I recently finalized our last Interoperability Outlook report of the year for subscribers, and it gave me a moment to step back and reflect on what I’ve observed after producing...
Making the CMS Pledges Real: The Role of Multi-Stakeholder Initiatives
In our earlier blog, we detailed the recent Centers for Medicare and Medicaid Services (CMS) Health Ecosystem Pledge Program, which aims to create a patient-centric health data...
A Meaningful Shift: Administration & Payers Unite to Reduce Prior Authorizations
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...
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...
Why the Life Science Industry Should Care About the Proposed HTI-2 Rule
In an era where data fluidity is transforming healthcare, life sciences manufacturers must stay attuned to evolving Health IT policies given that many of these policies have...
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...
ONC HTI-2 Proposed Rule: Examining ePrescribing, Prior Authorization, & RTPB
In our ongoing series about the HTI-2 proposed rule, we've previously provided a high-level overview, aspects related to API certification requirements, and information blocking....
Beyond Compliance: Achieving Excellence in Execution – Mastering Iterative Improvements
The final blog in our series, focusing on Execution & Iteration, brings our compliance journey to its most dynamic phase. Read the first and second blogs in the series to catch up...
Beyond Compliance: Transforming Insights into Impact – The Journey from Analysis to Action
In the first blog of this series, we broached the complexities of the "Assess and Analyze" phase, emphasizing the importance of a thorough understanding of the regulatory...
Beyond Compliance: The Strategic Roadmap – Starting with Assessment and Analysis
The CMS rule on advancing interoperability and improving prior authorization (CMS-0057-F) sets a foundation for future policymaking. As payers embark on this compliance journey,...
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