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 ...

Where healthcare leaders stand on CMS API rule progress shows payers advancing while many providers lag behind the Jan. 1, 2027 deadline.

The digital transformation of healthcare is accelerating, but not fast enough. Like the financial sector in the early 2000s, healthcare is under pressure to modernize. Patients expect medical record ...

The Department of Health and Human Services (HHS) is ramping up major federal interoperability initiatives on several fronts.

The Centers for Medicare and Medicaid Services has long championed interoperability as a cornerstone of providing better care, improving patient empowerment, and reducing administrative burden.

Netsmart, an industry-leading provider of healthcare technology solutions and services for community-based care providers, announced its commitment to the Centers for Medicare & Medicaid Services (CMS ...

Acquisition strengthens Onyx’s ability to help health plans modernize ePA, scale to meet CMS deadlines, and maximize ...

Clover Health said it is the first health insurer to be live on a CMS-aligned network for patient-directed requests, ...

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 ...