Keep up with TEFCA — the Common Agreement, QHIN designation requirements, SOPs and the exchange purposes — with every claim one click from the source.
Every brief below links to its primary source — start with the free feed, or upgrade to Pro for the full analysis.
ONC's TEFCA update details progress toward nationwide health information exchange with new qualified health information network designations and updated common agreement provisions. The Office of the National Coordinator for Health Information Technology (ONC) has released an updated presentation...
The deregulatory HTI-5 rule finalizes administrative simplification, mutual recognition of certification, and performance-based approaches to reduce unnecessary administrative burdens and promote innovation in health IT. The U.S.
Establishes new requirements for healthcare data exchange and prior authorization processes under the Interoperability and Patient Access final rule. The Centers for Medicare & Medicaid Services (CMS) has issued the Interoperability and Prior Authorization Final Rule (CMS-0057-F), establishing...
CMS’s 2026 proposed rule would let payers automatically use newer versions of required FHIR and USCDI standards as ONC approves them, reducing the need for frequent CMS rule changes. CMS released a CMS.gov resource page outlining the API and standards requirements stemming from the 2020...
The rule mandates standardized APIs, reduces prior authorization burdens, and aligns with FHIR to improve data exchange and patient access. The Centers for Medicare & Medicaid Services (CMS) issued a final rule that combines interoperability initiatives with prior authorization reforms to...
The AMA supports CMS's revised guidance addressing payer compliance with prior authorization transparency requirements under the 2024 Interoperability and Prior Authorization final rule. The American Medical Association (AMA) has publicly endorsed updated guidance from the Centers for Medicare &...
The ONC's refreshed TEFCA fact sheet shows Qualified Health Information Networks now connect over 150 million unique patients and 1.8 million clinicians, underscoring rapid national scaled exchange under the Trusted Exchange Framework. The Office of the National Coordinator for Health IT (ONC)...
The portal consolidates TEFCA's governance details, designated Qualified Health Information Networks, and the latest Common Agreement version for nationwide health information exchange. The Sequoia Project's Recognized Coordinating Entity (RCE) portal for the Trusted Exchange Framework and Common...
The investigation examines whether Epic's health IT dominance and data-sharing policies violate antitrust laws, with potential implications for interoperability and EHR market competition. The U.S.
By embedding structured clinical terminology directly into CPT codes, AMA aims to accelerate electronic prior authorization and cut administrative burden at the point of care. The American Medical Association has launched a new interoperability initiative focused on mapping structured clinical...
The Trusted Exchange Framework and Common Agreement has crossed a major adoption threshold, signaling that the national interoperability network is moving from pilot to production scale. The Office of the National Coordinator for Health Information Technology (ONC) has announced that TEFCA — the...
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...
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...
New federal oversight measures — including third-party audits of TEFCA participants — signal ONC is shifting from network-building to network-accountability mode. ONC has announced a package of oversight measures designed to strengthen governance of the Trusted Exchange Framework and Common...
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...
Medicare Advantage, Medicaid, CHIP, and Marketplace payers must deploy four new FHIR APIs and compress prior authorization timelines by 2026–2027, reshaping payer-provider-patient data exchange across the industry. CMS has finalized the Interoperability and Prior Authorization rule (CMS-0057-F),...
ONC's certification framework — the gatekeeper for federally recognized health IT — is updating criteria, surveillance rules, and standards versioning processes that every EHR and API developer must track. The ONC Health IT Certification Program is the federal mechanism through which health...
As CMS's LEAD model extends value-based care timelines, health systems that lack real-time post-acute data will find themselves structurally disadvantaged on cost and quality performance. CMS's LEAD (Longitudinal Episode-based Alternative Payment) model reshapes how accountable care organizations...
The 2024 CMS Interoperability and Prior Authorization final rule sets hard compliance deadlines for payers to implement FHIR APIs that streamline prior authorization and cross-payer data exchange — with a key HIPAA carve-out clearing the path. CMS released the 2024 Interoperability and Prior...
The agency is formalizing its ambitions in health-IT modernization by creating a dedicated organizational unit to lead interoperability initiatives and digital product development. The Centers for Medicare & Medicaid Services (CMS) has established a new health technology office designed to...
Epic's selective data access controls disadvantage competitors and slow health tech innovation, according to new STAT reporting. A STAT investigation published October 28, 2026 reveals that Epic Systems selectively restricts access to patient data within its electronic health record system,...
ONC reduced HTI-5 certification requirements by nearly 60% while postponing enforcement on information blocking and privacy safeguards, raising concerns about weakened interoperability progress. The Office of the National Coordinator for Health IT (ONC) issued its HTI-5 final rule, cutting 14 of...
The rule reduces regulatory burden for developers and providers while aiming to support innovation through targeted certification reforms. The U.S.
Proposed rule implements WFTC legislation affecting Exchange eligibility verification, inconsistency periods, redeterminations, enrollment methods, and coverage effective dates. The Department of Health and Human Services (HHS) has published a proposed rule implementing new requirements under the...
The Trump administration eliminated specific privacy, security and transparency provisions for electronic health record software developers under HTI-5 rule modifications. The Department of Health and Human Services has relaxed several security, privacy and transparency requirements for vendors...
Amazon, Google, Meta, Oracle and other large employers support CMS efforts to extend electronic prior authorization requirements to self-funded health plans. Amazon, Axon Enterprise, Google, Meta and Oracle have publicly backed the Centers for Medicare & Medicaid Services' initiative to expand...
A JMIR research viewpoint advocates using HL7 FHIR Genomics Reporting standards to make genomic findings actionable in EHRs while keeping raw data in governed repositories. Electronic health record systems currently fail to represent genomic findings in structured, interoperable formats, instead...
A novel lawsuit applying healthcare data access rules to social media platforms tests the boundaries of the 21st Century Cures Act's information blocking provisions. Healthcare technology company Dash.fi has filed a lawsuit against Meta Platforms, alleging that the social media giant violated the...
The RCE resource library provides centralized access to TEFCA's Common Agreement, technical frameworks, and implementation guides for QHINs and participants. The Sequoia Project has updated its TEFCA and RCE Resources page, serving as the central repository for Trusted Exchange Framework and...
Tech leaders are using a government-run CMS Slack channel to advocate for consumer adoption of health data apps under the Trump administration. A Slack workspace administered by the Centers for Medicare & Medicaid Services (CMS) has become a central hub for AI and technology industry leaders to...
Correction addresses typographical and technical errors in the August 2026 final rule that established FY 2027 payment rates and adopted updated versions of certain health information technology standards for hospitals. The Centers for Medicare & Medicaid Services (CMS) published a correction to...
The September 30 HL7 Da Vinci Community Roundtable will provide updates on ePA regulatory developments, implementation guide status, and real-world deployment progress as the industry moves beyond pilots to production. HL7 International announced that the Da Vinci Project will hold a Community...
DirectTrust's modernized Direct implementation enables cloud-native secure messaging while maintaining compatibility with legacy healthcare workflows. DirectTrust has unveiled a modernized implementation of the Direct Project protocol designed specifically for cloud environments and...
Leveraging P2P data exchange for strategic initiatives like network development and care management transforms compliance into market differentiation. Payer-to-payer (P2P) interoperability capabilities, once viewed primarily as a regulatory requirement under TEFCA’s QHFN, are evolving into...
CDC invites comments through Nov. 20, 2026 on how data intermediaries can support secure, standards-based public health data sharing to improve disease detection and prevention. The Centers for Disease Control and Prevention (CDC) is soliciting public input on the role of data intermediaries in...
Healthcare's reliance on single clearinghouse points creates systemic risk despite lessons from 2022 Change Healthcare cyberattack. Two years after the Change Healthcare cyberattack exposed critical vulnerabilities in healthcare claims processing infrastructure, the industry continues to lack...
Dallas County’s live connection to eHealth Exchange demonstrates how standards-based health information exchange can improve public health reporting, case investigations, and outbreak response. Dallas County Health and Human Services (DCHHS) has established a live connection to the eHealth...
New role-specific online training series prepares healthcare workforce for active federal information blocking enforcement beginning in 2026. The Sequoia Project, in partnership with AHIMA and HCPro, has launched a new role-specific online training series designed to help healthcare organizations...
Three critical flaws reported in Mirth Connect versions prior to 4.4.2 expose PHI to credential theft, arbitrary code execution, and remote system compromise. NextGen Healthcare disclosed three high-severity vulnerabilities (CVE-2024-37335, CVE-2024-37336, CVE-2024-37337) in its Mirth Connect...
Federal health IT leaders will examine AI integration, data quality improvements, and payer-provider collaboration as TEFCA expands nationwide interoperability capabilities. The eHealth Exchange 2026 Annual Meeting, held September 9, 2026, spotlighted the evolving landscape of nationwide health...
Fully-sourced weekly briefs, tracked from proposal to final.
Create free account