Leavitt Partners May 28, 2025
A recent survey conducted by WEDI, a national association for health IT guidance and collaboration, underscores significant delays among both providers and health plans in preparing for The Centers for Medicare & Medicaid Services (CMS)’s Interoperability and Prior Authorization Final Rule (CMS-0057-F). The rule introduces new requirements-including Fast Healthcare Interoperability Resources (FHIR) implementation and prior authorization performance metrics, with deadlines beginning January 1, 2026.
Key Findings from the WEDI Survey
- 52% of providers have not yet started work on the required Application Programming Interface (API) implementations
- 44% of providers are unsure of total implementation costs and training needs.
- 43% of payers have not begun technical work on APIs
- Only 31% of payers report being...
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Topics: CMS, Govt Agencies, Health IT, HIE (Interoperability), Insurance, Payer, Provider, Survey / Study, Technology, Trends