CMS Interoperability

CMS Interoperability

The Health Informatics and Interoperability Group (HIIG), within the Office of Healthcare Experience and Interoperability (OHEI), oversees the Centers for Medicare & Medicaid Services’ (CMS) interoperability efforts. OHEI is the home of the CMS Chief Health Informatics Officer.

 
Mission icon

Our Mission

To promote the secure exchange, access, and use of electronic health information to support better informed decision making and a more efficient health care system.

Vision icon

Our Vision

A secure, connected health care system that empowers patients and their providers to access and use electronic health information to make better informed and more efficient decisions.

 
Patients & Caregivers

Patients & Caregivers

Have access and use of their complete electronic health record (EHR), confidence that their care providers are communicating and coordinating their care, and the ability to engage in their own care in a more meaningful way.

Providers

Providers

Have easy access to the right patient health information at the right time to facilitate safer, better coordinated, and more efficient care.

Payers

Payers

Facilitate care coordination through the exchange of electronic health information and make timely coverage decisions based on current and accurate information.

Researchers & Innovators

Researchers & Innovators

Have streamlined access to recent data to support groundbreaking studies and the development of new applications and technology.


Our Role in Advancing Interoperability

In collaboration with CMS and OHEI leadership, HIIG spearheads and coordinates CMS’ enterprise-wide interoperability strategy. HIIG:

  • Develops interoperability policies that promote a Department of Health and Human Services-wide move to Fast Healthcare Interoperability Resources® (FHIR®) application programming interfaces (APIs);
  • Develops or supports pilot programs leveraging FHIR APIs to improve patient care;
  • Works with standards development organizations to promote adoption of modern data standards;
  • Engages with stakeholders to encourage innovation; and
  • Supports CMS Offices and Centers in their efforts to build systems that enhance information exchange.

Key projects include: 

Publishing policy    Publishing policy

Supporting the development of Center for Consumer Info    Supporting the development of Center for Consumer Information and Insurance Oversight’s advanced explanation of benefits and good faith estimates rulemaking

Developing the Concept of the Natl. Directory of Healthcare Providers and Services    Developing the concept of the National Directory of Healthcare Providers & Services

Exploring a FHIR API for Medicare    Exploring an FHIR API for Medicare to share data with other payers

Implementing Medicare Fee-for-Service Requirements Modernization    Implementing Medicare Fee-for-Service Requirements Modernization

 
 

Page Last Modified:
07/29/2025 04:07 PM