completely different this year. The flashy AI hype is gone, replaced by a grounded focus on getting things done. What was discussed? The realities of AI adoption, the impendi...