Must read
CMS
CMS's official FAQ spells out exactly what payers must do under CMS-0057-F — from 72-hour urgent decision windows to the nine public metrics due on websites by March 31, 2026. CMS has published a detailed FAQ on the Prior Authorization API requirements established in the 2024 CMS Interoperability...
High
HHS
ONC/ASTP
HHS/ONC's fifth Health Data, Technology, and Interoperability rulemaking targets certification program efficiency and continued information-blocking enforcement improvements. HHS and ONC have proposed the HTI-5 rule, the latest in the Health Data, Technology, and Interoperability rulemaking...
High
HHS
The Biden-era proposed update to the HIPAA Security Rule has been pushed back more than a year, giving HHS time to reassess a rule that drew sharp opposition from hospitals and health systems over cost burdens. The federal government has pushed back its planned overhaul of the HIPAA Security Rule...
High
ONC/ASTP
Brendan Keeler contends the EHR Association isn't just venting about HTI-5 — it's methodically constructing an administrative record to challenge ONC's rulemaking authority in court. Interoperability analyst Brendan Keeler argues that the EHR Association's (EHRA) sustained public commentary...
High
HHS
Regulated entities that felt unprepared for sweeping HIPAA Security Rule changes get a reprieve as HHS delays the update's effective timeline. HHS has postponed the anticipated update to the HIPAA Security Rule, providing additional time for covered entities and business associates to prepare for...
High
CMS
HHS
Elevance's lawsuit argues CMS is applying Star Ratings recalculation methodology inconsistently — a win for Clover Health in court has opened the door for other MA plans to demand the same treatment. Elevance Health filed suit last week against HHS and CMS, alleging that the agency unlawfully...
High
ONC/ASTP
HHS
A rare moment of regulatory visibility gives health-IT teams a structured view of what's coming — and what's being undone — across interoperability and HIPAA access. Brendan Keeler's July 2026 analysis unpacks a newly visible HHS/ONC regulatory pipeline, identifying four distinct actions that...
High
CMS
💬 Comments close in 29 days (Aug 31)
The sweeping CY2027 outpatient payment proposed rule touches reimbursement rates, quality reporting, prior authorization expansion, and a first-of-its-kind request for input on making hospital price transparency data more machine-comparable — with comments due August 31. CMS published its...
High
ONC/ASTP
The sweeping deregulatory proposed rule would cut more than half of ONC's certification requirements while closing loopholes EHR vendors have used to block data access—and it explicitly brings autonomous AI systems under information-blocking rules. ONC's HTI-5 Proposed Rule ("Health Data,...
Notable
CMS
HHS
CMS fulfills its statutory obligation to review and publish the Consensus-Based Entity's annual activities report, a key checkpoint in the federal quality measurement governance cycle. The HHS Secretary has reviewed and published in the Federal Register Battelle Memorial Institute's 2025 Annual...