Learn how payers can move beyond “check the box” compliance to operational wins — embedding ePA into provider workflows, ...

In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

The proposed rule aims to reduce burdens and costs on health IT developers. It also includes measures to promote FHIR-based interoperability, strengthen information blocking rules and simplify ...

On January 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the Interoperability and Prior Authorization final rule.

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 ...

The Consumer Financial Protection Bureau plans to issue an "interim" final rule on open banking, moving to quickly write a new rule on consumer financial data rights because the bureau's acting ...

I was getting my annual flu shot at my local pharmacy recently and the visit served as a microcosm of healthcare IT at the front lines. My vaccination was seamlessly registered in both the pharmacy’s ...

The Center for Medicare and Medicaid Services (CMS) Innovation Center has launched ACCESS, a model that expands access to technology-supported care for individuals on Original Medicare with obesity, ...

CMS has issued a final OPPS rule for 2026, confirming a net 2.6% payment update, plans to expand site-neutral payment policies, and new pricing transparency requirements. CMS has issued the 2026 ...

The U.S. Centers for Medicare & Medicaid Services (CMS) proposed rule changes for the 2027 Medicare Advantage and Part D contract year. The goal is to refine plan performance metrics and simplify ...