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 ...

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

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 ...

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 ...

CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...

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) ...

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 ...