Where healthcare leaders stand on CMS API rule progress shows payers advancing while many providers lag behind the Jan. 1, ...

Most providers say having the majority of their payers support the Prior Authorization API requirements is extremely ...

CMS has finalized a 2.6% payment increase for inpatient services, boosted DSH payments, established new interoperability rules for prior authorization, and confirmed the launch of a controversial ...

Blaming prior authorization for “eroding trust between payers and providers,” federal officials said Monday they are evaluating how prior approvals might be better targeted to improve healthcare ...

Recently, the Centers for Medicare & Medicaid Services (CMS) issued all the fiscal year (FY) 2026 Medicare final regulations for different facility types: hospice facilities, inpatient psychiatric ...

A new CMS final rule increases IPPS payment rates by 2.6% for 2026 and finalizes several key policy changes, including the launch of a mandatory bundled payment model, new e-prescribing standards, and ...

Edifecs, a Cotiviti business and a pioneer in healthcare data and interoperability, has been named the 2026 Best in KLAS® for CMS Payer Interoperability by KLAS Research. This ranking, included in the ...

WASHINGTON, D.C. / ACCESS Newswire / December 15, 2025 / The healthcare payer information technology (IT) sector continues to evolve rapidly, and 2026 is positioned to be a pivotal execution year for ...

McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. October 30, 2025 – For those of you who haven’t heard the news, the Centers for Medicare & Medicaid ...

BOSTON, MA / ACCESS Newswire / September 30, 2025 / 1upHealth, a leader in health data interoperability, announced today that CommunityCare, Oklahoma’s largest locally owned health plan, will leverage ...