WEDI

Save the Dates! Check out our main events in 2025. WEDI 2025 Winter Forum: Leveraging the Power of Health IT; Addressing Care Delivery and Accessibility February 12 - 13, 2025 (Virtual) WEDI Spring Conference May 19-21, 2025 (Hybrid) WEDI Summer Forum August 5-6, 2025 (Hybrid) 2025 WEDI National Conference November 3-6, 2025 (Hybrid) (dates subject to change)

Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth's Dr. Don Rucker Michael welcomes Dr. Don Rucker, Chief Strategy Officer of 1upHealth and the former National Coordinator for Health IT, to talk about CMS Star Ratings; what they are, why are they in the news lately and how will the new administration address them. https://lnkd.in/gqX-PxR4

Congratulations to the 2024 WEDI Award Winners! This program honors the extraordinary contributions of industry leaders and the dedication of the organization’s volunteers. You can read more about each award at https://lnkd.in/eWgXugpJ Health IT Champion – The Louis W. Sullivan Award: Alex Mugge (CMS) Alexandra Mugge Leadership in Volunteerism - The Andrew Melczer Award: Lesley Berkeyheiser (Direct Trust) Lesley Berkeyheiser Innovation in Health IT Award: Massachusetts Health Data Consortium (MHDC) Denny B. Distinguished Service – The Steve Lazarus Award: Nancy Spector (American Medical Association) Nancy W. Spector Excellence in Service Award: Raj Godavarthi (MCG Health) Rajesh Godavarthi, Janice Karin (Massachusetts Health Data Consortium) Janice Karin, Thanh-Thien Nguyen (Kaiser Permanente), Arna Meyer (Albion Dental Technology Consulting) Arna Meyer, Michael Pattwell (Edifecs) Michael Pattwell, Danielle Lloyd (America’s Health Insurance Plans) Danielle Lloyd Chair’s Award: Janice Karin (Massachusetts Health Data Consortium), Rachel Foerster (Rachel Foerster & Associates) Rachel Foerster, Ferris Taylor (Health Care Executives Group) Ferris Taylor

As the CMS interoperability rules’ compliance deadline nears, we’re seeing a variety of approaches towards meeting the new requirements. Forward-thinking plans are using the mandate to implement innovative approaches to UM and prior authorization. In this webinar, the Cohere Health team will share how health plans are progressing towards the deadline–and how some are taking the opportunity to leverage AI/ML and clinical intelligence to transform UM and prior authorization. https://lnkd.in/eciEJhj2

Episode 180: Part 2, From Siloes to Synergy: How Payers and Providers Partner for Value-Based Care Success Part 2 of a 2 part episode looking at how payers and providers are transforming healthcare through value-based care partnerships. The moderator is 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 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 https://lnkd.in/eHca5Abr

Episode 179: From Siloes to Synergy: Bridging the Gap: How Payers and Providers Partner for Value-Based Care Success 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 https://lnkd.in/exg_uuH2

The CMS-0057-F final rule mandates significant investment in IT infrastructure. In this webinar, we will explore whether the ROI tops out at regulatory compliance or meaningfully drives goals like reducing provider abrasion & advancing value-based care, and how it hinges on utilization among clinicians seeking prior authorization and care managers at both provider and plan organizations working to better coordinate care.   Register here for free, courtesy of InterSystems! https://lnkd.in/e28zYQd   @StevenBerkow @JessicaJowdy @MarcMundt   #CMS0057 #Interoperability #ValueBasedCare #PriorAuthorization #UtilizationManagement

New from the WEDI Dental Subworkgroup: The Health Care Transactions Used in Dentistry Fact Sheet, provides an overview of the key standards that guide information exchange in the dental industry.   The fact sheet provides information on essential standards for Administrative Simplification, highlighting how standards enhance collaboration between payors, providers, and others for a smoother health IT experience! 

Episode 177: A Conversation with CMS' Principal Deputy Administrator & Chief Operating Officer Jonathan Blum 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. https://lnkd.in/erKEAB6s

Thank you to our Veterans!