Kno2fy

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The New Era of Payer-Provider Connectivity: with Clover Health

29 min · Gisteren
aflevering The New Era of Payer-Provider Connectivity: with Clover Health artwork

Beschrijving

Healthcare interoperability is entering a new phase driven less by regulation and more by outcomes. In this episode of Kno2fy, Therasa Bell and Whitney Cole sit down again with Kevin Holub, Chief Product Officer at Counterpart Health, to unpack the growing momentum behind emerging interoperability initiatives and what they mean for payers, providers, networks, and patients. The conversation explores how national networks differ from traditional interoperability initiatives, why “data liquidity” is becoming essential to healthcare transformation, and what happens when organizations stop waiting for the perfect framework and start moving into production. Kevin and Therasa also discuss the realities of scaling payer-provider exchange, reducing administrative waste, improving longitudinal care, and why many of healthcare’s biggest interoperability fears may be overstated. From TEFCA and QHINs to private networks and real-world deployment lessons, this episode is a candid look at the operational, technical, and strategic shifts shaping the next era of connected healthcare. Timestamps 00:38 - Meet Co-Hosts and Guest Kevin Holub 02:11 - What Is the CMS Health Tech Ecosystem? 07:45 - How CMS-Aligned Networks, QHINs, and Private Networks Connect 09:58 - What Health Plans Gain by Going Live 13:48 - Why Data Sharing Creates Value for Everyone 18:32 - Lessons from an Early Adopter 20:50 - The Hidden Complexity of National Networks 25:48 - How Fast Can a Health Plan Get Connected? 28:02 - Why the Industry Needs to Move Faster Hosted by: Therasa Bell and Whitney Cole Produced by: Jess Garman Research: JoJo Abbasi A Kno2 Podcast

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33 afleveringen

aflevering The New Era of Payer-Provider Connectivity: with Clover Health artwork

The New Era of Payer-Provider Connectivity: with Clover Health

Healthcare interoperability is entering a new phase driven less by regulation and more by outcomes. In this episode of Kno2fy, Therasa Bell and Whitney Cole sit down again with Kevin Holub, Chief Product Officer at Counterpart Health, to unpack the growing momentum behind emerging interoperability initiatives and what they mean for payers, providers, networks, and patients. The conversation explores how national networks differ from traditional interoperability initiatives, why “data liquidity” is becoming essential to healthcare transformation, and what happens when organizations stop waiting for the perfect framework and start moving into production. Kevin and Therasa also discuss the realities of scaling payer-provider exchange, reducing administrative waste, improving longitudinal care, and why many of healthcare’s biggest interoperability fears may be overstated. From TEFCA and QHINs to private networks and real-world deployment lessons, this episode is a candid look at the operational, technical, and strategic shifts shaping the next era of connected healthcare. Timestamps 00:38 - Meet Co-Hosts and Guest Kevin Holub 02:11 - What Is the CMS Health Tech Ecosystem? 07:45 - How CMS-Aligned Networks, QHINs, and Private Networks Connect 09:58 - What Health Plans Gain by Going Live 13:48 - Why Data Sharing Creates Value for Everyone 18:32 - Lessons from an Early Adopter 20:50 - The Hidden Complexity of National Networks 25:48 - How Fast Can a Health Plan Get Connected? 28:02 - Why the Industry Needs to Move Faster Hosted by: Therasa Bell and Whitney Cole Produced by: Jess Garman Research: JoJo Abbasi A Kno2 Podcast

Gisteren29 min
aflevering From Pledge to Production: with Clover Health artwork

From Pledge to Production: with Clover Health

A major step forward for payer interoperability is here. In this episode of Kno2fy, Therasa Bell and Whitney Cole sit down with Kevin Holub, Chief Product Officer at Counterpart Health, to discuss the growing momentum around connected healthcare and what it takes to make payer data more accessible across the care continuum. The conversation explores how Clover Health and Counterpart Health are approaching interoperability differently by focusing on provider enablement, patient access, and the role claims data can play in building a more complete picture of the patient journey. They also dive into the technical and operational work required to support data exchange across national networks, the importance of supporting providers beyond large health systems, and why collaboration across the industry matters in accelerating progress. From care coordination and chronic disease management to patient empowerment and healthcare innovation, this episode highlights the real-world impact that more connected, accessible data can have across healthcare. Timestamps 01:00 - Introduction to Clover and Counterpart Health 04:00 - Payer live on TEFCA with CMS Aligned Network 06:30 - Getting Kno2 Connected 12:00 - Empowering providers with data 20:00 - Importance of patient data flow 35:00 - Future of payer adoption Hosted by: Therasa Bell and Whitney Cole Produced by: Jess Garman Research: JoJo Abbasi A Kno2 Podcast

14 mei 202638 min
aflevering What if Washington Pulls the Plug? The Interoperability Contingency Plan Nobody Has artwork

What if Washington Pulls the Plug? The Interoperability Contingency Plan Nobody Has

In this episode of Kno2fy, Brendan Keeler and Matt Becker join co-hosts Therasa Bell and Whitney Cole, once again, to break down what’s really happening with TEFCA, federal policy, and the future of healthcare networks. From shifting priorities in Washington to the removal of the TEFCA Manner Exception, this conversation explores how interoperability is evolving from a regulatory framework into a competitive, market-driven ecosystem. But through all the change, one thing remains constant: the need for trust at scale. If you’re trying to make sense of where interoperability is heading, and what it means for your organization, this episode cuts through the noise to focus on what actually matters. Timestamps 01:00 – What’s happening in Washington with TEFCA right now 08:00 – Interoperability as a long game (and why progress feels slow) 15:50 – Breaking down the TEFCA Manner Exception removal 20:30 – The rise of competing networks (and why that might be good) 25:00 – Could TEFCA ever go away? (and why that’s unlikely) 29:30 – Lightning round & wrap up Connect with Kno2 [https://kno2.com/]! LinkedIn [https://www.linkedin.com/company/kno2] Instagram [https://www.instagram.com/kno2connected/] X [https://x.com/Kno2] Facebook [https://www.facebook.com/getkno2] Hosted by: Therasa Bell and Whitney Cole Produced by: Jess Garman Research: JoJo Abbasi A Kno2 Podcast

1 apr 202631 min
aflevering Interoperability Without the Theater: With Brendan Keeler artwork

Interoperability Without the Theater: With Brendan Keeler

Healthcare interoperability is one of the most talked-about topics in digital health, but separating real solutions from marketing claims isn’t always easy. Kno2fy is back! Co-hosts Therasa Bell and Whitney Cole are joined by Matt Becker, SVP of Interoperability and Public Policy at Kno2, and interoperability expert Brendan Keeler of HTD Health to talk about the reality behind interoperability in healthcare. With HIMSS around the corner, they get into what healthcare leaders, technology vendors, and interoperability teams should look for when evaluating solutions. They discuss why interoperability is often misunderstood, what it actually takes to connect healthcare organizations at scale, and why building trusted networks across the care continuum is harder than most vendors claim. The conversation also explores the importance of connecting the entire care continuum, including post-acute care, behavioral health, EMS, and home care to create a true longitudinal patient record. If you're heading to HIMSS and trying to understand which interoperability solutions are real and which are just “interoperability theater,” this episode will help you ask better questions and cut through the hype. Timestamps [00:00] Introduction [02:45] Why interoperability is harder than vendors claim [16:00] What real interoperability work looks like [22:50] Why connecting the entire care continuum matters [37:45] A HIMSS survival guide for interoperability buyers Connect with Kno2 [https://kno2.com/]! LinkedIn [https://www.linkedin.com/company/kno2] Instagram [https://www.instagram.com/kno2connected/] X [https://x.com/Kno2] Facebook [https://www.facebook.com/getkno2] Hosts: Therasa Bell and Whitney Cole Producer: Jess Garman Research: JoJo Abbasi A Kno2 Podcast

5 mrt 202639 min
aflevering Reimagining Post-Acute Care: Signature HealthCARE is Kno2 Connected! artwork

Reimagining Post-Acute Care: Signature HealthCARE is Kno2 Connected!

It’s a special episode of Kno2fy just in time for Dreamforce! Hosts Dr. Peter Schoch and Therasa Bell sit down with Doug Owens, CIO at Signature HealthCARE, to talk about breaking down barriers in post-acute care through smarter, connected technology. Together, they'll give you a front row seat to see how Signature is utilizing the Kno2 MuleSoft Connector to unify data, eliminate communication gaps, and transform the way care teams collaborate across settings. From tackling CMS initiatives to future-proofing interoperability, this conversation shines a light on what’s possible when technology and vision align. Connect with Kno2! LinkedIn [https://www.linkedin.com/company/kno2] Instagram [https://www.instagram.com/kno2connected/] X [https://x.com/Kno2] Facebook [https://www.facebook.com/getkno2]

13 okt 202556 min