CMS

Oct 26, 2026

CMS Releases Final Rule on Interoperability and Prior Authorization (CMS-0057-F)

Must read

Oct 19, 2026

CMS proposes allowing payers to use ONC-adopted API standards updates without new rulemaking

High

Oct 5, 2026

CMS Finalizes Interoperability and Prior Authorization Requirements in 2024 Rule

High

Oct 5, 2026

Teal Health Secures $22M Ahead of 2027 Self-Collection Test Coverage Mandate

High

Oct 5, 2026

CMS Finalizes Most-Favored Nation Pricing Model for Medicare Part B

High

Sep 28, 2026

CMS launches partnership with 37 states to rethink Medicaid quality measures

Notable

Sep 21, 2026

Oura and Counsel Health Join CMS ACCESS Model to Test Wearables and AI for Chronic Care

Notable

Aug 31, 2026

The Villages Health settles $541.5M False Claims Act case over Medicare Advantage diagnosis coding

High

Aug 24, 2026

AMA endorses CMS updates to prior authorization reporting guidance

Notable

Aug 17, 2026

CMS mandatory value-based care programs imposed over $3B in administrative costs on hospitals

Notable

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

Oct 30, 2026

FDA, CMS move to prevent regulatory conflicts with state AI sandboxes

High

Oct 30, 2026

CMS finalizes CY 2027 ESRD PPS updates, AKI dialysis payment rate, and QIP requirements

High

Oct 29, 2026 · open for comment

CMS Announces Privacy Act Matching Program for State Health Subsidy Eligibility Verification

Notable

Oct 22, 2026

Major Employers Back CMS Push for Electronic Prior Authorization Expansion

High

Oct 21, 2026

Medicaid Work Requirements and Eligibility Changes Take Effect Under 2025 Reconciliation Law

High

Oct 21, 2026 · open for comment

CMS Announces Privacy Act Matching Program with VA to Identify Duplicate Payments

Notable

Oct 20, 2026 · open for comment

CMS proposes rule to implement Medicare Part D low-income cost-sharing, REAL Act, and PBM accountability provisions of 2026 Appropriations Act

High

Oct 15, 2026

Health IT Firm Dash.fi Sues Meta Under Cures Act Information Blocking Provision

Notable

Oct 9, 2026

CMS Slack workspace used for AI industry lobbying on medical records apps

High

Oct 8, 2026 · open for comment

CMS Proposes Virtual Access to CLIA Data & Digital Images for Gynecologic Cytology PT

High

Oct 7, 2026

New 2026 Hospital Price Transparency Rules Face Reporting Gaps

Notable

Oct 2, 2026

CMS Finalizes Mandatory GLOBE Model for Medicare Part B Drug Pricing

High

Oct 1, 2026

CMS Corrects Technical Errors in FY 2027 Inpatient Rehabilitation Facility Prospective Payment System Final Rule

Notable

Oct 1, 2026

CMS Corrects Technical Errors in FY 2027 IPF PPS Rate Update

Notable

Sep 30, 2026

CMS Issues Correction to FY 2027 Hospice Wage Index and Quality Reporting Final Rule

Notable

Sep 29, 2026

CMS corrects technical errors in FY 2027 IPPS final rule adopting updated health IT standards

Notable

Sep 23, 2026 · open for comment

HHS Imposes Temporary Moratorium on New Agent/Broker Registrations for Federally-facilitated Exchanges

Notable

Sep 22, 2026

HL7 Da Vinci to Host September 30 Roundtable on Electronic Prior Authorization Production Status

High

Sep 20, 2026

Clearinghouse Redundancy Gaps Persist Two Years After Change Healthcare Attack

High

Sep 17, 2026

CMS renews DNV Healthcare USA Inc.'s hospital accreditation approval

Notable

Sep 15, 2026

Medicare to expand pilot paying for technology-enabled chronic care management

High

Sep 15, 2026

Medicare AI prior-authorization pilot faces implementation problems

Notable

Sep 11, 2026

Native Hawaiians Face Medicaid Work Rules Despite Exemption for Other Indigenous Groups

Notable

Sep 9, 2026

eHealth Exchange 2026 Annual Meeting to Focus on Trust, AI, and TEFCA Evolution

Notable

Sep 9, 2026

CMS Renames and Expands Hospice Data System to HOPE with Real-Time Collection

Notable

Sep 1, 2026 · open for comment

Hospital groups warn CMS 340B drug payment cuts may be 'unlawful' and harm safety-net providers

High

Aug 25, 2026

States Leverage HIE Infrastructure to Meet Social Needs Screening Demands

Notable

Aug 23, 2026

H.R. 1 threatens Medicaid funding for vulnerable populations by October 1, 2026

High

Aug 20, 2026

CMS Establishes Privacy Act System for Nurses for Nursing Homes Program

Notable

Aug 16, 2026

Milken Institute Report Highlights Reimbursement Hurdles for Women's Health Startups

Notable

Aug 11, 2026 · open for comment

CMS proposes RAPID coverage pathway for accelerated Medicare device coverage

High

Aug 5, 2026 · open for comment

CMS re-establishes Privacy Act matching program with Department of War for ACA eligibility verification

Notable

Aug 4, 2026

CMS Finalizes FY 2027 IPPS Rule with ONC Health IT Standards Updates and Quality Program Changes

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

Current & historical briefs