EPISODE · Jan 14, 2026 · 52 MIN
Healthcare interoperability with Brendan Keeler
from Understanding Healthcare with Zack Kanter · host Stedi
Brendan Keeler is Interoperability Practice Lead at HTD Health and author of the Health API Guy Substack.In this episode, Brendan explains why healthcare standards are actually a good thing, how HIPAA and X12 enable interoperability, the history of FHIR (Fast Healthcare Interoperability Resources), how information blocking and related laws are changing health tech, and how AI may reshape the healthcare standards and regulation.(00:00) - Intro (00:31) - Healthcare standards are actually a good thing (03:11) - How HIPAA helps with interoperability (07:52) - Interoperability lessons from X12 in other industries (10:15) - FHIR and the evolution of clinical interoperability (14:37) - The tradeoffs of healthcare standards (16:59) - How AI could impact healthcare standards (23:05) - What is information blocking? (26:08) - What is RPA? (28:33) - The downstream effects of information blocking laws (42:21) - The gravitational pull of systems of record (47:50) - How much is left to unlock in interoperability? (49:56) - What would Brendan change about FHIR?
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