Fierce Health Technology September 17, 2021
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.
Payers...