Regulatory Issues

Making the Most of a MIPS Situation

By Renee Freyer – Like any large program, MIPS evokes a range of opinions and perceptions, even misconceptions. MIPS was designed to use both a carrot and stick approach to encourage medical practices to provide higher quality care at a lower price.

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CMS Vision for the Future of Digital Health

The CMS Making Health Tech Great Again initiative is announced. “Let’s stop waiting and let’s definitely stop faxing. Let’s start building. The right data at the right time can mean the difference between loss and hope. The time is now. Are you in?”




The Continued Growth of Direct Secure Messaging

By Kathryn Ayers Wickenhauser – As the ASTP blog indicates, the interoperability landscape has certainly shifted from when the Direct Project was introduced back in 2009/2010. At the time, there were significant government efforts for two interoperable exchange modalities, one for “push,” and one for “query.” Today, both of these modalities continue to grow.


Achieving Widespread Use of Direct Secure Messaging by US Hospitals

By Jordan Everson & Brett Andriesen – The Direct Project created Direct Secure Messaging, a simple, secure, scalable, and standards-based method to send health information between partners and to provide a straightforward pathway to acquire unique provider and organizational addresses to engage in exchange that resembles secure email.


2023 Preview Period for Doctors and Clinicians Is Reopening

CMS is reopening the Preview Period because 17 additional QPP performance measures were recently identified to be included in the CY 2023 QPP public reporting information. CMS also made additional updates and display corrections to the CY 2023 QPP performance data available during the Preview Period that closed in June.


CMS 2026 Proposed Rule for OPPS and ASC

On July 15, 2025, CMS issued a proposed rule that proposes updates to Medicare payment policies and rates for hospital outpatient and Ambulatory Surgical Center services under the Hospital Outpatient Prospective Payment System and ASC Payment System Proposed Rule for calendar year 2026.


CMS Penalties for Directory Errors Loom for Payors

By David Van Houtte – With a recent increase in rules and regulations from CMS, health plans are feeling the pressure of more scrutiny, and the fear of penalties looms. For example, the No Surprises Act, passed in 2022, has already resulted in healthcare facilities, payors, and providers paying more than $11 million in penalties.