The CMS Medicare Plan Finder Is Coming for Your Provider Directory API — Are You Ready?
By Mark Scrimshire, Chief Interoperability Officer, Onyx The days of static provider directories are numbered. CMS is building a National Provider Directory powered by FHIR-based APIs, and starting October 1, 2026, the Medicare Plan Finder will begin ingesting provider and facility data directly from Medicare Advantage plans’ publicly accessible Plan-Net APIs. If your API isn’t […]
Provider Directories, Interoperability, and What Medicaid & MA Plans Can Learn from Real-World Connectivity: A Conversation with Defacto Health
By Mark Scrimshire, Chief Interoperability Officer, Onyx Accurate, accessible provider directory data sits at the foundation of almost every function in our healthcare system: member access, network adequacy oversight, referral management, prior authorization automation, and CMS-driven transparency initiatives. As CMS pushes toward nationwide standardization — including the forthcoming National Provider Directory — Medicaid and Medicare Advantage plans […]