The infrastructure I write about lives in these organizations.
A working directory of the standards bodies, coding authorities, data sources, and communities that decide how healthcare gets coded, covered, and paid for. These are the places I engage with and return to. If you follow the recognition gap through my writing, this is where the machinery actually sits.
Communities and convenings
Where the operators, builders, and investors in health tech actually talk to each other.
- AI 2030→
A global initiative and accelerator advancing responsible AI, including its application across healthcare and essential services.
- Digital Medicine Society (DiMe)→
The professional home for digital medicine, including the Integrated Evidence Plan, RegPath, and V1 Coalition frameworks that shape evidence and regulatory strategy.
- Health Tech Nerds (HTN)→
A large peer community of healthcare operators, builders, and investors sharing analysis and hard-won practice.
- HLTH→
The convening where health system, payer, and health tech leadership gather around innovation and adoption.
- PICSA→
The Pharmacy Interoperability and Clinical Services Alliance, convened by Leavitt Partners to build the reimbursement and data infrastructure for pharmacist-delivered care.
- ValuesEdge→
Insight and community at the intersection of values, strategy, and healthcare leadership.
Standards and interoperability
The bodies that define how clinical and administrative data moves, or fails to.
- CAQH CORE (now DataSpring)→
The operating rules that govern administrative and financial data exchange, including eligibility, claims, and prior authorization.
- CARIN Alliance→
The multi-sector alliance advancing consumer-directed exchange of health information and digital identity.
- FHIR IQ→
Education and implementation guidance for teams putting FHIR into practice.
- HL7 Argonaut Project→
The accelerator that drove early adoption of FHIR APIs for provider data access.
- HL7 CodeX→
The FHIR accelerator advancing structured oncology and cardiovascular data, including mCODE and prior authorization in cancer care.
- HL7 Da Vinci Project→
The FHIR accelerator building payer-provider interoperability, including the prior authorization and coverage implementation guides referenced in federal rules.
- HL7 FHIR→
The interoperability standard the rest of modern health data exchange is built on.
- HL7 Gravity Project→
The FHIR accelerator standardizing social determinants of health data for exchange across care and payment systems.
- MyHealthApplication→
The CARIN Alliance code of conduct and directory for consumer health apps that handle personal health data responsibly.
- NCPDP→
The standards body for pharmacy and prescribing transactions, from e-prescribing to pharmacy claims.
- The Sequoia Project→
The public-private steward of nationwide interoperability, including TEFCA and the Qualified Health Information Networks.
- SNOMED International→
The maintainer of SNOMED CT, the clinical terminology that encodes what clinicians actually observe and do.
Coding, data, and reference
The vocabularies and datasets that determine whether care can be represented and reimbursed.
- CDC ICD-10-CM Maintenance→
The Coordination and Maintenance Committee that governs how diagnoses enter the ICD-10-CM code set, and how slowly.
- CMS Data→
The CMS open data portal for coverage, utilization, spending, and quality datasets.
- CMS Physician Fee Schedule and CPT Lookup→
The official lookup for physician fee schedule values and CPT and HCPCS coding, the ground truth of what Medicare pays.
- Guideline Central→
A consolidated reference for clinical practice guidelines across specialties.
- mimilabs→
A curated lakehouse of analytics-ready public healthcare datasets from CMS, CDC, FDA, and others, queryable without heavy engineering.
Policy and regulatory
The agencies and associations that set the rules the rest of the system reacts to.
- AHIP→
The national association of health insurance plans, and a window into payer policy positions.
- American Telemedicine Association→
The national association advancing telehealth policy, standards, and adoption.
- FDA→
The regulator of drugs, devices, and Software as a Medical Device, including the clearance pathways that precede any coverage question.
- NAACOS→
The association of accountable care organizations, and the operational voice of value-based care providers.
Voices and analysis
The analysts, newsletters, and podcasts I return to for signal rather than noise.
- Andrew Tsang→
Writing on healthcare strategy, operations, and the business of care.
- Defacto Health→
Data and intelligence on healthcare organizations and how they connect.
- Drug Channels→
Adam Fein's analysis of pharmacy economics, PBMs, rebates, and drug distribution.
- Foley & Lardner, Health Care & Life Sciences→
National legal and policy analysis across health care, digital health, and life sciences.
- Health API Guy→
Brendan Keeler on health data interoperability, APIs, and the plumbing behind exchange.
- Hospitalogy→
Blake Madden's newsletter on health system strategy, finance, and deal activity.
- Jeff DelVerne→
Commentary on healthcare strategy, markets, and the forces shaping care delivery.
- Kidneyverse→
Analysis of kidney care, nephrology innovation, and the business of kidney disease.
- Manatt Health, AI Policy Tracker→
Tracking of state and federal AI policy affecting healthcare, from a leading health law and strategy practice.
- Nixon Law Group→
Regulatory and policy insight on digital health, telehealth, and emerging care models.
- Out of the FHIR Podcast→
Conversations on FHIR and interoperability in practice, associated with FHIR IQ.
- Pharmacy Podcast Network, TwiRx→
Pharmacy industry conversations across practice, policy, and profession.
The gap between these bodies is where the work is.
The clinical standards move faster than the coding and payment ones. That distance is the subject of most of what I write.
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