CMS

Aug 3, 2026

CMS finalizes 2.3% IPPS base pay increase for inpatient hospitals

Notable

Jul 27, 2026

SCAN Health Plan and Alignment Healthcare join Elevance Health in lawsuit challenging CMS' 2026 Medicare Advantage star ratings recalculations

High

Jul 20, 2026

AMA Launches Interoperability Initiative to Add Structured Clinical Terminology to CPT Codes, Starting with Prior Auth

Notable

Jul 20, 2026

Senate Rejects Democratic Resolution to Block CMS's WISeR AI Prior-Auth Pilot in Traditional Medicare

High

Jul 13, 2026

CMS Clarifies Prior Authorization API Rules: Decision Timelines, Metrics Reporting, and 2026 Deadlines

Must read

Jun 29, 2026

ONC Publishes HTI-4 Final Rule, Completing Its 2024–2025 Health IT Certification Rulemaking Cycle

High

Jun 29, 2026

CMS Finalizes Sweeping FHIR API and Prior Authorization Overhaul (CMS-0057-F)

Must read

Jun 22, 2026

Post-Acute Visibility Emerges as a Core Competency for ACOs Under CMS's LEAD Model

Notable

Jun 22, 2026

CMS-0057-F Final Rule Mandates FHIR-Based Prior Authorization and Data-Sharing APIs by 2026–2027

Must read

Jun 15, 2026

CMS Final Rule Tightens Oversight of Hospital Accrediting Organizations, Bars Fee-Based Consulting

Notable

Jun 15, 2026

CMS Warns 519+ Hospitals Over Price Transparency Violations

High

Jun 15, 2026

CMS Stands Up New Health Tech Office to Drive Interoperability and Digital Product Strategy

High

Aug 3, 2026

CMS Finalizes FY 2027 Hospice Payment Updates and Quality Reporting Requirements

High

Aug 3, 2026

CMS Finalizes FY 2027 IRF PPS Rates and IRF-QRP Updates

High

Jul 31, 2026

CMS Finalizes FY 2027 SNF PPS Rates and Updates Quality Reporting Program

High

Jul 30, 2026

CMS Updates HCPCS Codes Subject to Face-to-Face Encounter and Prior Authorization Requirements Effective July 30, 2026

Notable

Jul 29, 2026

CMS Proposes 340B Drug Payment Cut That Would Shift Revenue from Safety-Net to For-Profit Hospitals

Notable

Jul 29, 2026

CMS Launches New Interoperability Framework with Baseline Requirements

High

Jul 29, 2026 · open for comment

CMS re-establishes OPM data matching program for ACA eligibility verification

Notable

Jul 27, 2026

CMS renews NCQA's deeming authority for MA HMOs and PPOs through 2032

Notable

Jul 23, 2026 · open for comment

CMS Proposes Rule to Implement WFTC Legislation's Changes to Medicaid Health Care-Related Tax Thresholds

High

Jul 16, 2026 · open for comment

CMS Seeks Public Input on CLIA Rule Updates for Modern Lab Tech

Notable

Jul 16, 2026 · open for comment

CMS Proposes CY 2027 Physician Fee Schedule: Interoperability, Quality, and Payment Updates Open for Comment

High

Jul 9, 2026

HHS Publishes Secretarial Comments on Battelle/CBE 2025 Annual Quality Measures Report to Congress

Notable

Jul 7, 2026

Elevance Sues CMS Over Medicare Advantage Star Ratings, Demands Clover-Equivalent Recalculation

High

Jul 7, 2026 · open for comment

CMS Re-establishes Matching Program with VA to Verify Health Coverage for ACA Affordability Programs

Notable

Jul 7, 2026 · open for comment

CMS Proposes 2027 OPPS/ASC Payment Updates, Expands Prior Auth, and Issues HPT Standardization RFI

High

Jul 6, 2026 · open for comment

CMS Proposes CY 2027 Home Health Payment Rates, Case-Mix Recalibration, and QRP/HHVBP Alignment Changes

High

Jul 1, 2026 · open for comment

HHS Updates Industry on AI RFI Findings, Signals Coordinated Push to Embed AI in Clinical Care

High

Jun 26, 2026 · open for comment

CMS Proposes CY 2027 Updates to ESRD Payment System and Quality Incentive Program

High

Jun 23, 2026

CMS's AI-Driven Medicare Prior Authorization Pilot Drawing Sharp Criticism from Doctors and Patients

Notable

Jun 22, 2026 · open for comment

ONC Releases USCDI+ Quality Draft Version 2 for Public Comment Through July 17

High

Jun 21, 2026

Congressional Democrats Push to Repeal CMS's WISeR Model, but Odds Uncertain

FYI

Jun 16, 2026

CMS Creates Office of Health Technology and Products, Unifying Standards and Interoperability Under One Roof

High

Jun 15, 2026

DirectTrust Files Formal Comment on CMS-0062-P Drug Prior Authorization Interoperability Rule

High

Jun 15, 2026

KFF: 2025 Reconciliation Law Clamps Down on Medicaid State Directed Payments, CMS Proposes Implementation Rule

High

May 22, 2026 · open for comment

CMS Proposes New Limits on Medicaid Managed Care State Directed Payments and FFS Targeted Practitioner Payments

High

Feb 8, 2024

CMS Finalizes Interoperability & Prior Authorization Rule (CMS-0057-F), Effective April 2024

Must read

Current & historical briefs