The Information Exchange

Fresh off that sweet, sweet USA win and headed into the long weekend, the full crew assembled for our most patriotic episode yet. Have you ever yearned for a podcast with Fourth of July interop trivia? Look no further, friend. Beyond that, we do (eventually) get to the real agenda: * The ONC awarded a TEFCA auditing contract to Alliance Global Tech, a DC contracting firm nobody in the health tech...

Should The Information Exchange be renamed Interoperability Office Hours? Last episode we graded TEFCA . This time we’re reviewing homework of our good friends Quinn Emmanuel and Cravath in Particle v. Epic and answering some of the meatiest health information exchange questions of our time. After Judge Buchwald let some claims survive Epic’s motion to dismiss last fall , she did something unusual...

We are back, but we’re trying something a bit different this time. Given a little Memorial Day lead-up lull afflicting the industry, we decided to give a primer and run-down on the successes and failures of America’s only statutorily blessed nationwide health data exchange: TEFCA two years in, with what's actually working, what isn't, and what the rails really do at this point. Lot of fun this not...

Make sure to follow and listen to The Information Exchange on the podcast app of your choice! For instance, you can find the Spotify version here . The stars have aligned. The crew is back, full strength and four-deep, with (somehow) no one traveling, sick, or on a plane. We covered some choice material pondering the nature of not just Epic, but systems of record, antitrust, information blocking,...

The Information Exchange does not sleep¹, because, well, CMS is absolutely dialed in lately: * Brad recaps the CMS Aligned Networks launch event in DC: CLEAR, ID.me, TEFCA rails, and Humana’s senior care demo all got stage time, but the question is what happens on the non-patient-access tracks before July * ACCESS approved its first cohort. Brendan plays optimist on CMMI’s willingness to swing big...

We're back after a few weeks off, and we came in hot: * OpenEvidence landed its first B2B deal at Mount Sinai! So we talk about what happens when a PLG darling tries to grow enterprise muscles, the competitive landscape as they do so, and whether the real moat is product or sales. * Then we pivot to MEDVi and the New York Times piece that has everyone talking: can you really vibe code a billion-do...

Healthcare’s biggest conference has come and gone, so the team is back (down a man or two) to bring you some updates there, as well as every twist and turn of a very busy week in the courts. * HIMSS 2026 felt smaller but more productive…and the sentiment was surprisingly pro-HIMSS over ViVE * AI headlined as expected, but the real conversations were about data normalization and cleanliness underne...

Well, well, well. March came in hot. I was out thanks to the unending vortex of daycare-induced illness that plagued my home all February. So Pryce, Brad and Ryan had to carry the load - and carry it they did. On top of that, they tackle: * Jack Dorsey’s Block layoffs : 10,000 down to 6,000 at a profitable, growing company, because the AI tools made the headcount unnecessary * The SaaS-mageddon qu...

Well, hot damn. Would you look at that? February slowed down. Luckily for everyone, we at HTD sent the full squad to DC for the ASTP’s Annual Meeting, which was quite the event. Did they announce a bunch of new things? Absolutely not. But that’s not the fun of that kind of conference - it’s the nuggets and the teasers (and the people, of course) On top of that, we tackle: * Information blocking, a...

February is not slowing down. With Brad still on the road, Pryce and I announce the official name of this not-a-podcast: The Information Exchange ! Shout out to Nathan from Availity for the inspiration here. Beyond that, we cover a dense run of platform moves, regulatory signals, and courtroom skirmishes that all point in the same direction: tighter competition at the core of healthcare infrastruc...

Dry January has started out torrentially wet, at least in terms of health tech news. Brad is back from vacation just in time for us to break down the newest lawsuit and other comings and goings with Pryce and me: * Epic’s case against Health Gorilla and why this one is going after mass-tort * Anthropic (and OpenAI) entering healthcare through patient-directed data access * Why nationwide exchange...

With Brad in Mexico, it was left to Pryce and I to “chop it up” and discuss the recent comings and goings of the industry and our regulatory overlords. We kept it nice and tight (at least in terms of topic sprawl, if not length) to the biggies: * The implications of HTI 5 * OpenAI’s ChatGPT for Health Together, we take stock of how HTI-5 tightens the screws on information access while simultaneous...

We had fun with our “Not-a-Podcast” last week, so Pryce, Brad Thorson, and I hopped back on a video chat to try to make sense of what felt like an entire month of health IT news compressed into a single pre-holiday week. We discussed: * ASTP’s secret new beta website that Pryce found * Steve Posnack’s post on TEFCA and CMS Aligned Networks, and what “floor vs. ceiling” means for nationwide exchang...

In this emergency video meeting (we won’t call it a podcast), Pryce Ancona and I discuss the recent antitrust lawsuit against Epic by the state of Texas (detailed in “ Don’t Mess With Texas: Epic Edition ”). We explore the implications of the lawsuit, the political context surrounding it, and the emotional reactions from the public and industry insiders. We have all the good stuff: * Market defini...