Discover how 2026 CMS compliance deadlines and cybersecurity expectations are reshaping payer IT with FHIR interoperability, prior authorization modernization, and outcomes-driven digital strategies.
CMS has permanently updated the Medicare "incident to" supervision rule, allowing virtual physician supervision for billing, changing longstanding Medicare billing compliance requirements.
Explore recent legislative and CMS efforts to reform prior authorization in U.S. healthcare, focusing on bipartisan bill progress, CMS regulations, and new experimental models to streamline Medicare prior authorization processes.
CMS delays the Medicare Advantage rule requiring midyear reminders about unused supplemental benefits to 2026, addressing insurers' readiness and data tracking challenges.
CMS finalizes critical 2026 Medicare Advantage rule changes, including anti-obesity drug coverage exclusion, AI regulatory deferral, and limits on retroactive inpatient stay denials affecting payers and providers.
