What We Heard at MESC 2026: Medicaid Interoperability, Consent and Trusted Health Data Exchange
At MESC 2026, two things were top of mind for most attendees: implementation of HR-1, and CMS Interoperability. Many of our conversations about Medicaid interoperability focused on a practical question: what does it take to make health data exchange work across real organizations, networks and workflows? Consent. Identity. Security. Purpose of use. Attachments. Payer-to-payer exchange. None of these are new challenges. What stood out was how […]
The Architecture Behind Intelligence: A Conversation with Dragon Bashyam
By Susheel Ladwa, CEO, Onyx Moving clinical data is no longer the hard part. Using it is. Payers today receive clinical information from dozens of sources — provider EHRs, public health systems, exchange partners — and most of it arrives fragmented, inconsistent, and hard to operationalize. Connectivity is solved. Intelligence isn’t. I wrote recently about […]
Prior Authorization: The View from Backstage
By Immanuel Anthony, Tech Contributor, Onyx Everyone in healthcare IT knows prior auth is broken. Fewer people have stood backstage and watched exactly how it breaks — and what it takes to fix it at the infrastructure level. That’s where this piece comes from. What the messy reality looks like The premise of prior auth […]
CMS-4208-F2 and Medicare Plan Finder: What MA Plans Need to Do Now
The days of static provider directories are numbered. CMS is building a National Provider Directory powered by FHIR-based APIs, and starting October 1, 2026, the Medicare Plan Finder will begin ingesting provider and facility data directly from Medicare Advantage plans’ publicly accessible Plan-Net APIs. If your API isn’t ready, your plan data won’t show up […]
Completing the Chain of Trust for CMS-Aligned Networks
How HL7 Da Vinci and FAST Security work together to support scalable payer interoperability By Mark Scrimshire, Onyx Chief Interoperability Officer CMS-Aligned Networks Raise the Bar As CMS accelerates its Health Technology Ecosystem and the vision for CMS-Aligned Networks continues to take shape, the interoperability conversation is shifting. The question is no longer simply whether organizations can expose APIs. […]