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Artwork for Out of the FHIR Podcast

Out of the FHIR Podcast

Gene Vestel
FHIR
Interoperability
AI In Healthcare
Healthcare Interoperability
Artificial Intelligence
Healthcare Technology
Health Data Interoperability
Data Architecture
FHIR Standards
Digital Health
Cloud Technology
API Management
EHR
Health Data Standards
Value-Based Care
Patient Data Transparency
Quality Measurement
Flexpa
Fasten Health
Plaid

Talking about FHIR evestel.substack.com

PublishesTwice monthlyEpisodes32Foundeda year ago
Number of ListenersCategories
TechnologyHealth & Fitness

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Artwork for Out of the FHIR Podcast

Latest Episodes

In almost every traditional tech vertical, standardizing data integration is a engineering problem. In healthcare, it’s a coordination and business problem wrapped in regulatory tape.

To unpack how this landscape is shifting under the new HTI-5 / HT... more

Today’s episode of Out of the FHIR brings a massive milestone: I’m thrilled to officially welcome my new co-host, Benji Graham, to the show. Benji is one of the few true, certified FHIR experts in the country, and he’s joining me to ensure we dive as... more

YouTube

Gene Vestel sits down with Michelle Skinner, Chief Clinical Executive at TeleTracking, to unpack the operational side of healthcare execution. Michelle is a nurse by background with an MBA who spent decades running emergency departments and trauma ce... more

YouTube

Ron Urwongse, co-founder of Defacto Health, and I sit down to break down the rapid shifts hitting CMS regulations, the transition from standard FHIR APIs to national bulk data datasets, and how agentic AI workflows are compressing engineering timelin... more

YouTube

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Recent Guests

Don Rucker
Former National Coordinator for Health IT; industry leader in interoperability
OneUp Health (context)
Episode: The Illusion of Interoperability: Why Healthcare is Broken (and How FHIR APIs can Fix It)
Michelle Skinner
Chief Clinical Executive at TeleTracking
TeleTracking
Episode: Nurses need AI too, and how it needs to be deployed at scale to ease administrative burden.
Mark Fleming
Senior Director at Availity, responsible for Prior Authorization, Interoperability and Portal Solutions
Availity
Episode: State of Prior Authorization with Mark Fleming (Availity)
Dave Pyke
Independent consultant, FAST technical director, participates in HL7 steering
FAST, TEFCA, HL7
Episode: Why TRUST is the most important element in enabling Healthcare Interoperability
Jason Vogt
Manager of structured document and API development at Meditech, FAST Security co-chair
Meditech, FAST Security
Episode: Why TRUST is the most important element in enabling Healthcare Interoperability
Ron R. Wong
Co-founder of DeFacto Health, data and interoperability expert
DeFacto Health
Episode: Episode 24 - HIMSS 2026 Roundup
James Agnew
Co-developer of Blemish? FHIR educator and advocate
Episode: Episode 24 - HIMSS 2026 Roundup
Andrea Epithani
Engineering manager at Heidi (AI-assisted scribe integration)
Heidi
Episode: Episode 24 - HIMSS 2026 Roundup
Paulius Mui
Family physician and health tech entrepreneur
X Primary Care
Episode: Episode 20 - Paulius Mui, MD - X Primary Care

Hosts

Eugene
Interoperability-focused host, repeated across episodes; primary host branding appears around interoperability and health IT standards.
Aaron Neiderhiser
Co-founder of Tuva; frequent guest/host hybrid with health IT analytics expertise.
Mark Scrimshire
Chief Interoperability Officer with a focus on blue-button and FHIR interoperability; recurrent contributor.
Jason Vogt
Manager of structured document and API development at Meditech; FAST Security co-chair; practical implementation insights.

Chart Rankings

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Apple Podcasts
#136
Belgium/Technology

Talking Points

Recent interactions between the hosts and their guests.

The Illusion of Interoperability: Why Healthcare is Broken (and How FHIR APIs can Fix It)
Q: What was the biggest obstacle to clinical interoperability before FHIR emerged?
The biggest obstacle was not a lack of data, but the incentives and legacy systems that created silos; while labs and imaging moved with some standardization, the actual care notes remained a 'black hole' without a unified, consumer-driven approach to data exchange.
Navigating the Shift to Bulk Data and AI
Q: How do you see the role of AI and automation in keeping up with frequent CMS updates and rulemaking?
AI/automation are becoming essential to interpret complex technical guides rapidly and implement changes across many systems. Teams should build capability to automate data discovery, processing, and delivery, enabling faster response to new requirements and reducing manual workload.
Navigating the Shift to Bulk Data and AI
Q: What is the current direction CMS is taking with the National Provider Directory, and how does that affect how providers and payers should prepare?
CMS is accelerating guidance and releasing new requirements that emphasize data availability and end-to-end interoperability. The industry is expected to adapt quickly through feedback loops, with a shift toward more bulk data exposure (NDJSON) and better endpoint visibility, while maintaining data quality and alignment with the FHIR standard.
Episode 23 - Max Nussbaumer
Q: What do you think is the differentiator specifically for startups?
I feel like that should be the same in healthcare, and we should make that accessible to anyone globally.
Episode 23 - Max Nussbaumer
Q: What should I be doing to get it in front of actual investors, clients, people working on the same problem?
There is a lot of confidence around now. We see AI improving everyone's confidence in what we are capable of doing.

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Frequently Asked Questions About Out of the FHIR Podcast

What is Out of the FHIR Podcast about and what kind of topics does it cover?

This show centers on healthcare data interoperability, with a strong throughline around FHIR adoption, API-enabled workflows, and the practical challenges of linking providers, payers, and patients. Across recent episodes, topics like national provider directories, CMS requirements, bulk data access, and real-time AI-enabled improvements to clinical workflows recur, often anchored by hands-on experiences implementing standards (FHIR, UDAP, TEFCA) and security frameworks for scalable health data exchange. A notable edge is the blend of technical depth with real-world product and governance insights, including conversations about trust, data quality, and the regulatory context driving interoperability efforts. Guests routinely bring operation... more

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1. Relentless Health Value
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Out of the FHIR Podcast launched a year ago and published 32 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Out of the FHIR Podcast?

Recent guests on Out of the FHIR Podcast include:

1. Don Rucker
2. Michelle Skinner
3. Mark Fleming
4. Dave Pyke
5. Jason Vogt
6. Ron R. Wong
7. James Agnew
8. Andrea Epithani

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