Medical Economics July 7, 2021
The rule was adopted more than a year ago, but the COVID-19 pandemic pushed off enforcement.
The Centers for Medicare and Medicaid Services (CMS) began enforcing the interoperability and patient access final rule on July 1 after a year’s delay.
According to the agency’s website, CMS has begun enforcement requirement some insurers to support patient access and provider directory application programming interfaces (APIs) with the aim of improving the electronic exchange of health care data. The policy went into effect Jan. 1 but, due to the COVID-19 pandemic, the agency exercised discretion in enforcing it until the beginning of this month.
Specifically, the rule requires Medicare Advantage, Medicaid, CHIP, and federal exchange health plans to share claims data electronically with...
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