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Out of the FHIR Podcast

Episode 10: A New Era for Interoperability? A Deep Dive with Jill DeGraff

39 min11 augusti 2025

Welcome back to another episode of Out of the Fire Podcast, where we tackle the hottest topics at the intersection of healthcare, FHIR, interoperability, and technology.

This week, I am thrilled to be joined by a true visionary and expert in the health-tech space, Jill DeGraff. If you follow the conversation around healthcare data and policy, you've undoubtedly come across Jill's insightful analysis and forward-thinking perspectives.

In this episode, we jump straight into the topic that's lighting up every health-tech feed: the new CMS Interoperability Framework. Just days after its announcement at the White House, Jill helps us cut through the noise and understand what this "moral commitment" from industry leaders and the government truly means for the future of healthcare data.

Is this just another initiative, or is it the start of a genuine "race to the top"?

In our conversation, we cover:

* The 'Why' Behind the New Framework: Jill explains the crisis-level urgency driving this initiative, from the national disease burden to the economic unsustainability of Medicare.

* What's Different This Time? We discuss why this framework is more than just "TEFCA 2.0," focusing on its shift from slow, consensus-based iteration to a model of rapid execution and accountability.

* "Kill the Clipboard" and Beyond: A breakdown of the key pledges, including the National Healthcare Directory, modern digital identity verification, and the push for a truly seamless patient experience.

* Leaders vs. Laggards: Jill offers a compelling analysis of the business implications, arguing that organizations that have invested in modern architecture will thrive, while those reliant on legacy systems will face significant challenges.

* Career Insights: We kick off the episode with a fascinating look at Jill's career path from law to health-tech, and she shares invaluable advice for anyone considering a career in consulting.

"This is a moral commitment... It's about unleashing the creative energy of the private sector to do what it does best, which is innovate and build value for people." - Jill DeGraff

This isn't just a policy discussion; it's a look at the seismic shift happening right now in our industry. Whether you're a developer, a clinician, a policy wonk, or an executive, this conversation provides a crucial map to navigate the new landscape of healthcare interoperability.

Listen now to get the full story!



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