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Episode#7: Interview with Elena Nicolella

Guest bio

Elena is the Executive Director of the New England States Consortium Systems Organization (NESCSO), where she has served for the past 4 years. Before her time at NESCSO, she played various roles in Rhode Island HHS agencies, including Medicaid Director.

Highlights from this episode

  1. Defining interoperability in terms of the CMS final rule.
  2. Defining what data the rule requires to be shared by Medicaid agencies, especially around adjudicated encounters/claims
  3. Member identity verification for data exchange in third party applications
  4. Limits to states’ authority over whether to provide data to 3rd Party Apps, or what happens after the provide it
  5. Expected member interest / appetite for more access to data.
  6. Impact of expiration of the HITECH Act funding
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Episode#6: Interview with Ed Cantwell

Guest bio

Ed is the President and CEO at the Center for Medical Interoperability. He has served in that role for the past seven years. Before that, he has been in executive leadership in multiple technology companies, particularly in the wireless and telecom industry. He also spent 11 years in the United States Air Force.

Highlights from this episode

  1. The critical goals of building a trust platform and data standardization; HIPAA as barrier to trusted health system
  2. 21st century cures act use of open API / forcing more exchange
  3. Differences between federal policy approach and industry association approach to trusted exchange and data standards
  4. Overlap of CMS/ONC efforts
  5. How meaningful use morphs into interoperability
  6. Issues with proprietary data and interoperability; information blocking as a concept
  7. How pressures on providers from various regulatory bodies makes it hard for providers to embrace yet another paradigm change
  8. The idea of surveillance capitalism
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Medicaid Buy-In: Episode#7- Interview with Laura Colbert

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  • Guest Bio
  • Show notes

Laura Colbert
Laura is the Executive Director at Georgians for a Healthy Future, where she advocates for health policies that expand coverage and access for Georgians. Before her current role, Laura worked at Children's Healthcare of Atlanta, and the CDC. She holds an MPH from Emory University.  

About our Sponsor

This was made possible by support from WEX Health. Please take a moment to learn more about what they do by visiting wexinc.co/public-sector

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Medicaid Buy-In: Episode#6- Interview with Barbara Otto

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  • Guest Bio
  • Show notes

Barbara Otto
Barb is the CEO of Smart Policy Works, a Chicago-based firm that is is a driving force behind building smarter systems of health and social determinants of health for vulnerable people and places across the nation, state of Illinois, and metropolitan Chicago. Before her time at SPW, she worked at the 9to5 National Association of Working Women and at Ernst and Young. 

About our Sponsor

This was made possible by support from WEX Health. Please take a moment to learn more about what they do by visiting wexinc.co/public-sector

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Medicaid Buy-In: Episode#4- Interview with Bryan Cutler

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  • Guest Bio
  • Show notes

Bryan Cutler
Bryan is the majority leader in the PA State House, where he has served for 14 years. Before his time in the legislature, he worked in hospital administration and as a radiology technician. He also is an attorney who currently practices law at Nikolaus and Hohenadel.

About our Sponsor

This was made possible by support from WEX Health. Please take a moment to learn more about what they do by visiting wexinc.co/public-sector

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Medicaid Buy-In: Episode#3- Interview with Dylan Roberts

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  • Guest Bio
  • Show notes

Dylan Roberts
Dylan is the state representative for Colorado House District 26. In that role he serves as the chair of multiple committees, including the Rural Affairs and Agriculture Committee, the Capital Development Committee and the Judiciary Committee. He is also the Deputy District Attorney for Colorado's 5th Judicial District.

About our Sponsor

This was made possible by support from WEX Health. Please take a moment to learn more about what they do by visiting wexinc.co/public-sector