Introducing The Next Orbit Podcast

The Next Orbit podcast explores the decisions, tools, and systems behind healthcare data infrastructure through conversations with innovators, data scientists, AI ethicists, and policymakers building the future of interoperability.

A New Voice in Healthcare Interoperability

Healthcare's digital backbone is being rebuilt right now. The decisions about how data moves, connects, and serves patients are happening in real time. These are conversations that usually happen off-stage, behind closed doors, in technical discussions that don't make it to the broader healthcare community.

Until now.

Welcome to Next Orbit, where we pull back the curtain on health data and the systems behind it. Hosted by Ben Wade and Mike Hunter from Leap Orbit, this podcast explores how smarter, more responsive infrastructure is built—the kind that actually holds up under real-world pressure.

We bring together the voices shaping how healthcare information flows across systems, stakeholders, and state lines. From physicians turned entrepreneurs to data scientists and AI ethicists, from policy makers navigating TEFCA to technology leaders implementing it, we're creating a space where the decisions behind healthcare's digital backbone get discussed openly.

Why Healthcare Interoperability Matters Now More Than Ever

The healthcare interoperability solutions market reached $4.4 billion in 2024 and is projected to grow to $12.4 billion by 2033, reflecting an urgent need across the industry.1 Yet despite this growth, significant gaps remain.

While 70% of U.S. hospitals now participate in interoperable data exchange across all four domains (find, send, receive, and integrate), only 42% routinely send summary of care documents to external hospitals.2 The technical capability exists, but practical implementation continues to challenge healthcare organizations of all sizes.

For health plans, the stakes are particularly high. Directory accuracy directly impacts CMS compliance, member satisfaction, and operational efficiency. For state agencies managing prescription drug monitoring programs, real-time data access can mean the difference between preventing harm and reacting too late. For hospitals and health systems, fragmented provider data creates downstream costs that ripple through every department.

These aren't abstract technology problems. They're workflow challenges, compliance pressures, and patient experience gaps that demand practical solutions.

What Makes Next Orbit Different

This podcast isn't about surface-level trends or vendor pitches. It's about the conversations that shape how healthcare data actually works—the decisions, trade-offs, and implementations that happen before anything goes live.

We dive into the tools, standards, and ideas that make healthcare's digital infrastructure functional. These discussions explore interoperability not as a buzzword but as a technical and organizational challenge that requires honesty, urgency, and real-world experience.

Our guests bring all three. Healthcare innovators who've built systems from the ground up. Data scientists working on the analytics layer. AI ethicists navigating the implications of automated decisions in clinical settings. Policymakers setting the frameworks that govern how data moves. Health-tech insiders who understand both the promise and the limitations of current infrastructure.

Specifically, our guests come from across the health-tech and public-health ecosystem:

  • HIE Executives working at the intersection of data sharing and public health
  • Public Health Consultants driving FHIR and TEFCA adoption across state and federal agencies
  • Senior Partners at government-focused health-tech firms
  • Standards Creators like those behind FHIR who influence the technical future of health data
  • Former CMS and ONC Leaders who've shaped national data policy and reform
  • Researchers and Ethicists focused on health equity, algorithmic bias, and AI transparency
  • National Leaders in Public Health Informatics bringing data science into community health
  • Podcast Hosts and Investigative Health Tech Journalists who translate health policy and tech for wider audiences
  • Health Tech Firms advising on interoperability and compliance
  • Physician Entrepreneurs tackling specific problems in healthcare delivery
  • CIOs, CTOs, and CMOs leading digital transformation within health systems
  • Policy Experts breaking down complex challenges in ways that spark meaningful change

As Mike Hunter, our co-host, explains: "We're not just talking about pipes. We're talking about impact on care, impact on individuals, impact on populations." The infrastructure matters because of what flows through it and who it serves.

Who Should Listen

Next Orbit is designed for people working at the intersection of healthcare, data, and technology:

  • Healthcare Innovators and Entrepreneurs building new solutions, especially those navigating the gap between technical capability and organizational adoption.
  • Data Scientists and Analytics Leaders working with healthcare data, building models, and translating insights into actionable intelligence for clinical and operational decisions.
  • AI Ethicists and Responsible AI Practitioners grappling with questions about bias, transparency, accountability, and the appropriate use of automated systems in healthcare contexts.
  • Health IT Leaders and Data Officers managing interoperability initiatives, provider directories, data governance programs, or enterprise data strategies at health plans, HIEs, and healthcare systems.
  • Clinical Leaders including CMOs, physician executives, and care delivery innovators focused on workflow optimization, quality improvement, and technology adoption that supports rather than hinders care delivery.
  • Policymakers and Program Directors at state Medicaid agencies, public health departments, federal programs, and regulatory bodies shaping the rules and frameworks for health data exchange.
  • Compliance and Legal Teams navigating HIPAA, CMS regulations, state requirements, and the evolving TEFCA landscape. The December 2024 TEFCA final rule advances interoperability by establishing definitions and requirements that support reliable, secure data exchange, creating new considerations for organizations evaluating QHIN participation.3
  • Technology Vendors and Health-Tech Insiders building platforms, integration tools, FHIR-based APIs, or infrastructure that enables data exchange across fragmented systems.

The Topics We're Exploring

Each episode of Next Orbit digs into specific challenges within healthcare data and interoperability. Drawing from both business and personal perspectives, we explore:

Business Topics

  • How state health agencies are building interoperable systems on tight budgets - The reality of doing more with less while meeting federal requirements and community needs.
  • Clinician buy-in and burnout - Designing tools they will actually use, not tools that add to their workload.
  • What ethical data use looks like in healthcare - Moving beyond compliance to thoughtful implementation that respects privacy while enabling care.
  • Using AI and automation to improve patient experiences - Where automation makes sense and where human judgment remains essential.
  • FHIR and TEFCA adoption across agencies and health systems - Two public health use cases went live on July 1, 2024: electronic case reporting and individual-level data queries for case investigations.4 We'll explore practical implementation challenges and what adoption means for different stakeholders.
  • Inside PDMP modernization - Solving cross-border integration challenges, real-time data access, and clinician workflow integration.

Personal Topics

Beyond technical discussions, we explore the human side of healthcare innovation:

  • How guests got started in their profession
  • Projects they're most proud of
  • Key challenges they've overcome
  • New solutions or initiatives they're currently working on

TEFCA and Standards Evolution

We'll examine how organizations are implementing TEFCA, the practical challenges of QHIN participation, and what adoption means for different stakeholders.

Breaking Down Data Silos

As of 2021, 71 percent of U.S. physicians reported feeling overwhelmed by the volume of patient data available.5 More data doesn't automatically mean better care. We're interested in how organizations make data usable, not just accessible.

Regulatory Compliance and Ethical Solutions

Fifty-six percent of healthcare stakeholders identified improving patient outcomes as a top driver for interoperability efforts, followed closely by optimizing clinical workflows.6 We'll explore how organizations balance innovation with privacy, security, and regulatory requirements.

Meet the Hosts

Ben Wade brings hands-on experience from the meaningful use era, when the federal government subsidized widespread EHR adoption. He spent years helping physicians and clinical staff implement systems that actually fit their workflows rather than forcing workflows to fit technology.

That focus on practical problem-solving now guides his work with health plans and healthcare enterprises on provider data management and directory solutions.

Ben's passion comes from watching his younger sister, a nurse who worked in ICU and oncology, navigate the healthcare system both as a caregiver and later as a patient following a workplace injury. Those experiences shaped his understanding that technology should give time back to clinicians, not take it away.

Mike Hunter started as an engineer with a mathematics degree but learned that systematizing processes without considering the human element misses the point. His career evolved from technical implementation to consulting and advising, working with state agencies, federal programs, and healthcare enterprises on interoperability strategy, data governance, and modernization initiatives.

Mike's motivation is personal: "If you are sick, you cannot achieve your highest potential. You're only going to be focused on trying to recover. How do we avoid that circumstance for people?" That question drives his work on projects that improve data accessibility for both individual care and population health.

Together, Ben and Mike bring complementary perspectives on healthcare data challenges. Ben focuses on the product and operational side, particularly provider data management and prescription monitoring solutions. Mike leads health tech consulting, working on architecture, integration strategy, and program management for complex state and federal initiatives.

Why We're Doing This

The most important conversations about healthcare data infrastructure often happen in closed meetings, technical workgroups, and implementation discussions that never reach the broader community. Decisions get made about standards, architectures, and data flows without the benefit of collective wisdom or shared experience.

In Ben's words: "Interoperability is no longer optional. It affects patients and providers alike." Yet the path from necessity to implementation remains unclear for many organizations.

We're launching The Next Orbit podcast to bring those off-stage conversations into the open. To create a space where implementers can share what actually works, where data scientists can discuss the challenges of healthcare analytics, where AI ethicists can explore the implications of automated clinical decisions, and where policymakers can hear directly from the people building systems under their frameworks.

Healthcare's digital backbone is being rebuilt with urgency. The infrastructure decisions made today will shape care delivery for decades. This podcast exists to document those decisions, explore the trade-offs, and learn from the people doing the work.

Looking Ahead

Over the coming months, we'll speak with the people building the next version of healthcare infrastructure:

  • Physician entrepreneurs who've experienced gaps in care delivery firsthand and built solutions to address them.
  • Data scientists developing models that turn raw healthcare data into actionable insights.
  • AI ethicists wrestling with questions of bias, transparency, and appropriate automation in clinical contexts.
  • State PDMP leaders managing real-time controlled substance monitoring across diverse EMR ecosystems.
  • Health plan executives modernizing provider data operations for Medicare Advantage and Medicaid populations.
  • Policymakers shaping the frameworks that govern data exchange.
  • Technology leaders implementing FHIR standards and navigating TEFCA participation.

We'll explore how value-based care models depend on reliable data exchange, what emerging AI capabilities mean for clinical workflows, where compliance and innovation intersect, and how organizations with limited resources compete in an increasingly technical landscape.

Every episode aims to surface insights that don't usually make it into public forums: the trade-offs that shaped a particular decision, the unexpected obstacles that derailed an implementation, the creative solutions that emerged from constraints, the lessons that only become clear after something goes live.

Subscribe and Connect

The Next Orbit podcast hosts conversations that matter to anyone building the future of connected care. New episodes release bi-weekly on all major podcast platforms including Apple Podcasts and Spotify. You can also watch episodes on Leap Orbit's YouTube channel with full video.

Follow along on LinkedIn where we share key insights, behind-the-scenes discussions, and opportunities to suggest topics or guests. If you're working on an interoperability challenge worth discussing, or you know someone whose story should be told, reach out to us at inspired@leaporbit.com.

About Leap Orbit

Leap Orbit builds AI-driven systems that simplify healthcare data, improve operational accuracy, and empower organizations to deliver better patient experiences. Our products include provider data management and prescription drug monitoring solutions serving healthcare organizations, health plans, hospitals, and states across the US and Canada. Our health tech consulting practice works with state agencies, federal programs, and healthcare enterprises on interoperability strategy, data governance, and modernization initiatives.

Last reviewed: December 2025

References

  1. IMARC Group. "Healthcare Interoperability Solutions Market Size reached USD 4.4 Billion in 2024." Healthcare Interoperability Solutions Market Trends, 2033, accessed December 5, 2024, https://www.imarcgroup.com/healthcare-interoperability-solutions-market.
  2. Hannah Nelson. "70% of hospitals participate in healthcare interoperability." TechTarget, May 23, 2024, https://www.techtarget.com/searchhealthit/news/366586275/70-of-hospitals-participate-in-healthcare-interoperability.
  3. U.S. Department of Health and Human Services. "Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA)." Federal Register 89, no. 242 (December 16, 2024): 101,772, https://www.federalregister.gov/documents/2024/12/16/2024-29163/health-data-technology-and-interoperability-trusted-exchange-framework-and-common-agreement-tefca.
  4. NACCHO. "TEFCA: A Framework for Public Health Interoperability - Version 2.1 Published." Accessed December 5, 2024, https://www.naccho.org/blog/articles/tefca-ver-2.1-published.
  5. Conor Stewart. "Healthcare interoperability - statistics and facts." Statista, January 10, 2024, https://www.statista.com/topics/10863/healthcare-interoperability/.
  6. Hyland. "Share of respondents that reported the following goals were drivers to improving interoperability in healthcare in the United States as of 2022." Statista, October 25, 2022, https://www.statista.com/statistics/1377630/drivers-to-improve-healthcare-interoperability-in-the-us/.
  7. Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology. "Trusted Exchange Framework and Common Agreement (TEFCA)." HealthIT.gov, accessed December 5, 2024, https://www.healthit.gov/topic/interoperability/policy/trusted-exchange-framework-and-common-agreement-tefca.

Frequently Asked Questions

What makes Next Orbit different from other healthcare podcasts?

Next Orbit focuses on practical implementation rather than theory, featuring conversations with people actively solving interoperability challenges. We emphasize measurable impact on care delivery, operational efficiency, and patient experiences rather than abstract technology discussions.

Who should listen to this podcast?

Health IT leaders, data officers, clinical executives, compliance teams, technology vendors, policy makers, program directors, and healthcare entrepreneurs working on data exchange, interoperability, provider directory management, public health monitoring, or related initiatives.

How often do new episodes release?

New episodes release bi-weekly on all major podcast platforms and YouTube.

Can I suggest a guest or topic?

Yes. Reach out through leaporbit.com or connect with Ben Wade or Mike Hunter on LinkedIn. We're especially interested in hearing from implementers with specific examples of what worked (or didn't) in their interoperability efforts.

Do you discuss specific products or is this vendor-neutral?

While our hosts work at Leap Orbit and may reference specific product capabilities when relevant, episode content focuses on broader industry challenges, regulatory developments, implementation strategies, and guest experiences across different systems and vendors.

What's the typical episode length?

Most episodes run 30-45 minutes, designed to fit into commutes or workout routines while providing substantive discussion on complex topics.

Where can I find show notes and additional resources?

Detailed show notes, guest information, and relevant links are available on our website and in podcast platform descriptions.

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