On June 23, 2025, Health & Human Services (HHS) Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services (CMS) Administrator Mehmet Oz, announced a...
The Clock is Ticking: Preparing for NCPDP Telecommunication Standard Version F6 Compliance
In late 2024, the U.S. Department of Health and Human Services (HHS) named National Council for Prescription Drug Programs (NCPDP) Telecommunication Standard Version F6 in the...
Navigating Uncertainty: Why Organizations Need Objective Assessments in a Complex Health IT Landscape
In today’s healthcare environment, organizations must contend with a vast array of external market factors—changing regulations, new technologies, and shifting payer-provider...
Observations from the Field: Understanding and Leveraging CMS-0057 for Strategic Advantage
In our role as health IT consultants, we consistently encounter a common issue when discussing the CMS Interoperability and Prior Authorization Final Rule (CMS-0057) with...
Navigating Regulatory Compliance and Innovation in Payer Technology
Healthcare technology policy, especially rules impacting payers, are coming at us at a fast and furious pace coupled with new enforcement teeth. Executives and leaders in payer...
Don’t Delay! Prepare for CMS PA & Burden-Reduction Rule Now
The prior authorization process has long been a thorn in the proverbial side of healthcare. Providers, payers, and patients (perhaps most of all) have come to regard this...
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