CMS-0057 Readiness: Challenges We’re Seeing and How Health Plans Can Move Forward
By Mark Scrimshire, Chief Interoperability & Security Officer, Onyx Health; Co-Chair, HL7 Financial Management Work Group; active contributor to WEDI The reality today By January 1, 2027, health plans are expected to have APIs live across Patient Access, Provider Access, Payer-to-Payer, and electronic Prior Authorization (ePA). Earlier this year, WEDI’s baseline survey found that 43 […]
A Day in the Life of CMS-0057: What It Means for Members, Providers, and Health Plans
CMS-0057, the Interoperability and Prior Authorization Final Rule, introduces four APIs that will shape how health data moves across the ecosystem: Payer-to-Payer Data Exchange – At the member’s request, securely transfer up to 5 years of their data when they switch plans. Provider Access – Give in-network providers access to a member’s data. Patient Access […]
Practical Approaches to CMS-0057 Compliance: Starting Strong and Staying on Track
The January 2027 CMS-0057 deadline is fast approaching. Some health plans are deep into execution, others are running pilots, and many haven’t yet made key decisions. No matter where you are, one thing is certain: the runway is shrinking, and the stakes are high. At Onyx, we’ve already taken customers live on CMS-aligned APIs and […]