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WEDI Federal Update 9.29.25

CMS Provides Overview and Template for CMS-0057-F Health Plan Metrics Reporting. The Centers for Medicare & Medicaid Services (CMS) published the “Prior Authorization Metrics Reporting – Overview & Template” to assist payers impacted by the CMS Interoperability and Prior Authorization (CMS-0057-F) final rule in understanding the metrics reporting requirements. Beginning in 2026, and annually thereafter,…

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WEDI’s Fall 2025 Interoperability and Prior Authorization Survey

WEDI is conducting this follow up survey on the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F), and we need your help! This short survey will gauge how the industry is implementing this regulation. Don’t miss this important opportunity to share your perspectives on this significant industry mandate. WEDI’s second survey on…

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WEDI Blog: Health Care Implications Should a Federal Government Shutdown Occur

Health Care Implications Should a Federal Government Shutdown Occur By: Nancy Spector, WEDI Senior Director, Federal Affairs The federal government’s fiscal year ends at midnight on September 30 and without passage of a budget or continuing resolution (CR) the shutdown will happen. Should a shutdown occur, there are significant implications for the health care sector.…

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WEDI Federal Update 9.22.25

WEDI Sends NSA Letter to Ways and Means Outlining Challenges with AEOBs. WEDI sent to the House Committee on Ways and Means its letter on the No Surprises Act (NSA) that it sent on September 8 to the Secretaries of the Departments of Health and Human Services (HHS), Labor, and Treasury and Director of the…

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WEDI Federal Update 9.15.25

WEDI Urges Action on No Surprises Act GFE and AEOB Provisions. WEDI sent a letter to the Departments of Health and Human Services (HHS), Labor, Treasury, and the Office of Personnel Management (OPM) outlining critical data exchange issues related to the Good Faith Estimation (GFE) and Advanced Explanation of Benefits (AEOB). Both the GFE and…

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WEDI Federal Update: 9.8.25

X12 Publishes 008060 Versions of HIPAA-Mandated Implementation Guides. Standards Development Organization X12 has published the first of the 008060 versions of the HIPAA-mandated implementation guides. The rest of those 008060 versions will be published over the next few weeks. These updated implementation guides can be viewed in X12’s online viewer, Glass, at  products.x12.org and navigate to…

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