The past 2 days we’ve been diving into the world of healthcare interoperability, CMS’ health tech ecosystems and a wide variety of related topics like trust and healthcare policy at The Sequoia Project and Carequality meeting in Nashville. Throughout the 2 days, I captured a number of perspectives and insights that I thought you may find useful and informative. Below you’ll find what was shared along with a little extra commentary.
Maybe it’s everything that’s happening with healthcare interoperability, but when I looked around the room at the annual meeting it really was a who’s who in healthcare interoperability. Bringing all of these experts together is a powerful thing.
I already wrote about some of what Amy Gleason shared at eHealth Exchange Annual Meeting the day before. However, I didn’t share this great chart that shows the CMS Health Tech Ecosystem which is a major focus of HHS. If you work in health IT and want to have CMS and HHS hear what you have to say, then you likely want to see where what you are doing or saying fits into this Health Tech Ecosystem.
I don’t think it’s any surprise to those in the space, but it was interesting to hear him highlight deregulation as one of the administration’s big priorities. It will be interesting to see how that deregulation continues forward over the next few years.
This was a big takeaway from the conference. Getting the right data to the right person at the right time is complicated and hard. If it was easy, it already would have been done. That’s hard to hear when you’re a patient that’s impacted by the data not being shared, but it is the reality.
The payer panel was fascinating. They had some hope looking into the future, but it was quite clear that there are major challenges that still need to be figured out. There were a few payers present at the annual meeting, but we definitely need them to be more involved if we’re going to solve many of the important payer data sharing challenges.
The government regulations session was really good. Brett Meeks definitely had some of the best insider perspective shares including the fact that so many working in the US government want to get it right. He also acknowledged that it’s complicated and challenging.
This is one of the most interesting lines of discussion from the conference. We’ve all learned that it’s generally taken a decade or more for a healthcare standard to mature to the point that it’s usable and makes a big impact. What so many people at the conference and in the interoperability space are looking at is whether AI is going to make those standards much less important.
As one person I talked with at the conference pointed out, look at all the stories of patients using ChatGPT to look at their health information. ChatGPT doesn’t know the health data standards and it does an amazing job analyzing the data and producing an outcome. Obviously we know some of the challenges with that idea, but directionally it seems like this is where we’re headed when it comes to health data sharing and standards. Just share the data you have and use AI to understand it seems like the future that many are espousing.
Thanks to Liz Lewis for capturing this one since I heard it, but didn’t share it. Information blocking enforcement is coming. Are you ready?
One of the main ways that organizations can engage with The Sequoia Project is their Intoperability Matters Workgroups. Check out the QR codes below to learn about them and see how you can get involved.

Policy sessions from lobbyists really can be some of the most educational sessions. This look at the ACA extension fight that’s coming is going to be really interesting to watch.
This was a great overview of some of the top health and healthcare IT activity happening in Washington. Which of these are you watching? I’m really interested in the $50 billion Rural Health Transformation Program when you think that meaningful use was $36 billion. This is a big investment that’s going to be interesting to see play out.
I shared about the CMS Health Technology Ecosystem above, but here’s a much larger list of the main priorities at HHS.
The Sequoia Project has definitely been working hard on these pillars of trust that are needed for health information sharing. What do you think of these pillars?
Last year was the first dispute that had occurred with national health data sharing networks. It was great to see that the dispute process has matured in a big way since last year. The panel acknowledged that we may still have learnings as disputes happen, but at least there’s a well defined process now. There was some disagreement on how transparent the dispute process should be. I think we’ll see this continue to evolve.
One of the most anticipated panels was the CMS Aligned Networks panel. It was a lively panel that really did describe the progress that’s being made, but also highlighted some of the challenges that still exist.
It was great to hear from so many healthcare interoperability experts and to connect with so many in the hallways. What did you think of the above perspectives? What stood out to you?
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