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 ...

Humata Health, the leader in AI-powered medical review technology, today announced it has joined the Centers for Medicare and ...

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 ...

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 ...

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 ...

This past month, the Centers for Medicare and Medicaid Services and the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology put out a request ...

JACKSONVILLE, Fla.--(BUSINESS WIRE)--Availity®, the nation’s largest real-time health information network, will join two leading health plans to demonstrate insights and best practices gleaned from ...