On today’s PHRME, @lisabari of @innovaccer shares how public health departments can become better prepared to use AI and Angela Davis of @montanastate highlights a statewide @AmeriCorps program tackling rural health needs. 🎧: discover.astho.org/3JnfSfQ.

I think some criticism of prior auth in trad Medicare is overblown. My critique is that CMMI isn’t including MA plans in the mandatory model. Seems like a missed opportunity to implement PA consistently for all seniors, to cut confusion & admin overhead nytimes.com/2025/08/28/healt…

There is no excuse for the world to stand by and watch two million human beings suffer on the brink of full-blown famine. A starving human being needs food today, not tomorrow. People of good conscience must stop the starvation in Gaza. nytimes.com/2025/07/27/opini…

Introducing Innovaccer Gravity™✨ What happens when healthcare data works for you? 400 connectors. One unified platform. Instant insights where they've never existed before. 👉 Get your personalized demo today: lnkd.in/gRQGXmDr #InnovationKeynote #InnovaccerGravity™

This is it 👇

Health information exchange organizations (HIOs) play an active role in nationwide health data exchange. Ensuring strong connections to public health agencies can potentially close existing #publichealth data gaps. Learn more about the state of HIOs: healthit.gov/buzz-blog/inter… @civitas4health

TEFCA RCE published the vetting process today for new organizations. Lots more friction to onboard organizations - a natural end result of the rampant fraud and abuse seen today. Path 1: Government-funded healthcare providers with in-person patient interactions Path 2: Non-government funded providers with in-person patient interactions Path 3: Virtual-only providers or providers not participating with payers Depending on category, these organizations submit different evidence: Type I Evidence (for proving Health Care Provider status and Covered Entity status): - Simpler path, primarily based on government/official listings - Can be proven by ONE of: 1. Listing in CMS (Medicare/Medicaid) directories, such as: 2. Listing on state Medicaid provider lists 3. Confirmation of being a Government Health Care Entity Type II Evidence (alternative proof method): - More documentation-based approach - Can be proven by ONE of these: 1. Documentation of payment from a payer (within last 6 months) 2. NPI listing in NPPES showing provider type 3. State license listing 4. Professional medical malpractice coverage certificate 5. National accreditation (Joint Commission, AAAHC, NCQA, URAC) 6. CLIA certification listing 7. Payer's participating provider list 8. Letter from payer confirming provider status I'm surprised about the inclusion of NPPES as a valid route - super easy to fake that. While overall it doesn't completely prevent fraud and abuse, that's okay! Any network with exchange will have fraud and abuse. It's about how you combat it. This process adds a ton of documentation and scrutiny to the onboarding process, which is a great fraud deterrent. On-ramps / EHRs serving smaller organizations are likely not happy with this. My guess is that the friction pendulum will swing back if participants prove they can follow the rules rce.sequoiaproject.org/wp-co…

New resources for Civitas full & affiliate members: 2024 federal #publicpolicy update and #election implication resources from our Government Relations & Advocacy Council! Want access? Email contact[at]civitasforhealth.org.

This paper is a MUST READ. For those of you thinking about documentation burden or HIE, it’s hugely important. Not to mention the econometric 💪. Congrats @AJHolmgren and @NateApathy

Neat little announcement from Oracle that, along with yesterday's QHIN news, showcases the steelman for Cerner. Have to imagine this is a simpler outpatient EHR, as voice navigation isn't particularly well suited for inpatient and it's hard to imagine they switched over all departments (ER/ICU/obstetrics/cardiology/radiology/etc). 1. Release outpatient AI EHR to take market share from Athenahealth and other outpatient horde to prove out voice modality/AI and regain mindshare/trust 2. Create own QHIN to move to first class interoperability (was always afterthought) and promote network effects between their own customers, especially between old and new EHRs 3. Convert over legacy Millenium customers to cloud / new FHIR native data structure and release fuller API program that is friendlier than Epic and more headless than any inpatient EHR on market They have to turn around current trends and shake overall vibes, but at least they're taking big cuts (which makes sense given big pockets) cnbc.com/2024/10/29/oracle-a…

“And we shall make a national health insurance program and call it Medicare.” “And it’ll cover everyone?” “Not at all. But we shall have another program called Medicaid.” “And it’ll cover everyone else?” “Also no.” “But it’ll be nationally administered?” “Not really.”

Civitas Networks for Health today announced @211SD & @SDHealthConnect will be the premier partners for #Civitas2025 Annual Conference in Anaheim, CA. Mark your calendars for 9/28-9/30: civitasforhealth.org/civitas…

The fact that the U.S. has a far higher maternal mortality rate than other high income countries really doesn’t get enough attention. healthsystemtracker.org/indi…

This is a bipartisan platform we should ALL be interested in supporting. Make it so!!