Rather than using AI to compete, we must design AI to collaborate. As the regulatory landscape evolves and industry pledges push for real-time, electronic, and transparent authorizations, the imperative is clear: technology must bridge the payer-provider divide, not widen it.
Typically, rural hospitals operate as “islands,” where a patient might receive an initial scan at a community health facility, see a specialist at a regional medical center, and return home for follow-up care. In this scenario, it’s common for their medical images to become trapped in three different systems.
MedCity News was at the Vive conference and spoke with executives who shared their insights for the healthcare industry.
Two executives share their expertise on bridging the gap between high-level data strategy and the high-stakes reality of emergency medicine.
Health data company Health Gorilla filed a motion to dismiss a lawsuit from Epic and several healthcare providers alleging inappropriate access to nearly 300,000 patient records. The case highlights ongoing questions about governance and standards for national health data sharing, with Health Gorilla arguing the dispute should be handled through interoperability networks’ internal processes rather than in federal court.
Healthcare cannot achieve its goals for quality, equity, and value without breaking down the persistent barriers that keep critical information siloed across sectors.
Epic’s lawsuit against Health Gorilla is less about one alleged data misuse scheme and more about a deeper fault line in healthcare interoperability: data can move faster than the rules governing it. Experts say this problem could force the industry to redefine the boundaries of access, accountability and trust in data sharing.
How to turn analytics into actual policy outcomes.
True interoperability is a prerequisite for patient-centered, efficient and scalable digital health solutions. And among the different types of interoperability, semantic interoperability stands out as the goal many are striving toward.
Epic Systems and several healthcare providers have sued Health Gorilla and other companies, alleging they exploited interoperability networks to improperly access and monetize nearly 300,000 patient medical records without consent.
Upended by chronic diseases and community realities, healthcare needs to shift its priorities to post-acute environments.
We are currently experiencing an inflection point for progress in interoperability. Without meaningful reform to reflect the real world, the system risks repeating and even accelerating historical patterns of exclusion — leaving vulnerable patients behind.
Zelis highlights how employers, payers, and consumers are integrating digital tools to manage healthcare costs.
Texas Attorney General Ken Paxton sued Epic, alleging the company monopolizes the EHR market and restricts access to medical information. Epic denied the claims — but the lawsuit highlights ongoing concerns about interoperability, data access and competition in the healthcare software space.
The NFL’s secret weapon for injury prevention is data interoperability, according to Allen Sills, the league's chief medical officer.
The go-to mechanisms for differential payment – network design, case management, quality measurement and prior authorization – increasingly rely on APIs capable of handling not only claims data but, more importantly, the clinical data critical to intelligent decision-making.
A universal medical coder, applied consistently across care settings, offers a practical solution to the enduring challenge of data integrity.
Providence and Humana launched a new initiative to standardize and streamline data exchange between payers and providers. The program leverages FHIR-based APIs to create a scalable, real-time system that can be replicated across other healthcare organizations nationwide.