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Is TEFCA a Bridge to Nowhere? Why the National Health Network Could Collapse Under Success
From Ballrooms to Slack Channels: Inside the Idea Meritocracy of the CMS Health Tech Ecosystem
Jul 20
•
Gene Vestel
4
47:43
Fear of New Tools
We Make Decisions Based on Technical Merit
Jul 16
•
Gene Vestel
The Illusion of Interoperability: Why Healthcare is Broken (and How FHIR APIs can Fix It)
A masterclass in health tech history, market-driven standards, and the hidden incentives keeping your data locked away with former ONC National…
Jul 6
•
Gene Vestel
and
Benji Graham
5
5
57:27
An AI Found a Clinically Dangerous Bug in the Code Another AI Helped Write
What building a lab interpreter taught me about review discipline, honest software, and why healthcare AI needs guardrails instead of blind trust.
Jul 4
•
Gene Vestel
and
Dr. Gigi Magan
4
1
5
June 2026
HL7 FHIR DevDays 2026: A Conference Where Everyone's Building Something Not Selling you anything
The one healthcare conference where nobody's selling you anything and everybody's building something real.
Jun 19
•
Gene Vestel
and
Arjun Sanyal
6
1
2
Killing the Clipboard: Building an Autonomous Healthcare Agent in 5 Minutes
This Tuesday at HL7 FHIR DevDays in Minneapolis, I am doing a live demo of something I have been building privately for the last few months.
Jun 13
•
Gene Vestel
2
Nurses need AI too, and how it needs to be deployed at scale to ease administrative burden.
Michelle Skinner on how AI is changing operational workflows and impact of AI scribes on day to day operations
Jun 12
•
Gene Vestel
1
1
30:36
I Connected My Own Health Records. Here's What the Technology Got Right What the Data Got Wrong.
A field report from building an open-source AI health agent, written by the person whose chart it read.
Jun 11
•
Gene Vestel
6
1
Methodology in public: what "85% endpoint reachability" actually counts
Two questions from a sharp reader, two clarifications worth publishing
Jun 5
•
Gene Vestel
1
1
The federal provider directory, decomposed
548 tiles, 6 audit dimensions, and a framework for the 2028 CMS scoring RFC
Jun 2
•
Gene Vestel
1
1:02
Navigating the Shift to Bulk Data and AI
From NPPES to NPD the changes coming to MA plan finder and other provider data requirements
Jun 1
•
Gene Vestel
4
38:51
May 2026
State of Prior Authorization with Mark Fleming (Availity)
Why a staggering two-thirds of prior authorizations are still stuck on manual faxes, phone calls, and isolated web portals.
May 28
•
Gene Vestel
2
1
4
43:40
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