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Mike Pattwell, principal business advisor at Edifecs and Chair of the WEDI payment models work group, emphasizes the pandemic's impact on moving away from the fee-for-service model towards a value-based care model. Improving the administration of healthcare requires automation, new workflow solutions, and better data exchange to improve patient health.  He mentions three organizations, including CMMI, WEDI, and CAQH, working towards creating interoperability and seamless communication between payers and providers.  

Mike explains, "We've been around for 26 years, and we've been developing solutions to help our clients, mostly payers and providers, and health systems, to operationalize and automate workflows to improve the administration side of healthcare so that they can focus on doing what they do well, which is taking care of members and patients."

"Starting at the top, it would be The Center for Medicare and Medicaid Innovation (CMS) and the innovation center called CMMI. They're paving the future of healthcare for both payers and providers. They're supported by many other organizations. I'll briefly discuss three that I'm directly involved with and I believe are helping to develop and evolve healthcare. I call these three organizations “silent superheroes.” They are the invisible organizations doing the hard work of creating interoperability and seamless automation between payers and providers. For decades, they've been enabling the future of healthcare."

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Download the transcript here