Payers

Why Payer-to-Payer Data Exchange Could Be the Most Valuable Interoperability Rule for Patients

By Susan Bellile – As we kick off 2022, one of the big questions surrounding interoperability is the status of the payer-to-payer data exchange rule. The requirement was part of the May 2020 Final Rule supporting the 21st Century Cures Act, and its enforcement was scheduled to start on January 1. However, in September CMS delayed enforcement pending future rulemaking.


Key Trends Facing Payers in 2022

By Teresa Younkin – As we start rolling up our sleeves to get to work in 2022, we already are seeing several trends that will continue to transform healthcare in the year ahead. Payers will have their work cut out for them and will be forced to adapt, with many modifications coming sooner than later.



Payers: Forge Ahead Despite HHS Rule Delay

By John D’Amore – On March 9, 2020, HHS announced two long-anticipated rules from the ONC and CMS designed to “finally deliver on giving patients true access to their healthcare data.” Some expected these deadlines to be a few years out, but HHS had other plans in mind: