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CMS RFI MCP: Now It's Your Turn to Analyze 10k Pages ;) A few weeks ago, I shared an interactive dashboard summarizing public comments on the CMS Health Tech Ecosystem RFI. Now for the next step: make the underlying data more amenable to new, dynamic analyses. Toward this end,

I've been delighted with the ergonomics of Claude Code's custom slash commands. x.com/JoshCMandel/st… showcases a set I made yesterday for working with my CMSGov RFI MCP. These commands make it easy for anyone to analyze comments from regulations.gov.

Props to Isaac Kohane for being the first person to put in an analysis request for my CMS RFI MCP stack. I had Claude 4 Opus code do "/analysis-workflow" to find and analyze 125 comments from patients, then asked Gemini 2.5 Pro to write up a report based on these. (I ran out of

Voices from the CMS RFI: Attitudes Toward the Health System In the summer of 2025, CMS sought public input on building a patient-centered digital health ecosystem. Patient voices reveal fundamental worldviews about trust, power, and survival in America's healthcare system. #

Deregulation of Certified Health IT: Cuts to Real World Testing (Personal note: The value proposition of regulation and deregulation is full of trade-offs. My personal take is that the Real World Testing cuts are a reasonable, pragmatic place to ease off on requirements, opening

This is why almost every serious LLM Chat app offers "edit" buttons on previous user turns, and "regenerate" buttons on previous assistant turns. (With one notable exception: t's a mystery that Google Gemini App doesn't do this.)

One organ donor can save up to eight lives. In the US, early adopters of this feature have seen thousands of donation registrations through MyChart in just a couple of months.

Summer is in full swing and UGM’s coming up fast. Five thoughts on my mind as we prepare for August:

Which healthcare regulations should we kill? Yesterday, the comment period closed on the Agency for Healthcare Research and Quality RFI titled "Ensuring Lawful Regulation and Unleashing Innovation to Make America Healthy Again." The RFI asked stakeholders to pinpoint specific

HHS wants to deregulate. Fixing prior authorization through deregulation presents a paradox. # Background The White House is clear: slash the number of federal regulations. Executive Order 14192 demands a "10-for-1" repeal ratio. Another order aims to deconstruct the

>The user's feedback is valuable. I'll bet. I would *really* like to know what the underlying thought trace said here ;-)

The Prior Auth API is a Trap! The Da Vinci DTR Implementation Guide aims to reduce prior authorization friction by standardizing the format for asking and answering clinical questions. It is a well-engineered specification for a "computable clipboard," a significant improvement

These are even better in real life ;-) Madison's Frescooperatheatre does some amazing stuff including last summer's driveway-staged 8-bit Opera.

OK, I'm coming up to speed with the 2022 ePA RFI ;-) joshuamandel.com/regulations.go… has an overview on this theme. Re: Cigna's comment... whether rules are set by Cigna or a self-insured employer, transparency would make the rules visible/comparable, no?

Commenters in 2022 were *not enthusiastic* about CQL -- what's the vibe today? joshuamandel.com/regulations.go…

OK, I've migrated Heardle away from glitch -- the old URL forwards to joshuamandel.com/heardle/ so please update your bookmarks if you've got a Heardle habit :-)

Big news: SMART Health Cards and Links is now a formal HL7 standard 🎉 This standard gives people a simple, secure way to carry and share their health data using QR codes or copy/pasteable web links. Whether it’s a summary of care, a digital insurance card, or a vaccine history

The new USCDI (v6) is here: view.connect.hhs.gov/?qs=be1e7eea4f…

A uniform truth that will play true: in three to five years, we will look back at the infrastructure we're building today and say "how stupid were we". HL7v2, CDA, FHIR...whatever we think is "the" solution will be superseded. And we'll certainly do that about FHIR. Each

Hey,Grok, who were the ten most famous people to visit my profile? Don't need to be mutuals, don't tag them, just say who they were.