CMS Claims Attachment Final Rule Announced in High-Demand Town Hall
March 31, 2026
CMS finalized a new rule requiring electronic claims attachments, with compliance required by May 2028 and significant projected cost savings.
Prior Authorization Denial Data Goes Public Under CMS Rule
March 31, 2026
CMS now requires payers to publicly report prior authorization denial rates, turnaround times, and appeal outcomes, with first reports due March 31.
HHS and CMS Announce New Healthcare Advisory Committee to Guide System Modernization
March 27, 2026
HHS and CMS announce a new Healthcare Advisory Committee to guide policy, improve patient care, and modernize healthcare delivery across federal programs.
CMS Expands Access to Claims Attachments Final Rule Webinar with Open Town Hall Format
March 26, 2026
CMS Expands Claims Attachments Final Rule Webinar to Open Town Hall Format This Top Stories update highlights a recent CMS announcement expanding access to its
HHS Proposes HTI-5 Rule to Deregulate Health IT and Reshape AI Interoperability Standards
March 24, 2026
HHS proposes the HTI-5 rule to reduce Health IT certification requirements and reshape AI interoperability standards. The public comment period closed February 27, 2026, signaling upcoming regulatory changes.
State Medicaid Budgets to Shrink by $665 Billion Over Next Decade Under New Federal Law
March 23, 2026
State Medicaid Budgets Will Decline by $665 Billion Under New Federal Law This Top Stories report summarizes a recent Stateline article outlining the projected $665
CMS Final Rule Eliminates Fax and Mail for Claims Attachments, Driving $782M in Annual Savings
March 20, 2026
CMS Final Rule Eliminates Fax and Mail for Claims Attachments CMS finalizes electronic claims attachment and e-signature standards, replacing fax and mail to reduce administrative
CMS Prior Authorization Public Reporting Deadline Arrives March 31
March 19, 2026
By March 31, 2026, impacted payers must publicly post prior authorization metrics for calendar year 2025 under CMS-0057-F. That includes data tied to approval and denial rates, appeal outcomes, turnaround times, and the items and services subject to prior authorization.
CMS Strengthens Patient Protections in Organ Donation System
March 12, 2026
CMS has issued new guidance strengthening patient protections and accountability in the organ donation system, with implications for payers around transplant network oversight, OPO recertification, and member care navigation through 2027.
Trump Administration Announces Major Fraud Prevention Actions Across Medicare and Medicaid
February 26, 2026
The Trump Administration announced expanded fraud prevention actions across Medicare and Medicaid, signaling a shift toward real-time oversight, increased transparency, and heightened program integrity expectations for payer organizations.