After the Centers for Medicare and Medicaid Services put out a request for information on a proposed CMS-led national directory of providers in October, one CMS official shared insight Wednesday on ...

The CMS is once again tackling prior authorization in its new rule proposed Tuesday. Prior authorization, a process in which a physician must get the green light from an insurer for medication or ...

Payers are rightly reaching out to InterSystems with a host of implementation questions about the Prior Authorization API recently mandated by the Interoperability and Prior Authorization Rule ...

A woman walks under a sign of big data analytics Palantir at their stand ahead of the World Economic Forum (WEF) annual meeting in Davos on May 22, 2022. (Photo by FABRICE COFFRINI/AFP via Getty ...

Beginning Jan. 1, 2027, payers must implement and maintain a Provider Access API to share patient data with in-network providers. The API must make available individual claims and encounter data, data ...

CMS is soliciting feedback on the creation of the first national directory of healthcare providers and services (NDH), which would contain information on healthcare providers and services across the ...

Centers for Medicare & Medicaid Services (CMS) released several pieces of Medicare provider enrollment guidance this spring, both emphasizing current policy and requirements as well as providing ...

Industry and HHS should collaborate to develop a voluntary standardized identifier for provider networks that is consistent across all segments of the health insurance markets. To accomplish this, we ...

This article is the latest in the Health Affairs Forefront featured topic Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...