The proposed rule could amplify the meaningful progress made by healthcare technology innovators and provide a more ...

A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...

Learn how investment in IT infrastructure mandated by CMS-0057 can be a catalyst for advancing health plan priorities and improving care. Ensuring your investment in IT infrastructure mandated by ...

Health data company Smile Digital Health and MCG Health are partnering in a move that will help payers meet the requirements of the Centers for Medicare and Medicaid Services Interoperability and ...

Availity has introduced a CMS-0057-F compliance blueprint to help payers meet new federal interoperability and prior authorization mandates taking effect in 2026 and 2027. The plan incorporates ...

HAUPPAUGE, NY, UNITED STATES, May 4, 2026 /EINPresswire.com/ — Command Direct, a national healthcare communications company serving more than 70 health plans across ...

BOSTON--(BUSINESS WIRE)--Abacus Insights, the leader in data usability for U.S. payers, is expanding its industry-leading CMS Interoperability data solution to enable health plans to comply with the ...

While health plans make headway on upcoming interoperability mandates associated with the Advancing Interoperability and Improving Prior Authorization Final Rule, revenue cycle teams are stalling amid ...

Artificial intelligence has become healthcare’s favorite scapegoat, especially in insurance. Every denied claim, every delayed approval, every inexplicable “not medically necessary” response seems to ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

The 2026 CMS Prior Authorization Final Rule is reshaping healthcare operations by shortening decision timelines, requiring specific denial reasons, and increasing transparency. Providers are turning ...