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Amy Gleason: “We were the first implementer of bulk FHIR.”

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

Amy Gleason's Push to Modernize Healthcare

Published July 13, 2026 | Video Starts at 23:52

And I saw this last time I was here, I led the CMS data at the Point of Care project, which is giving providers claims data from CMS to use at the point of care. And We were the first implementer of bulk FHIR. fire. And so when we went to implement that, we quickly realized that the specific spec actually didn't support a lot of what we needed to do. (23:52–23:55)

CLAIM

Asserts that they were the first to implement bulk FHIR.

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

“We've done regulation for 20 years, we've done $30 billion of incentive payments, we've had information blocking and created HIE IS and…”
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“ChatGPT said that they have 250 million people doing health queries a week.”
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“We announced that we're creating a new department at CMS called the Office of Health Technology and Products.”
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“It's a way to really create a center of gravity at CMS for technology.”
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“Traditionally at CMS and at many places in the government, it's split into all the different centers.”
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“This is bringing those things together so that there can be a strategic plan on how we take advantage of all the momentum and technology.”
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“We need to give people access that's available anytime they need it, in the way they want it.”
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“It needs to follow them without requiring faxes and paper like we have.”
Amy Gleason's Push to Modernize Healthcare | Uploaded July 13, 2026 | 03:27-03:33
“Waiting a week for biopsies is pretty outdated even back then.”
Amy Gleason's Push to Modernize Healthcare | Uploaded July 13, 2026 | 09:17-09:22
“We should have much faster diagnostics.”
Amy Gleason's Push to Modernize Healthcare | Uploaded July 13, 2026 | 09:22-09:26
“You don't necessarily need to make someone drive almost an hour to get results.”
Amy Gleason's Push to Modernize Healthcare | Uploaded July 13, 2026 | 09:31-09:37
“We really just need to take advantage of the technology we have and rethink the experience from the ground up.”
Amy Gleason's Push to Modernize Healthcare | Uploaded July 13, 2026 | 10:27-10:33
“AI is really just changing the world, but especially health care.”
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“We need to stop holding on to the data in silos, and we need to make sure that everyone that needs it has it, starting with the patient.”
Amy Gleason's Push to Modernize Healthcare | Uploaded July 13, 2026 | 12:58-13:08
“The lack of people being able to get easy access to [healthcare data] has really been what slowed innovation in healthcare.”
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“We've built a whole system around this siloed data.”
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“That's what I believe made Morgan get a delayed diagnosis for a year and three months.”
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“We don't even have providers verify their identity today.”
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“We decided to launch the CMS health tech ecosystem.”
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“We have over 800 companies that have joined us.”
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“On April 9, we had 120 companies go into production.”
Amy Gleason's Push to Modernize Healthcare | Uploaded July 13, 2026 | 18:35-18:40
“We have a Medicare app library where you can see the first apps that are verified by CMS.”
Amy Gleason's Push to Modernize Healthcare | Uploaded July 13, 2026 | 18:39-18:45
“Most of the big companies and the small startups that pledged originally last July 4th have delivered on their commitment.”
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“A patient can verify their identity one time using either ID me or Clear.”
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“My daughter put her records into ChatGPT. She was declined for a clinical trial for Car T.”
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“The AI realized that [the patient] has a slight deviation called microscopic lymphocytic colitis, which is much less aggressive.”
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“All of the QHINs are participating in the HealthTech ecosystem as CMS aligned networks.”
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“We had the major payers and providers who have signed this prior authorization pledge.”
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“My daughter has 51 patient portals that we know of.”
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“I've spent hundreds of dollars and time and energy driving to offices, sending faxes, trying to get them to give all the information.”
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“Not giving patients their data is more dangerous than maybe an incidental slip up.”
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“In the ecosystem we put in the certification process so the patients can see that these apps have gone through a privacy and security…”
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“A patient seeks care in the way that they would like to seek care and their medical story is already there.”
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