Office of Healthcare Experience and Interoperability (OHEI)
OHEI helps improve patients’ lives by optimizing the delivery of healthcare and putting Patients over Paperwork. We work to reduce healthcare administrative burden and advance interoperability and national standards. We engage with patients and organizations from across the healthcare community to understand their experiences, inform solutions, and infuse a customer-focused mindset throughout CMS.
Customer Engagement & Transparency
We foster public engagement and put Patients over Paperwork through a range of outreach channels. We leverage human-centered design principles to seek insights and ensure those perspectives are reflected in CMS policy and operations.
Health Informatics & Interoperability
We aim to make healthcare data flow more freely and securely among payers, providers, and patients by laying the foundation to foster a more connected healthcare system that puts Patients over Paperwork.
Administrative Simplification
We work to reduce paperwork and administrative burden by adopting and enforcing uniform standards for electronic healthcare transactions.
Open Payments
We provide transparency into financial relationships healthcare providers have with pharmaceutical and medical device manufacturers and distributors, bringing to light potential conflicts of interest that may arise from such relationships and empowering patients with additional information in choosing the right course of care.
Latest OHEI News & Updates
CMS Proposes Major Reforms to Speed Up Patient Access to Drugs, Increase Transparency, and Reduce Administrative Burden
The Centers for Medicare & Medicaid Services (CMS) is proposing changes to slash long waiting periods for drugs, reducing barriers to timely access to critical treatments. The Interoperability Standards and Prior Authorization for Drugs proposed rule would advance sweeping reforms to modernize prior authorization for drugs by establishing clear decision deadlines for impacted payers – no later than 24 hours for urgent requests and 72 hours for standard requests – and increasing transparency through full disclosure of claims denials and appeals outcomes
CMS Rule Phases Out Fax Machines, Snail Mail to Save Taxpayers $781.98 Million a Year
The Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures Final Rule is projected to save the healthcare industry roughly $781 million annually by establishing national standards for the electronic exchange of clinical documentation used to support health care claims. The rule also adopts standards for electronic signatures to ensure secure, authenticated transmission of this information.