Resource Library

CMS-0057-F is reshaping how health plans exchange data with members, providers, and other payers. With reporting and procedural requirements already in effect and API implementation requirements approaching in 2027, impacted payers must prepare their technology, data, and operational strategies now.

But CMS-0057-F is more than a compliance mandate. It creates an opportunity for health plans to modernize prior authorization, eliminate data silos, improve member and provider experiences, and establish a longitudinal health record that supports quality improvement, analytics, and AI.

Download The Strategic Advantage of CMS Interoperability Regulations for a practical overview of CMS-0057-F and guidance for turning required investments into long-term business value.

What You’ll Learn

This e-book explains:

• Which health plans and payer organizations are affected by CMS-0057-F
• The reporting, procedural, and API implementation timelines
• Requirements for the Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs
• Why FHIR is central to CMS interoperability and prior authorization requirements
• The role of a longitudinal health record in sharing complete member information
• How to unify clinical and claims data without disrupting existing workflows
• How interoperability can improve care coordination, member experience, quality performance, and operational efficiency