Fierce Health Technology September 17, 2021
Robert King

The Biden administration has delayed enforcement of payer-to-payer data exchange included in a May 2020 final interoperability rule until future regulations are finalized.

The decision by the Centers for Medicare & Medicaid Services (CMS) announced Wednesday comes after the insurance industry has warned that the final rule was hastily constructed.

“CMS’ decision to exercise enforcement discretion for the payer-to-payer policy until future rulemaking occurs does not affect any other existing regulatory requirements,” according to the notice from CMS.

The interoperability rule finalized in May 2020 required CMS-regulated payers such as Medicare Advantage plans, fee-for-service programs, Medicaid managed care and Children’s Health Insurance Program fee-for-service programs to implement and maintain an application programming interface (API) for sharing data with apps.

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Topics: CMS, Govt Agencies, Health IT, HIE (Interoperability), Insurance, Payer, Technology
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