The Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP) is currently working to finalize Version 6 of the standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange,… Read More ›
WHAT: Request for Information on Digital Health Products On May 16, 2025, federal health agencies published a request for information (RFI) that “seeks input from the public regarding the market of digital health products for Medicare beneficiaries as well as… Read More ›
The Centers for Medicare & Medicaid Services (CMS) finalized important updates impacting prior authorization of care processes within the Medicare Advantage (MA) program. These changes, detailed in the CMS 2026 Medicare Advantage Final Rule (“Rule”), aim to enhance beneficiary protections… Read More ›
The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would significantly enhance regulations around how Medicare Advantage (MA) organizations use internal coverage criteria, particularly relating to prior authorization and utilization management. The proposed changes, part… Read More ›
Medicare Advantage insurers are using prior authorization requirements to systematically deny seniors access to post-acute care facilities, according to a recent U.S. Senate investigative report. Dated October 17, 2024, the Majority staff report of the Senate Permanent Subcommittee on Investigations… Read More ›
CMS is proposing revisions to the required metrics for the annual health equity analysis of the use of prior authorization. Under the proposed changes, MA organizations would have to report the metrics for the analysis by each item or service,… Read More ›
On August 5, 2024, the U.S. Department of Health and Human Services (HHS) published the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule to enhance healthcare data interoperability. According to the agency,… Read More ›
On July 25, 2024, the U.S. Department of Health and Human Services (HHS) announced a reorganization that emphasizes artificial intelligence, cybersecurity, data, and technology. Specifically, this involves moving technology and data policy and strategy functions from the Office of the Assistant Secretary… Read More ›
The U.S. Department of Health and Human Services (HHS) has finalized a rule establishing disincentives for certain health care providers determined to have engaged in information blocking. Effective as of July 31, 2024, the rule implements provisions of the 21st… Read More ›
In March 2024, the Office of the National Coordinator for Health Information Technology (ONC) under the U.S. Department of Health and Human Services (HHS) released a draft of its 2024-2030 Federal Health IT Strategic Plan (draft plan) for public… Read More ›