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Reference desk

The sources payer teams actually work from.

Federal rulemaking, Medicaid policy, quality measurement, interoperability standards and independent research — collected in one place and kept current.

  • CMS
  • Medicaid.gov
  • NCQA
  • HL7 Da Vinci
  • NIST AI RMF
  • KFF
Federal healthcare rulemaking documents on a desk in a policy library
Rulemaking, renewals and measure specs — tracked, not guessed.
A diverse group of health plan members standing together with care staff
Policy lands on people. That is how we read it.

Deadlines that bind

The regulatory calendar is already written.

Jan 2027
CMS-0057-F Payer-to-Payer API
72 hrs
Expedited prior-auth decision window
7 days
Standard prior-auth decision window

Briefings

Two things worth your inbox.

Gated download

CMS-0057-F readiness brief

What the rules require, the January 2027 dates that bind, and a workstream map for plans starting now.

We use your details only to respond to this request. No PHI, please.

Gated download

Dual-eligible enrollment playbook

How top plans find, screen and enroll duals — propensity model, channel economics, compliance guardrails.

We use your details only to respond to this request. No PHI, please.

Need this mapped to your compliance calendar?

We maintain a regulatory change monitor that watches these sources and flags what touches your workflows.