The 229 Podcast

June 23, 2026: Jason Elrod, CISO at MultiCare, unpacks why traditional identity and access management doesn't map to AI agents, what happens when an employee leaves and their agents keep running with no one accountable, and why exploitability management is replacing vulnerability management as the right frame for security leadership. They also get into social engineering of AI models, the Harvard degree story, and what walk-up song Jason would pick for a 25,000-person keynote.
Key Points:
09:03 Managing Agents Like Employees

15:48 Agents Getting Phished

22:30 Exploitability Management Mindset

29:55 Speed Round

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June 29, 2026: Scott D'Entremont, CEO of Parlance, joins Bill Russell, Drex DeFord, and Sarah Richardson to unpack the week's most pressing health IT headlines. The panel covers Mythos, the AI model just pulled offline after social engineering exposed its guardrail vulnerabilities. Then Scott brings 30 years of conversational AI experience to a sharper conversation: AI is flooding healthcare systems with auto-generated RFPs, turning serious vendor evaluation into a demo derby. Who's liable when clinical AI gets it wrong? And is the procurement process hurting buyers as much as vendors?
Key Points:
04:14 Clinician ROI and Patients

09:48 Liability and Governance

13:34 RFPs Demo Derby

19:06 Pricing Tokens Outcomes

29:33 Commencement AI Debate

Keep up to date on the latest in health IT:
https://thisweekhealth.com/news/
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June 22, 2026: Bill Russell and Drex DeFord launch into Newsday fresh off city tour dinners across Atlanta, Philadelphia, Pittsburgh, and Rochester. The two dig into what's actually happening with AI on the ground: a smaller health system that vibe-coded a nurse scheduling app and made it work while bigger systems looked on skeptically, the build vs. buy debate coming back with new energy, and Anthropic's announcement that Claude now writes over 80% of its own production code. Plus: the ROI reckoning that's coming for every health system spending on AI, and a big Abridge announcement on the horizon.
Key Points:
02:30 Build Versus Buy AI
10:55 Copilot Scale and ROI
21:37 Mythos and Security
25:25 Ambient AI Market Moves

Keep up to date on the latest in health IT:
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Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

June 18, 2026: Shiv Rao, Co-founder and CEO of Abridge, has spent eight years building the company into something most people didn't see coming. Now live in 300+ health systems, touching 250 million patients and processing over 100 million clinical conversations a year. But Shiv isn't just a technologist. He still rounds at UPMC as a practicing cardiologist, and that dual lens shapes everything about how he thinks. In this conversation with Bill Russell, Shiv reframes what Abridge actually is: not an AI scribe, but computable infrastructure. The clinical conversation sits upstream of every workflow in healthcare, and what Abridge is building is the platform that proves it.
Keep up to date on the latest in health IT:
https://thisweekhealth.com/news/
Key Points:
01:41 Big Announcement Beyond Notes

06:29 Unified Patient Intelligence

10:52 Enterprise AI and Trust

15:59 Coalition With Payers and NVIDIA

35:27 So What and Closing Bets

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Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

A dormant Instagram account tied to the Obama White House started posting pro-Iranian content. No hacked password. No malware. No phishing email. Just a polite conversation with Meta's AI support agent.
Researchers are calling it out plainly: AI agents are built to be helpful, and that eagerness is exactly what attackers are starting to exploit. The attack surface isn't the password anymore -- it's the agent.
Health systems are deploying AI right now for scheduling, intake, and benefit verification. Has anyone on your team actually tried to socially engineer yours?
Remember, Stay a Little Paranoid
Thanks to Cyderes for sponsoring this episode: https://thisweekhealth.com/partners/cyderes/