01/29/24

Payer-to-Payer API

The federal government will soon require health plans to share information about patients with other health plans.

01/29/24

Prior Authorization API and Processes

The federal government will soon require health plans to create an API that automates prior authorization decisions

01/26/24

Medicare Advantage (MA) Transparency RFI

CMS is asking healthcare stakeholders what data they should collect to make the MA program more transparent.

12/11/23

CMMI’s Second Decade Refresh

CMMI launched a strategy to direct its work for the next decade.

11/13/23

CMS AHEAD Model

A new model will try to scale value-based payments to the state level.

11/9/23

CMS Transparency in Coverage Rule

Health plans are required to publicly post their in-network rates and allowed amounts.

09/7/23

Non-Device Clinical Decision Support (CDS) Oversight

Can the FDA regulate CDS?

09/6/23

CMS Hospital Price Transparency Rule

Hospitals are required to publicly post their prices for health care services.

09/6/23

OVERVIEW: Price Transparency

The federal government is trying to lift the curtain to reveal health care prices on services and products.

08/31/23

OVERVIEW: Interoperability

Navigating healthcare interoperability is like assembling a puzzle with pieces that keep changing shape.