---
title: CMS-0062 standards & policy_Podcast ep_June 2026
description: Explore how standards communities & collaborative efforts shape healthcare interoperability, influencing policy & workflows for better patient care & organizational success.
image: https://info.pocp.com/hubfs/Anna%20and%20Pooja%20policy%20episode_June%202026_linkedin.png
---

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# Optimizing Health IT. For Good

Point-of-Care Partners delivers deep expertise through a 360-degree perspective to help organizations navigate complexity and drive meaningful progress.

### Beyond Compliance: How Standards Communities Shape Health IT Policy

In this episode of The Dish on Health IT, [Tony Schueth](https://www.linkedin.com/in/tony-schueth-a8141/), CEO of Point-of-Care Partners (POCP), welcomes [Pooja Babbrah](https://www.linkedin.com/in/poojababbrah/), Executive Vice President of Strategy and Industry Alignment at [NCPDP](https://www.linkedin.com/company/ncpdp/), and [Anna Taylor](https://www.linkedin.com/in/annajumpin/), Associate Vice President of Population Health and Value-Based Care at [MultiCare](https://www.linkedin.com/company/multicare-connected-care/posts/?feedView=all) Connected Care and Steering Committee member of the HL7 Da Vinci Project, for a discussion on the relationship between standards development and policymaking.

Using the CMS “Interoperability Standards and Prior Authorization for Drugs” Proposed Rule (CMS-0062-P) as a backdrop, the conversation explores how standards communities, implementation accelerators, pilot programs, and industry collaboration influence healthcare interoperability long before requirements appear in federal regulations.

Tony opens the discussion by asking how organizations should think about the relationship between standards development and policymaking today. Pooja and Anna explain that organizations such as the [HL7 Da Vinci Project](https://confluence.hl7.org/spaces/DVP/pages/21857465/Da+Vinci?) and [NCPDP Standards](https://standards.ncpdp.org/?) are often viewed as technical standards bodies, when in reality they serve as collaborative forums where providers, payers, vendors, pharmacists, regulators, and other stakeholders work through real-world operational challenges.

The conversation then shifts to the value of participating early. Tony asks what organizations miss when they wait for final rules before becoming involved. Anna discusses the operational, strategic, and financial advantages organizations can gain by participating in standards development activities, implementation guide development, pilots, testing events, and implementation communities.

As part of that discussion, Tony and Anna touch on the growing body of production implementations that Da Vinci supports. Organizations interested in understanding how these implementation guides are being deployed across the industry can explore the [Da Vinci In-Action Implementation Tracker](https://confluence.hl7.org/spaces/DVP/pages/161057767/Da+Vinci+In+Action+Interactive+-+Implementations+To+Date?), which documents real-world adoption efforts and implementation progress.

Pooja expands on the importance of creating opportunities for broader industry participation. She describes [NCPDP Collab](https://www.ncpdp.org/collab.aspx?), an interactive forum open to members and non-members alike that provides a venue to discuss workflow challenges, implementation barriers, and emerging industry needs before formal standards development begins.

The discussion naturally progresses into the [CMS “Interoperability Standards and Prior Authorization for Drugs” Proposed Rule (CMS-0062-P)](https://www.federalregister.gov/documents/2026/04/14/2026-07205/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-interoperability-standards?), which directly references standards and implementation approaches developed by both NCPDP and Da Vinci.

As Tony guides the conversation toward implementation, Anna discusses how Da Vinci's collaborative testing model and initiatives such as [Trebuchet](https://confluence.hl7.org/spaces/DVP/pages/234423487/Da+Vinci+Trebuchet+FHIR+Pilots/?) help organizations evaluate interoperability workflows in real-world settings before widespread adoption.

The discussion then turns to one of the central themes of CMS-0062-P: the convergence of pharmacy and medical benefit workflows. Pooja explains that while patients and providers simply want access to treatment, healthcare organizations continue to operate within separate medical and pharmacy benefit structures. She argues that future interoperability efforts must focus less on the underlying standards and more on creating workflows that deliver a seamless experience for providers and patients regardless of where coverage resides.

Building on that theme, Tony asks how healthcare organizations should rethink workflow design. Drawing on her background in human factors engineering, Anna argues that healthcare has historically allowed technology to dictate workflows rather than designing technology around how people actually work. She advocates for starting with desired outcomes and user experience, then working backward to determine how standards, automation, and technology can support those goals.

The conversation then moves to trust, adoption, and data quality. Tony observes that interoperability is no longer simply about moving data but about delivering the right information at the right time and within the right workflow. Anna discusses the importance of consistency and reliability in building trust, while Pooja shares examples of how incomplete implementations can undermine provider confidence even when standards and technology are technically available. Together, they argue that adoption depends as much on usability and trust as it does on technical capability.

Returning to CMS-0062-P, Tony asks where organizations should focus their feedback beyond timelines and compliance concerns. Both guests encourage stakeholders to look closely at the broader strategic questions embedded throughout the proposed rule, particularly the requests for information that may signal future policy priorities. Rather than focusing solely on implementation challenges, they encourage organizations to use the comment process to help shape how healthcare workflows should function in the future.

The episode concludes with Tony's signature question: what should healthcare stakeholders think differently about or start doing differently tomorrow? Pooja highlights the expanding role pharmacists can play in care coordination, medication management, and prior authorization workflows, arguing that pharmacists remain an underutilized resource within the healthcare ecosystem. Anna closes with a call for broader participation across healthcare, encouraging providers, employers, patients, vendors, and other stakeholders to engage with standards communities and implementation efforts. She emphasizes that meaningful progress happens when stakeholders move beyond identifying problems and actively participate in building solutions.

Throughout the discussion, Tony reinforces a central theme: the future of healthcare interoperability is not being shaped solely through regulation. It is shaped through the collaboration, testing, implementation, and problem-solving taking place every day within standards organizations, implementation accelerators, pilot programs, and stakeholder communities. Organizations that want to influence the future of healthcare should not wait for final rules to arrive. They should participate in the conversations that help create them.

The episode closes, as always, with the reminder that Health IT is a dish best served hot.

Prefer video? Catch episodes on the [POCP YouTube channel](https://www.youtube.com/@pocpHIT/playlists)

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