Posts by lcanaley
2026 Medicare Physician Fee Schedule Final Rule Includes Health IT Changes
The Centers for Medicare & Medicaid Services (CMS) posted the calendar year 2026 Medicare Physician Fee Schedule (PFS) final rule for public inspection in the Federal Register. Policy changes to Medicare payments under the PFS, and other Medicare Part B issues become effective on or after January 1, 2026. In addition to payment policies, the…
Read MoreWEDI Federal Update 10.20.25
CMS Issues Update on Holding of Claims for Affected Services. The Centers for Medicare & Medicaid Services (CMS) provided an update on the processing of claims and payments for services affected by the expired Medicare legislative provisions as of October 1. CMS has instructed Medicare Administrative Contractors to hold these claims but will continue to…
Read MoreWEDI Federal Update 10.27.25
CMS Contracts Signal Commitment to Development of National Provider Directory. On September 30, the Centers for Medicare & Medicaid Services (CMS) awarded four contracts of $1 each to Availity, LLC, Council for Affordable Quality Healthcare, Inc, Gainwell Technologies, LLC, and Palantir Technologies, Inc. The stated purpose of the contracts is to procure information technology services…
Read MoreEpisode 223 – Understanding the Story of the Patient Through Synthetic Data
Knowledge Center Episode 223 – Understanding the Story of the Patient Through Synthetic Data with University of Chicago’s Julie Johnson, RN October 19, 2025 Michael interviews Julie Johnson, Executive Director of the Center for Research Informatics at the University of Chicago, about synthetic data in healthcare. Julie shares her unconventional career path, which included studying…
Read MoreWEDI Federal Update 10.13.25
OSTP and FDA Request Public Input on AI Use. The White House’s Office of Science and Technology Policy (OSTP) published a Request for Information (RFI) titled “Regulatory Reform on Artificial Intelligence” seeking input on identifying federal legislation, regulations, guidance, or other requirements that impede the development, deployment, and adoption of artificial intelligence (AI) technologies. The…
Read MoreWEDI Federal Update 10.6.25
OCR Settles HIPAA Investigation of PHI Disclosure by Delaware Provider. The Department of Health and Human Services (HHS) Office of Civil Rights (OCR) announced a settlement with a Delaware health care provider for a potential violation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Breach Notification Rules. The settlement resolves an investigation…
Read MoreWEDI 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,…
Read MoreWEDI Blog: Why Interoperability is Important for the Health Care Industry
Hear from WEDI Chair-Elect, Denny Brennan, on why interoperability matters in the health care industry.
Read MoreWEDI’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…
Read MoreWEDI 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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