The shift to fully digital HEDIS® reporting is no longer a distant goal. NCQA is collaborating with health care organizations across the industry to make HEDIS reporting fully...
CMS Releases a Flurry of Updates: What Stakeholders Should Know
The Centers for Medicare & Medicaid Services (CMS) has reengaged with the healthcare industry and the public for comment after a period of silence, now with the Department’s...
Reflections on a Week of Collaboration, Innovation, & Recognition at the NCPDP25 Annual Conference
I recently returned from a packed and thought-provoking week in Scottsdale, Arizona, where I attended the NCPDP Work Group meetings, NCPDP Foundation Board meetings, and the...
From Siloes to Synergy: Unlocking the Full Value of Member Data
The Hidden Cost of Data Inefficiency How often has your plan asked a provider for the same patient information? Or paid for data that already exists somewhere else within your...
Are You Including EHR Preparation in Your Pre-approval Information Exchange (PIE) Resources? You Should Be.
The recent clarifications around Pre-approval Information Exchange (PIE) have created a prime opportunity for life sciences manufacturers to provide payers and healthcare...
CMS is Asking Big Questions. Your Voice Can Shape the Future of Policymaking
At first glance, the latest Centers for Medicare & Medicaid (CMS) Request for Information (RFI) is short, coming in at 3 pages. But don’t be fooled. It is asking some big,...
Staying Strategic When the Ground Shifts: Navigating the HHS Reorg
The sweeping reorganization of the U.S. Department of Health and Human Services (HHS), announced by newly appointed Secretary Robert F. Kennedy Jr., is unlike anything we've seen...
Pre-approval Information Exchange (PIE): Clarifying Legislation Creates Opportunities to Accelerate Product Launches
Are You Maximizing PIE's Potential? Pre-Approval Information Exchange (PIE) enables life sciences manufacturers to provide clinical, health economic, and other information to...
Unpacking Trump’s Healthcare Transparency Push: Savings for Patients or Unintended Consequences?
On February 25, 2025, President Donald Trump signed an executive order titled "Making America Healthy Again by Empowering Patients with Clear, Accurate, and Actionable Healthcare...
What Are FQHCs, & Should Life Sciences Manufacturers Even Care About Them?
If you work in life sciences, whether in pharma, diagnostics, or vaccines, Federally Qualified Health Centers (FQHCs) might not be on your radar. Many manufacturers focus their...
