Regulatory Issues

Socialcare on FHIR over Direct

By Brian D. Handspicker – This post builds upon a recent blog by Lisa Nelson, Fractional Chief Technical Officer, “FHIR Over Direct: Accelerating the Pace toward Trusted, Scalable Interoperability,” by exploring how the same approach of FHIR Over Direct can be applied to socialcare — a critical but often underrepresented component of health and well-being.


The UnitedHealth Probes: A Wake-Up Call for Medicare Advantage

By Arun Hampapur PhD – The U.S. healthcare industry is once again in the spotlight—this time, with the scrutiny on UnitedHealth. The Department of Justice has launched a civil fraud investigation into UnitedHealth Group, which highlights the ethical challenges and complexities around risk adjustment in Medicare Advantage.



What Comes Next for Price Transparency?

By Vanessa Candelora – In our May 2025 HIT Perspectives article, we unpacked the decade-long journey of healthcare price transparency and why most stakeholders would agree we’re still not where we need to be. Despite multiple rounds of rulemaking, patient usage of price tools remains low, and many organizations remain out of compliance with core requirements.



CMMI Model Reports and Findings

The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) has released and are highlighting evaluation reports and publications. See the findings for several of their models.