CMS has proposed extending its prior authorization interoperability framework to cover drugs for the first time, building on its 2024 rule that focused on medical items and services. The proposed rule ...

While health plans make headway on upcoming interoperability mandates associated with the Advancing Interoperability and Improving Prior Authorization Final Rule, revenue cycle teams are stalling amid ...

The Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability rule, or HTI-2, doesn’t feature a number of provisions included in the ...

ONC’s proposed interoperability rules will require the healthcare industry to adopt standardized application programming interfaces to allow patients to access their medical records via smartphone ...

A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...

Healthcare and technology groups want Medicare Advantage plans included in the Centers for Medicare and Medicaid Services' proposed rule to expand access to health information and improve the prior ...

The health IT arm of the Department of Health and Human Services finalized a rule this week that federal leaders say will remove red tape and enable faster prior authorization and real-time ...

CMS has finalized a 2.6% payment increase for inpatient services, boosted DSH payments, established new interoperability rules for prior authorization, and confirmed the launch of a controversial ...

When the Office of the Coordinator for Health Information Technology (ONC) was established in 2004, the health information technology (IT) landscape was relatively bare. Few hospitals and providers ...