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 ...
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 ...
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 ...
The WEDI baseline survey shows many providers and payers have yet to start implementing the requirements of the Centers for Medicare and Medicaid Services' Advancing Interoperability and Improving ...
The Workgroup for Electronic Data Interchange (WEDI) has released the results of its most recent survey assessing industry readiness to meet the requirements of the Centers for Medicare and Medicaid ...
McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. November 4, 2025 – Trick or treat! On Halloween evening, the Centers for Medicare & Medicaid Services ...
The Company's Growing Network of Payer and Provider Endpoints Sets New Standard for Healthcare Interoperability at Scale BOSTON, MA / ACCESS Newswire / May 12, 2026 / 1upHealth, a leader in health dat ...
As of February, a share of payers and providers had not yet started working toward the application programming interface requirements established by CMS’ interoperability and prior authorization final ...
CMS has proposed a 2026 rule expanding prior authorization reforms to include drugs under both medical and pharmacy benefits, introducing electronic workflows, faster decision timelines, and greater ...
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