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Amy Gleason: “There are over 5,000 provider directories out there.”

Featuring: Amy Gleason, Acting Administrator, United States Department of Government Efficiency | National

Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange

Published December 11, 2025 | Video Starts at 13:39

… setting the guardrails but we also sometimes have to be the ones that build common infrastructure. So the provider directory issue is a good example. I think at last count, There are over 5,000 provider directories out there. I think there's probably more than that. Everyone in healthcare starts with the NPI database, beloved NPEs. (13:39–13:42)

CLAIM

Asserts the existence of over 5,000 provider directories in healthcare.

This is an excerpt from a raw transcript. The assertions have not been audited or verified. Tap the video to view the source footage and understand the context.

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Amy Gleason

“Despite meaningful use and all of the efforts that we've done, she now has 47 patient portals.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 04:45-04:52
“CAQH said it was over $2 billion a year. I've seen other estimates of $6 billion a year that we waste on administrative costs of just people…”
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“Over 90% of providers become Medicare providers anyway.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 14:28-14:32
“We do a lot of building things also. So we're working across nine different agencies right now, modernizing systems.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 00:26-00:33
“We're doing a lot of that work at HHS and CMS.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 00:34-00:37
“All the [qualified health entities] pledged to be part of the CMS Align network so they should be able to still go through TEFCA.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 01:36-28:44
“We have not achieved interoperability, as I think, as far as you know.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 06:00-06:04
“In healthcare, we still use the fax machine.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 06:18-06:21
“I launched the CMS Data at the Point of Care initiative.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 06:53-06:57
“The rule I had written to basically take data at the Point of care and have every payer offer it, the effective date of that is January 1…”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 07:10-07:20
“We set up something called Report Stream, which the idea was that if you could already do fhir, then you could send the results in FHIR to…”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 09:14-09:23
“We did an RFI first in May. Then we had an event at HHS and we did a lot of whiteboarding and sticky note exercises.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 10:22-10:29
“The parts of the HealthTech ecosystem are really the CMS interoperability framework that we established and that is what CMS aligned…”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 11:29-11:40
“The CMS aligned networks need to meet patient access and empowerment.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 11:29-11:40
“All of these pledges have to be live in the first quarter of 2026.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 11:40-11:44
“We think that networks have been forced into trying to find a way to be sustainable instead of finding networks that are already…”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 12:16-12:24
“We did just launch our first sandbox release last week.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 14:48-14:52
“We are launching Identity both on our provider directory so providers can validate their identity and on medicare.gov.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 15:59-16:08
“We expect all this to be live in Q1 2026.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 19:22-19:28
“For our CMS interoperability framework, if a provider has a valid license, they validated their identity in the national provider directory…”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 21:25-21:40
“By the summer we want everything to be FHIR or FHIR mediated.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 22:34-22:38
“In the provider directory all of the networks will have to publish their participants and how to connect to them as well as information…”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 22:42-22:52
“Payers and value based care providers can also query these networks to get quality measure data.”
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“Payers can also query the network for any clinical data that's for a claim they received in the last 60 days.”
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“We really think this kind of personalized AI friend, lack of a better word, doctor friend, could really be a companion that could not…”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 26:33-26:46
“We learned from our pledge form that we had 72 people pledged to be networks.”
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“Several people that pledged as a payer and they were not a payer.”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 30:27-30:31
“Several people were providers and were not providers.”
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“We added a friends of the ecosystem [category].”
Session 13: The Power of a Mother's Why: Amy Gleason's Motivation to Transform Health Data Exchange | Uploaded December 11, 2025 | 30:39-30:42