RISE & HIMSS 2025: The Times They Are A Changin’

Returning home from the recent RISE National and HIMSS conferences, our Chief Customer Officer Beth Zuehlke and Director of Partnerships Greg Meltzer agree that one of the prevailing feelings blowing in the wind at both was uncertainty. (Okay, that’s it for the Bob Dylan references for now.) 

They said many were questioning what will happen in healthcare under the new administration, and conference participants agreed they could only hypothesize. The consensus among attendees, especially at HIMSS, was that those working to advance interoperability should continue what we’re doing: perhaps with an added dose of skepticism around TEFCA supporting payment and operations use cases any time soon.

In addition to the prevailing theme of uncertainty about the future, the following things stood out to Beth and Greg as major topics of conversation:

1. AI’s potential: “Everyone was talking about AI,” Beth said. Presentation and discussion topics featured AI’s potential to transform health and improve health equity as well as the need to carefully consider the ethical implications of its use. Greg noted there was a lot of talk about the shift from generative to agentic AI and the doors that could open for healthcare workflows and health outcomes. It was clear that while AI is top of mind, many health systems are still trying to determine their AI strategy.
2. The likely expansion of Medicare Advantage: Several presenters and panelists spoke about the new administration’s desire to expand Medicare Advantage (MA) and possibly increase MA rates. Many postulated that while regulations and oversight will likely decrease under the current administration, any new regulations are likely to be very favorable to Medicare Advantage. With the continued scrutiny of in-home assessments, health plans are focused on proving the value of those assessments to patient outcomes. With the expected growth of MA, it was clear that health plans are increasingly eager to get data on the majority of their members, not just a subset. Health plans want to be able to prospectively manage patients, making access to more, better, and timelier data even more important.
3. The criticality of cybersecurity: The 2024 attack on Change Healthcare was still fresh in people’s minds, and there was a lot of talk about the need to balance cybersecurity with advancing interoperability.
4. A heightened need for provider engagement: Health plans are still trying to figure out how to effectively educate providers on the critical role they play in value-based contracts and meaningfully engage them without overburdening them. The historic tension between providers and payers and what they perceive as competing interests prevails.

   Ultimately, the recent conferences reaffirmed for us that we’re right where we need to be: still decidedly EHR-agnostic, still deeply committed to protecting privacy, still ensuring the highest levels of data security, and still taking a tech-forward approach to solving the complex challenges that face the healthcare industry.

What do the hot topics at HIMSS and RISE mean for Moxe?

Our team came away from the recent conferences with a few key takeaways about how we fit into today’s interoperability landscape:

1. The growing demand for data for things like implementing AI solutions, prospectively managing patients, and demonstrating value of care pathways like in-home assessments makes tech-forward solutions like automating payer requests more important now than ever before.
2. If oversight will decrease under the current administration as predicted, transparency around the flow of data will be increasingly important in order for health systems to feel comfortable sharing the data that health plans need. Data-sharing tools need to be easy to use, provide transparency, and have best-in-class data security and privacy protections in place. Health systems will be more likely to share data if they feel confident in their ability to control where, to whom, and for what purpose their data is going.
3. Our steadfast position as a neutral intermediary between payers and providers makes us uniquely equipped to help both sides work together effectively, with as little abrasion as possible. We heard loud and clear at both conferences that provider engagement is still a huge need. Our solutions make data sharing a win-win for payers and providers and also help facilitate better relationships between parties who have historically felt they have competing interests.

We continue to see growth as a result of our position as a trusted intermediary in the clinical data exchange space. Our payer customers are eager to assist us in promoting Moxe’s solution to providers in their network, and we’ve been thrilled to welcome several providers to our network recently thanks to these payer referrals. We’ve also seen other providers eager to work with Moxe to not only reduce their administrative burden with clinical data requests, but also because they see the benefit of Moxe in helping them realize incentive payments via various care management programs in which they participate. On both sides of the equation—health care providers and requestors of clinical data—we are seeing that Moxe’s modern solution is the preferred way to exchange clinical data.

Ultimately, the recent conferences reaffirmed for us that we’re right where we need to be: still decidedly EHR-agnostic, still deeply committed to protecting privacy, still ensuring the highest levels of data security, and still taking a tech-forward approach to solving the complex challenges that face the healthcare industry. Moxe’s solutions were never designed to work under just one administration, adhere to just one set of regulations, or provide value in a stagnant healthcare landscape. From the beginning, our solutions have been flexible and capable of pivoting to provide as much value as possible to both health plans and health systems, no matter what external forces prevail.

While we don’t know what the hot topics of HIMSS and RISE will be in 2026, we’re confident we’ll still be well positioned to help our customers navigate whatever interoperability challenges they face and contribute to the greater good of the healthcare ecosystem.

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