HHS Announces Crackdown on Health Data Blocking
HHS will take an active enforcement against health care entities that restrict patients’ engagement in their care by blocking the access, exchange, and use of electronic health information.
Read MoreRegulatory Issues
Model Participants Drive Value-Based Cancer Care
First reconciliation results for the CMS Innovation Center’s Enhancing Oncology Model showed cost savings for more than three quarters of participants; more than half were also rewarded for quality of care.
How the Rural Health Transformation Program Can Support States and Rural Providers
By Deborah Kozick & Brian Dees – Individuals residing in rural areas face numerous challenges when it comes to accessing healthcare. These challenges are compounded by disparities in health status and outcomes between individuals residing in urban and rural areas.
Proposed Changes to the Medicare Diabetes Prevention Program
CMS proposed changes will expand reach of the Medicare Diabetes Prevention Program (MDPP) to achieve MAHA goals. Deadline to comment is 9/12/2025.
A New Set of Indices to Measure Hospital Interoperability Progress
By Catherine Strawley & Jordan Everson – What’s in a number? A lot, it turns out, especially when it comes to measuring interoperability progress. For well over a decade, we have collaborated with federal and private sector partners on interoperability-related surveys to answer a big picture question: “how are we doing?”
A Closer Look at the HTI-4 Final Rule
By Mary Griskewicz – At its core, HTI-4 is about making prescribing and medication access more real-time, transparent, and aligned with patient needs. It updates health IT certification criteria in three key areas: electronic prescribing, real-time prescription benefit (RTPB), and electronic prior authorization (ePA).
Submit Comments on the CY 2026 CMS Proposes Policy Changes for QPP
The Centers for Medicare & Medicaid Services has issued its Calendar Year 2026 Medicare Physician Fee Schedule Proposed Rule, which includes proposed policies for the Quality Payment Program.
Prior Authorization, Post Promises: Will RFK Jr.’s Bet on Voluntary Reform Deliver?
By Brady Bizarro Esq. – In a move that’s already generating buzz across the healthcare landscape, Health and Human Services Secretary Robert F. Kennedy, Jr. recently announced that the country’s largest health insurers have agreed to voluntarily streamline the controversial prior authorization process.
CMS Star Ratings: Keeping up with the 2026 Final Rule
By Marge Ciancetta – Among the most impactful changes released by CMS each year in the Medicare Advantage and Part D Final Rule are adjustments to the Star Ratings program. As a result of the most recently finalized changes, CMS projects a 0.69% decline in overall quality bonus payments for 2026.