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Week of Jun 29 – Jul 5, 2026

7 curated updates · generated by openrouter:anthropic/claude-sonnet-4.6 (profile=prod)

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Must read CMS HHS

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

A sweeping 231-page final rule mandates FHIR-based APIs for patient access, provider access, and payer-to-payer data exchange — and sets hard new timelines for electronic prior authorization across Medicare Advantage, Medicaid, CHIP, and FFE health plans. Published February 8, 2024 and effective...

High ONC/ASTP CMS

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

With HTI-4 finalized on August 4, 2025, ONC has now closed out four major rulemakings that together reshape certification criteria, information blocking, TEFCA, and prescription workflows. ONC's certification program regulations page now reflects a completed four-rule cycle stretching from early...

Notable CMS

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

Early results from Medicare's AI prior-authorization trial show a pattern of errors and delays that are straining care delivery, even as CMS defends the program as a fraud and cost-control tool. CMS is piloting the use of artificial intelligence to automate prior-authorization decisions for a set...