Learn more about two U.S. Department of Health and Human Services (HHS) final rules that may have significant financial and operational implications for health care providers and payers, particularly related to electronic health data exchange.


Final Rules

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21st Century Cures Act

The 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program” final rule released on March 9, 2020 reinforces the definition of information blocking and associated penalties, as well as describes reasonable and necessary activities that would not constitute information blocking. Information blocking compliance and penalties go into effect in September 2020.

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CMS Interoperability and Patient Access

The CMS final rule requires health plans in Medicare Advantage, Medicaid, CHIP, and through the federal Exchanges to share claims and other health information via APIs with patients and other plans. These requirements
have a range of effective dates, ranging from
fall 2020 to January 2022.

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