Track HL7 FHIR specifications, US Core, implementation guides and ballots — the standards your interoperability work depends on — summarized and sourced.
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The rule mandates standardized APIs, reduces prior authorization burdens, and aligns with FHIR to improve data exchange and patient access. The Centers for Medicare & Medicaid Services (CMS) issued a final rule that combines interoperability initiatives with prior authorization reforms to...
The AMA supports CMS's revised guidance addressing payer compliance with prior authorization transparency requirements under the 2024 Interoperability and Prior Authorization final rule. The American Medical Association (AMA) has publicly endorsed updated guidance from the Centers for Medicare &...
The ONC's refreshed TEFCA fact sheet shows Qualified Health Information Networks now connect over 150 million unique patients and 1.8 million clinicians, underscoring rapid national scaled exchange under the Trusted Exchange Framework. The Office of the National Coordinator for Health IT (ONC)...
The investigation examines whether Epic's health IT dominance and data-sharing policies violate antitrust laws, with potential implications for interoperability and EHR market competition. The U.S.
By embedding structured clinical terminology directly into CPT codes, AMA aims to accelerate electronic prior authorization and cut administrative burden at the point of care. The American Medical Association has launched a new interoperability initiative focused on mapping structured clinical...
The Trusted Exchange Framework and Common Agreement has crossed a major adoption threshold, signaling that the national interoperability network is moving from pilot to production scale. The Office of the National Coordinator for Health Information Technology (ONC) has announced that TEFCA — the...
HHS/ONC's fifth Health Data, Technology, and Interoperability rulemaking targets certification program efficiency and continued information-blocking enforcement improvements. HHS and ONC have proposed the HTI-5 rule, the latest in the Health Data, Technology, and Interoperability rulemaking...
CMS's official FAQ spells out exactly what payers must do under CMS-0057-F — from 72-hour urgent decision windows to the nine public metrics due on websites by March 31, 2026. CMS has published a detailed FAQ on the Prior Authorization API requirements established in the 2024 CMS Interoperability...
New federal oversight measures — including third-party audits of TEFCA participants — signal ONC is shifting from network-building to network-accountability mode. ONC has announced a package of oversight measures designed to strengthen governance of the Trusted Exchange Framework and Common...
With HTI-4 finalized on August 4, 2025, ONC has now closed out four major rulemakings that together reshape certification criteria, information blocking, TEFCA, and prescription workflows. ONC's certification program regulations page now reflects a completed four-rule cycle stretching from early...
Medicare Advantage, Medicaid, CHIP, and Marketplace payers must deploy four new FHIR APIs and compress prior authorization timelines by 2026–2027, reshaping payer-provider-patient data exchange across the industry. CMS has finalized the Interoperability and Prior Authorization rule (CMS-0057-F),...
ONC's certification framework — the gatekeeper for federally recognized health IT — is updating criteria, surveillance rules, and standards versioning processes that every EHR and API developer must track. The ONC Health IT Certification Program is the federal mechanism through which health...
As CMS's LEAD model extends value-based care timelines, health systems that lack real-time post-acute data will find themselves structurally disadvantaged on cost and quality performance. CMS's LEAD (Longitudinal Episode-based Alternative Payment) model reshapes how accountable care organizations...
The 2024 CMS Interoperability and Prior Authorization final rule sets hard compliance deadlines for payers to implement FHIR APIs that streamline prior authorization and cross-payer data exchange — with a key HIPAA carve-out clearing the path. CMS released the 2024 Interoperability and Prior...
The agency is formalizing its ambitions in health-IT modernization by creating a dedicated organizational unit to lead interoperability initiatives and digital product development. The Centers for Medicare & Medicaid Services (CMS) has established a new health technology office designed to...
Correction addresses typographical and technical errors in the August 2026 final rule that established FY 2027 payment rates and adopted updated versions of certain health information technology standards for hospitals. The Centers for Medicare & Medicaid Services (CMS) published a correction to...
The September 30 HL7 Da Vinci Community Roundtable will provide updates on ePA regulatory developments, implementation guide status, and real-world deployment progress as the industry moves beyond pilots to production. HL7 International announced that the Da Vinci Project will hold a Community...
DirectTrust's modernized Direct implementation enables cloud-native secure messaging while maintaining compatibility with legacy healthcare workflows. DirectTrust has unveiled a modernized implementation of the Direct Project protocol designed specifically for cloud environments and...
Leveraging P2P data exchange for strategic initiatives like network development and care management transforms compliance into market differentiation. Payer-to-payer (P2P) interoperability capabilities, once viewed primarily as a regulatory requirement under TEFCA’s QHFN, are evolving into...
CDC invites comments through Nov. 20, 2026 on how data intermediaries can support secure, standards-based public health data sharing to improve disease detection and prevention. The Centers for Disease Control and Prevention (CDC) is soliciting public input on the role of data intermediaries in...
Healthcare's reliance on single clearinghouse points creates systemic risk despite lessons from 2022 Change Healthcare cyberattack. Two years after the Change Healthcare cyberattack exposed critical vulnerabilities in healthcare claims processing infrastructure, the industry continues to lack...
Dallas County’s live connection to eHealth Exchange demonstrates how standards-based health information exchange can improve public health reporting, case investigations, and outbreak response. Dallas County Health and Human Services (DCHHS) has established a live connection to the eHealth...
Three critical flaws reported in Mirth Connect versions prior to 4.4.2 expose PHI to credential theft, arbitrary code execution, and remote system compromise. NextGen Healthcare disclosed three high-severity vulnerabilities (CVE-2024-37335, CVE-2024-37336, CVE-2024-37337) in its Mirth Connect...
Federal health IT leaders will examine AI integration, data quality improvements, and payer-provider collaboration as TEFCA expands nationwide interoperability capabilities. The eHealth Exchange 2026 Annual Meeting, held September 9, 2026, spotlighted the evolving landscape of nationwide health...
The updated system enables real-time data collection during patient assessments to support quality measurement, care coordination, and regulatory reporting. The Centers for Medicare & Medicaid Services (CMS) is modifying its existing Hospice Item Set (HIS) System of Records under the Privacy Act...
The VA's Oracle Cerner EHR implementation costs have nearly tripled to $27 billion, triggering a unanimous subpoena for Oracle executives after the company pledged to absorb overruns. The House Veterans' Affairs Committee voted unanimously (19-0) to subpoena Oracle Corporation executives Larry...
HL7's FAST project outlines how computable consent moves beyond digitizing forms to enable policy-aware data exchange across healthcare networks. HL7 International's FAST Project Management Team published guidance emphasizing that computable consent represents foundational infrastructure for...
Critical deficiencies in data quality, master patient indexing, and operational readiness could undermine payer-to-payer exchange efforts despite otherwise compliant technical infrastructure. Payer-to-payer (P2P) exchange under TEFCA faces significant industry gaps that could derail compliance...
The move from hybrid to electronic clinical data systems reporting aims to streamline data exchange and align with industry digital quality measurement trends. NCQA is transitioning the HEDIS® Transitions of Care (TRC) measure from its current hybrid reporting methodology to a fully electronic...
Panelists from state HIEs shared how health information exchange networks are being used to support social determinants of health screening and referral workflows, informing future innovation. During a Civitas Networks for Health event, an expert panel examined how states are utilizing Health...
KFF analysis reveals significant variation in insurer denial rates and transparency gaps for prior authorization requests issued in 2025. KFF found that health insurers denied 12% to 18% of standard prior authorization requests in 2025, with notable variation across different insurers.
Voting is open through September 14, 2026, for the HL7 ballot cycle covering FHIR implementation guides and other consensus standards. HL7 International opened its September 2026 consensus ballot cycle on August 14, 2026, inviting ballot pool members to vote on proposed FHIR implementation guides...
HHS seeks to streamline health forms for unaccompanied alien children while adding provisions for limited health information sharing with DHS to ensure continuity of care. The Administration for Children and Families (ACF) Office of Refugee Resettlement (ORR) is proposing to restructure its...
The final rule updates Medicare hospital payment rates for FY 2027, adopts new health IT standards, and modifies quality reporting requirements for acute care and long-term care hospitals. The Centers for Medicare & Medicaid Services (CMS) has issued a final rule revising the Medicare hospital...
The new HL7 FHIR Implementation Guide enables scalable, interoperable consent management across healthcare data exchange networks. The HL7 FHIR at Scale Taskforce (FAST) has released the Scalable Consent Management Implementation Guide to address growing challenges in consent enforcement across...
CMS introduces a voluntary interoperability framework encouraging gradual adoption while establishing baseline technical requirements for network participation, raising concerns about equitable access for resource-constrained providers. The Centers for Medicare & Medicaid Services (CMS) has...
HRSA seeks public comment on a new information collection to gather organizational National Provider Identifiers and CMS certification numbers from health center program applicants. The Health Resources and Services Administration (HRSA) announced a proposed information collection under the...
The proposal merges two public health forms into a single Onsite Health Intervention Form and adds limited sharing of health data with DHS to ensure continuity of care for unaccompanied refugee minors. The Administration for Children and Families (ACF), through its Office of Refugee Resettlement...
A working viewer for International Patient Summary documents highlights both the maturity of the IPS spec and the remaining UX friction teams face when rendering FHIR-native clinical summaries. The International Patient Summary (IPS) Implementation Guide defines a standardized, minimal set of key...
Industry veteran Paul Wilder argues that the interoperability ecosystem is showing early signs of eroding participant trust — and that the next phase of data exchange will depend on fixing that foundation. Writing in MedCity News, Paul L.
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