ONC/ASTP

ONC certification, USCDI & information sharing

Follow ONC/ASTP health-IT certification criteria, USCDI data classes and the information-sharing rules your roadmap is built on — concise, fully-sourced, and tracked across their lifecycle.

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Latest briefs

Notable Industry ONC/ASTP CMS

AMA Launches Interoperability Initiative to Add Structured Clinical Terminology to CPT Codes, Starting with Prior Auth

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...

High HHS ONC/ASTP

ONC Proposes HTI-5 Rule to Streamline Health IT Certification and Advance Interoperability

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...

High ONC/ASTP HHS TEFCA

ONC Adds Audit Layer to TEFCA as Network Surpasses 1 Billion Records Exchanged

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...

High ONC/ASTP CMS

ONC Publishes HTI-4 Final Rule, Completing Its 2024–2025 Health IT Certification Rulemaking Cycle

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...

Notable ONC/ASTP

ONC Health IT Certification Program: How It Works and What's New in 2025

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...

Notable CMS ONC/ASTP

Post-Acute Visibility Emerges as a Core Competency for ACOs Under CMS's LEAD Model

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...

Must read CMS

CMS-0057-F Final Rule Mandates FHIR-Based Prior Authorization and Data-Sharing APIs by 2026–2027

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...

Notable CMS

CMS Final Rule Tightens Oversight of Hospital Accrediting Organizations, Bars Fee-Based Consulting

New conflict-of-interest protections and updated performance-review requirements will reshape how the nine CMS-recognized accrediting organizations survey more than 9,000 Medicare-participating providers. CMS has issued a final rule updating the regulatory framework governing the organizations...

High CMS

CMS Stands Up New Health Tech Office to Drive Interoperability and Digital Product Strategy

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...

Notable CMS

CMS corrects technical errors in FY 2027 IPPS final rule adopting updated health IT standards

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...

High HL7 CMS ONC/ASTP

HL7 Da Vinci to Host September 30 Roundtable on Electronic Prior Authorization Production Status

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...

Notable Other

DirectTrust Announces Cloud-Optimized Direct Implementation for Modern Healthcare Workflows

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...

Notable TEFCA

Payer-to-Payer Interoperability Capabilities Can Drive Competitive Advantage Beyond TEFCA Compliance

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...

Notable HHS 💬 Comments close in 44 days (Nov 20)

CDC seeks public comment on using data intermediaries for public health data exchange

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...

High HHS CMS ONC/ASTP

Clearinghouse Redundancy Gaps Persist Two Years After Change Healthcare Attack

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...

Notable ONC/ASTP HHS

Dallas County Health and Human Services Connects to eHealth Exchange for Interoperable Public Health Reporting

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...

FYI ONC/ASTP

ONC Postpones Health Information Technology Advisory Committee Meeting to September 24, 2026

Meeting rescheduled due to scheduling conflict with originally planned September 14 date The Office of the National Coordinator for Health Information Technology (ONC) has amended the notice of meeting for the Health Information Technology Advisory Committee, rescheduling the meeting from...

High HHS NIST

High-severity vulnerabilities found in NextGen Healthcare Mirth Connect integration engine

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...

Notable ONC/ASTP CMS HHS TEFCA HL7 FHIR

eHealth Exchange 2026 Annual Meeting to Focus on Trust, AI, and TEFCA Evolution

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...

Notable CMS

CMS Renames and Expands Hospice Data System to HOPE with Real-Time Collection

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...

High Other

NCQA Announces HEDIS Transitions of Care Measure Shifting to Fully Digital ECDS Reporting

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...

Notable HHS CMS

States Leverage HIE Infrastructure to Meet Social Needs Screening Demands

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...

Notable ONC/ASTP HHS 💬 Comment window closed

HHS Seeks OMB Clearance for TEFCA Monitoring Feedback Collection

HHS is requesting a three-year generic clearance from OMB to collect customer feedback on TEFCA implementation and agency service delivery. The Office of the National Coordinator for Health IT (ONC) within the Department of Health and Human Services (HHS) has submitted a request to the Office of...

High HHS FDA ONC/ASTP

Federal regulators hold closed-door talks on clinical AI adoption

HHS, FDA, and ONC officials convene private meetings with industry to accelerate AI use in healthcare settings. Federal health officials from HHS, FDA, and ONC have initiated a series of closed-door meetings with technology companies, researchers, and lobbyists focused on accelerating the...

Notable HHS Other 💬 Comment window closed

HHS Proposes Consolidation and Revision of ORR Unaccompanied Alien Child Health Forms with DHS Data Sharing Updates

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...

High CMS ONC/ASTP

CMS Finalizes FY 2027 IPPS Rule with ONC Health IT Standards Updates and Quality Program Changes

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...

High HL7 FHIR

FAST Releases Computable Consent IG for Standards-Based Privacy Enforcement

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...

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