HealthIT.gov December 16, 2025
In July our colleagues at the Centers for Medicare & Medicaid Services (CMS) launched an ambitious Health Technology Ecosystem pledge program. The groundswell of energy and enthusiasm for the program has been remarkable, and we’re glad to be their partner. CMS established several pledge categories associated with aspirational criteria included within its CMS Interoperability Framework. This post looks specifically at the similarities and differences between the Trusted Exchange Framework and Common Agreement™ (TEFCA™) and the “CMS-Aligned Network” pledge category.
How TEFCA and CMS-Aligned Networks Relate
To start, both TEFCA and CMS-Aligned Networks are built around the same objective – supporting patients, providers, and other authorized entities in securely accessing and exchanging the electronic health information needed to improve care and...







