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 ...

The Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F) sets a new standard for how payers exchange data and respond to authorization ...

Availity and Onyx's solution addresses CMS-0057 compliance, focusing on interoperability and prior authorization reform. The CMS-0057-F rule requires standardized application programming interfaces ...

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 ...

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 ...

Edifecs, a Cotiviti business and a pioneer in healthcare data and interoperability, has been named the 2026 Best in KLAS® for CMS Payer Interoperability by KLAS Research. This ranking, included in the ...

Arpan Saxena is the COO/CIO at basys.ai (based out of Harvard University), a leading healthcare AI solutions company. When the Centers for Medicare & Medicaid Services (CMS) released its Prior ...

TechM, a leading global provider of technology consulting and digital solutions to enterprises across industries and Abacus Insights, the industry leader in data usability and interoperability for U.S ...

WASHINGTON, D.C. / ACCESS Newswire / December 15, 2025 / The healthcare payer information technology (IT) sector continues to evolve rapidly, and 2026 is positioned to be a pivotal execution year for ...

Scott Rosingnol with eHealth Exchange and others will address what providers and payers need to know at HIMSS26.

The ASTP/ONC has certified tools that “will enable prescribers to compare drug prices in real time during care encounters,” according to the HHS. The US Department of Health and Human Services (HHS) ...