TOPIC
US
6 entries across the knowledge base
US payers & coverage typesMedicare, Medicaid, CHIP, ACA marketplace plans and employer coverage — who pays, who regulates them, and why the coverage type decides which data flows and which rules apply.article · 6 min · foundationUSCDI & US CoreUSCDI names the data the US must be able to exchange; US Core says how to represent it in FHIR. How the two versions track each other, and how certification pins them down.article · 5 min · practitionerTEFCA & QHINsThe Trusted Exchange Framework and Common Agreement: one legal contract, a tier of designated QHINs, six exchange purposes, and how it sits alongside Carequality and CommonWell.article · 5 min · practitionerONC/ASTP certification & the Cures ActHow the 21st Century Cures Act reshaped US health IT: the voluntary certification program, certified EHR technology, the Conditions of Certification, and the HTI rules that keep changing the criteria.article · 5 min · foundationInformation blockingThe US rule that makes withholding electronic health information a federal offence: who counts as an actor, the ten exceptions in 45 CFR Part 171, and what enforcement actually costs.article · 5 min · practitionerCMS interoperability & prior authorization rulesCMS-9115-F built the Patient Access and Provider Directory APIs; CMS-0057-F adds Provider Access, Payer-to-Payer and Prior Authorization APIs with staged compliance dates through 2027.article · 6 min · practitioner