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CMS and TEFCA Collaboration Accelerate Healthcare Data Interoperability: Path to New Standardization

Data standardization key to Health Tech Ecosystem, TEFCA's interoperability goals

June 15, 2026CMS (Centers for Medicare & Medicaid Services)

Summary

The CMS Health Tech Ecosystem and TEFCA are advancing healthcare data exchange through complementary approaches, contributing to improved interoperability in the medical field. Both initiatives aim for patient-centric data sharing and efficient care processes by standardizing FHIR APIs and electronic prescriptions.

Details

In the US, two federal initiatives—the CMS Health Tech Ecosystem and TEFCA (Trusted Exchange Framework and Common Agreement)—are collaborating to improve healthcare data interoperability. The CMS initiative employs a 'sandbox approach,' promoting rapid market innovation and data access by requiring the use of FHIR APIs for information sharing between patients and providers. Conversely, TEFCA focuses on formal, governance-based network-to-network exchange through designated QHINs (Qualified Health Information Networks). While both share the goal of secure health data exchange, their structures differ: CMS prioritizes rapid testing and refinement, while TEFCA emphasizes careful, formal governance. This alignment is driving progress in solving specific clinical challenges, such as standardizing electronic prior authorizations and streamlining e-prescribing. The synergy between these two approaches generates significant momentum for future data standardization and quality reporting improvements.

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