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Analysis: CMS and ONC interoperability final rules

Insight Article - June 10, 2020

Electronic Health Records

HIT Regulations

Health Information Technology

On Dec. 13, 2016, the 21st Century Cures Act was signed into law. This strongly bipartisan legislation included several provisions to accelerate the adoption and effective use of health information technology (HIT) and promote the interoperability of health data. On March 9, 2020, the Office of the National Coordinator for HIT (ONC) and the Centers for Medicare & Medicaid Services (CMS) issued final rules implementing the Cures Act.

CMS Provisions

Patient access API

CMS-regulated payers (e.g., Medicaid, Medicare Advantage plans and others) are required to implement and maintain a secure, standards-based Application Programming Interface (API). This API must permit patients (through use of a third-party app of their choice) to easily access their claims and encounter information, including cost. Payers are required to implement the patient access API beginning Jan. 1, 2021.

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About the Author

Robert M. Tennant
Robert M. Tennant MA
Director, Health Information Technology Policy MGMA Government Affairs


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