# HTI-2 Proposed Rule * **Definition:** The HTI-2 Proposed Rule refers to a set of regulatory guidelines proposed by the U.S. Department of Health and Human Services (HHS) aimed at enhancing the interoperability of health information technology systems, improving patient access to health data, and promoting the secure exchange of health information among healthcare providers, payers, and patients. * **Taxonomy:** CTO Topics / HTI-2 Proposed Rule ## News * Selected news on the topic of **HTI-2 Proposed Rule**, for healthcare technology leaders * 1.3K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 5/27/2025 | [**Rural Healthcare Challenges: How AI & Telemedicine Can Improve Access - HIT Consultant**](https://hitconsultant.net/2025/05/27/rural-healthcare-challenges-how-ai-telemedicine-can-improve-access/) | [[HIT Consultant]] | | 5/27/2025 | [**Stanford medical school dean outlines 3 urgent AI priorities - Becker's Hospital Review**](https://www.beckershospitalreview.com/healthcare-information-technology/ai/stanford-medical-school-dean-outlines-3-urgent-ai-priorities/) | [[Beckers Hospital Review]] | | 5/27/2025 | [**Emory, Stanford, Mercy: 6 Big Tech partnerships**](https://www.beckershospitalreview.com/healthcare-information-technology/innovation/emory-stanford-mercy-6-big-tech-partnerships/) | [[Beckers Hospital Review]] | | 5/26/2025 | [**AI can solve many gaps in healthcare, but only with ethical implementation - Viewpoint**](https://www.chiefhealthcareexecutive.com/view/ai-can-solve-many-gaps-in-healthcare-but-only-with-ethical-implementation-viewpoint) | [[Chief Healthcare Executive]] | | 5/25/2025 | [**Action Framework for AI Agents in Healthcare - by Alex G. Lee - May, 2025 - Medium**](https://medium.com/@alexglee/action-framework-for-ai-agents-in-healthcare-f4801f8dcaa6) | [[Medium]] | | 5/21/2025 | [**Redefining Access and Outcomes in Behavioral Health: A Conversation with Talkiatry CEO ...**](https://www.beckershospitalreview.com/podcasts/podcasts-beckers-hospital-review/redefining-access-and-outcomes-in-behavioral-health-a-conversation-with-talkiatry-ceo-robert-krayn/) | [[Beckers Hospital Review]] | | 5/19/2025 | [**HIMSS CIO Connect brings support through shared knowledge - Healthcare Finance News**](https://www.healthcarefinancenews.com/video/himss-cio-connect-brings-support-through-shared-knowledge) | [[Healthcare Finance]] | | 5/19/2025 | [**athenahealth Launches athenaOne® for Community Health Centers**](https://hitconsultant.net/2025/05/19/athenahealth-launches-athenaone-for-community-health-centers/) | [[HIT Consultant]] | | 5/19/2025 | [**Smarter Technologies Launches AI-Driven Platform to Tackle Hospital RCM Inefficiencies**](https://hitconsultant.net/2025/05/19/smarter-technologies-launches-ai-driven-platform/) | [[HIT Consultant]] | | 5/14/2025 | [**Beyond FHIR: Why True Healthcare Interoperability Needs AI**](https://hitconsultant.net/2025/05/15/beyond-fhir-why-true-healthcare-interoperability-needs-ai/) | [[HIT Consultant]] | | 5/13/2025 | [**Navigating Financial Resilience and Outpatient Growth: Strategies for a Shifting Healthcare ...**](https://www.beckershospitalreview.com/podcasts/podcasts-beckers-hospital-review/navigating-financial-resilience-and-outpatient-growth-strategies-for-a-shifting-healthcare-landscape/) | [[Beckers Hospital Review]] | | 5/12/2025 | [**AMN Healthcare: AI-led Staffing for Compassionate and High-quality Care**](https://www.healthtechmagazines.com/amn-healthcare-ai-led-staffing-for-compassionate-and-high-quality-care/) | [[Health Tech Magazines]] | | 4/29/2025 | [**Cedar Launches 'Kora' AI Voice Agent to Automate Patient Billing Calls - HIT Consultant**](https://hitconsultant.net/2025/04/29/cedar-launches-kora-ai-voice-agent-to-automate-patient-billing-calls/) | [[HIT Consultant]] | | 4/22/2025 | [**Improving Interoperability Between Healthcare Providers and Systems to Enhance Care ...**](https://www.healthcareittoday.com/2025/04/22/improving-interoperability-between-healthcare-providers-and-systems-to-enhance-care-coordination-and-data-sharing/) | [[Healthcare IT Today]] | | 4/7/2025 | [**AI being used more often at point of care, KLAS research shows - Healthcare IT News**](https://www.healthcareitnews.com/news/ai-being-used-more-often-point-care-klas-research-shows) | [[Healthcare IT News]] | | 3/4/2025 | [**AI, MedTech And Big Tech: Who Will Lead The Next Medical Revolution? - Forbes**](https://www.forbes.com/councils/forbesbusinessdevelopmentcouncil/2025/03/04/ai-medtech-and-big-tech-who-will-lead-the-next-medical-revolution/) | [[Forbes]] | | 3/4/2025 | [**Portable Medical Devices Market to Reach USD 191.1 Billion by 2035, Driven by AI ...**](https://finance.yahoo.com/news/portable-medical-devices-market-reach-123000217.html) | [[Yahoo Finance]] | | 3/2/2025 | [**Can AI Outperform Doctors in Diagnosing Infectious Diseases?**](https://www.news-medical.net/health/Can-AI-Outperform-Doctors-in-Diagnosing-Infectious-Diseases.aspx) | [[News Medical Net]] | | 2/28/2025 | [**The Home Care Tipping Point: Why 2025 Could Break or Make Your Business - LinkedIn**](https://www.linkedin.com/pulse/home-care-tipping-point-why-2025-could-break-make-your-iqhvc) | [[Linkedin]] | | 2/26/2025 | [**LBMC Unveils Key Healthcare Trends for 2025: AI, M&A, Cybersecurity, and Policy Shifts ...**](https://finance.yahoo.com/news/lbmc-unveils-key-healthcare-trends-192100608.html) | [[Yahoo Finance]] | | 2/22/2025 | [**Black Book Research Releases 2025 Rural Healthcare IT Solutions Report Addressing ...**](https://www.newswire.com/news/black-book-research-releases-2025-rural-healthcare-it-solutions-report-22524487) | [[Newswire]] | | 2/22/2025 | [**The Future of Digital Health: Key Trends and Opportunities in 2025 - by Kartheek Rao**](https://medium.com/@kartheekraom/the-future-of-digital-health-key-trends-and-opportunities-in-2025-64001a178563) | [[Medium]] | | 2/21/2025 | [**Roundup: AI and cloud tackle cyber risk and improve workflows - Healthcare IT News**](https://www.healthcareitnews.com/news/roundup-ai-and-cloud-tackle-cyber-risk-and-improve-workflows) | [[Healthcare IT News]] | | 1/14/2025 | [**Healthcare Trends Shaping 2025 And Insights For Industry Leaders - Forbes**](https://www.forbes.com/councils/forbesbusinesscouncil/2025/01/14/healthcare-trends-shaping-2025-and-insights-for-industry-leaders/) | [[Forbes]] | | 11/19/2024 | [**How Emory Healthcare reroutes 30f MyChart messages**](https://www.beckershospitalreview.com/healthcare-information-technology/ehrs/how-emory-healthcare-reroutes-30-of-mychart-messages/) | [[Beckers Hospital Review]] | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **HHS**: The U.S. Department of Health and Human Services, responsible for the HTI-2 proposed rule aimed at enhancing interoperability in healthcare. - **CMS**: Centers for Medicare & Medicaid Services, also collaborated on the HTI-2 rule to improve public health response. - **Assistant Secretary for Technology Policy (ASTP)**: A key governmental body responsible for proposing and implementing health technology regulations, including the HTI-2 rule. - **CDC**: Centers for Disease Control and Prevention, collaborated in developing certification criteria for health IT in the HTI-2 rule. - **Office of the National Coordinator for Health Information Technology (ONC)**: An office within HHS that sets standards for health IT and interoperability, playing a crucial role in the HTI-2 rule. - **DeepHealth, Inc.**: A subsidiary of RadNet, focusing on AI-powered radiology informatics and population screening solutions. - **ONC**: Office of the National Coordinator for Health Information Technology, oversees the implementation of health IT standards and regulations. - **Centers for Medicare & Medicaid Services (CMS)**: A federal agency that oversees health care programs and is involved in the certification criteria related to health IT. - **Commure**: A healthcare technology company partnering with MEDITECH to integrate ambient clinical documentation products. - **VSee Health**: A telehealth provider partnering with LanguageLine Solutions to improve communication in healthcare through instant interpreter access. - **CliniComp**: A healthcare technology company focused on enhancing direct care delivery through health IT tools. - **XRHealth**: A leading AI-driven therapeutic extended reality platform focused on transforming patient care and rehabilitation. - **InterSystems**: A company that launched IntelliCare, an AI-powered EHR system aimed at transforming clinician workflows. - **Humana**: A health insurance provider collaborating with IBM Watson Health to enhance member access to healthcare information. - **Access Healthcare**: A partner in the AI-driven platform aimed at improving administrative workflows in healthcare. - **IQVIA**: Recognized as a leader in generative AI in life sciences, enhancing clinical trial design and commercialization strategies. - **Kim Boyd**: A Senior Consultant at Point-of-Care Partners, emphasizing the importance of staying updated on evolving Health IT policies. - **DrFirst**: A healthcare technology firm emphasizing actionable AI technologies to improve communication and patient outcomes. - **Netsmart**: Provider of healthcare IT solutions, showcasing innovations in AI and revenue cycle management. ### Partnerships and Collaborations - **Collaboration with CDC and CMS**: The HTI-2 proposed rule was developed in collaboration with the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) to enhance public health data interoperability. - **Healthmonix**: A company that offers innovative solutions for regulatory reporting and value-based care, highlighting the importance of compliance with the HTI-2 rule. - **HHS**: These agencies worked together to develop new certification criteria for health IT focused on public health and value-based care. - **ASTP and HL7**: The Office of the Assistant Secretary for Technology Policy and the Office of the National Coordinator for Health IT have established agreements with Health Level Seven International to promote health IT standards. - **Duke University Health System and GE HealthCare**: Collaboration to implement a real-time data tool for managing patient flow and capacity. - **Humana and Thyme Care**: A value-based agreement to enhance cancer care support for Medicare Advantage members. - **AmeriHealth Caritas with ELLKAY and Astrata**: Collaboration to enhance data interoperability for better patient outcomes. - **VSee Health and LanguageLine Solutions**: A partnership to provide instant interpreter access in over 240 languages, improving telehealth services. - **Humana and IBM Watson Health**: Collaboration to provide AI-powered digital assistant services to enhance member access to healthcare information. - **Commure and MEDITECH**: This partnership integrates ambient clinical documentation products with the MEDITECH Expanse EHR platform to reduce clinician burnout. - **Smarter Technologies, Access Healthcare, Thoughtful.ai**: Collaboration to create an AI-driven platform for optimizing revenue cycle management in hospitals. - **Retrieve Medical Holdings and Curatus LLC**: An acquisition aimed at enhancing healthcare data solutions through AI. - **Exigent Research and ConcertAI**: A multi-year partnership to increase patient access to clinical trials through AI-enabled workflows. - **Renovaro Biosciences and BioSymetrics**: A merger aimed at enhancing biomarker identification and drug discovery through advanced AI technologies. - **Cigna Healthcare and MDLive**: Partnership to streamline wellness visit scheduling for new members. - **Avant Technologies and Ainnova Tech**: A partnership aimed at integrating AI-driven algorithms for early disease detection, enhancing healthcare solutions in the Americas. - **Royal Philips and SingHealth**: A strategic partnership aimed at developing a standardized data architecture to improve diagnostics and patient outcomes in Singapore. - **Duke University**: Established a digital health innovation center for researching technology's impact on healthcare. - **University of Texas Medical Branch and Microsoft**: A five-year partnership to utilize AI and cloud computing for enhancing healthcare services. - **Vitalchat and Green Harvest Capital**: Vitalchat secured funding to enhance its AI-powered solutions for inpatient virtual nursing and procedural telehealth. ### Innovations, Trends, and Initiatives - **HTI-2 Proposed Rule**: Introduces new API certification criteria to enhance interoperability, including Patient Access API, Provider Access API, and Payer-to-Payer API. - **Standards-based APIs**: The HTI-2 rule promotes the use of standards-based application programming interfaces (APIs) to facilitate data exchange among healthcare stakeholders. - **Real-Time Prescription Benefit (RTPB)**: The HTI-2 rule proposes the certification of RTPB standards to enhance patient access to therapy information and standardize how coverage and cost-related data are delivered. - **TEFCA (Trusted Exchange Framework and Common Agreement)**: The HTI-2 rule finalizes proposals related to TEFCA, focusing on enhancing reliability, privacy, security, and trust in health information exchange. - **Cybersecurity Enhancements**: The proposed rule emphasizes the need for stronger cybersecurity measures in response to increasing cyber threats in healthcare. - **Enhanced Prior Authorization Processes**: The proposed rule aims to streamline prior authorization processes, improving data sharing and reducing administrative burdens. - **US Core Data for Interoperability (USCDI) Version 4**: The rule mandates the adoption of USCDI version 4 by January 1, 2028, to improve data sharing and interoperability. - **CHAI Registry**: A new registry to standardize AI tool information for healthcare companies, facilitating product comparisons and quality assurance. - **AI for IMPACTS Framework**: A proposed framework to assess the translational readiness of AI in healthcare, addressing challenges in AI adoption. - **AI in Healthcare**: Increasing adoption for clinical decision support, workflow efficiency, and patient engagement analytics. - **Telehealth and AI Integration**: The rise of AI and IoT technologies in telehealth services, improving access to healthcare in rural areas. - **Wearable Technology**: Enhancing proactive healthcare delivery and addressing physician shortages. - **AI in Revenue Cycle Management**: The introduction of AI-driven platforms to streamline administrative workflows and reduce costs in healthcare. - **athenaOne for Community Health Centers**: New solution by athenahealth designed to support equitable healthcare access. - **E-Prescribing**: The ONC reports a significant increase in e-prescribing rates, with 92% of prescribers now utilizing this technology, highlighting the integration of e-prescribing capabilities in EHRs. ### Challenges and Concerns - **Compliance Timelines**: Industry leaders express concerns regarding the aggressive compliance timelines set by the HTI-2 rule, particularly for smaller healthcare organizations. - **Compliance Burdens**: Smaller organizations may face significant challenges in meeting the new compliance requirements set forth by the HTI-2 rule, particularly regarding cybersecurity. - **Security Risks**: Large health systems have raised concerns about the proposed certification rule requiring hyperlinks to diagnostic imaging, citing potential unauthorized access to protected health information. - **Information Blocking Regulations**: The proposed updates to information blocking regulations may create confusion and require clear guidance for compliance. - **Encryption Requirements**: The AHA has criticized the proposed encryption requirements as burdensome and costly for healthcare providers. - **Underutilization of Unstructured Data**: There are concerns about the potential underutilization of unstructured data under the proposed interoperability rule. - **Information Blocking**: The rule addresses concerns about information blocking, emphasizing behavioral issues rather than technological ones, and outlines penalties for violations. - **Regulatory Scrutiny**: Increasing regulatory scrutiny around interoperability and digital health accessibility poses challenges for healthcare organizations. - **Innovation Restrictions**: Experts express concerns that strict adherence to ONC-certified technology may hinder innovation in health IT. - **Regulatory Changes**: 53% of US physicians anticipate negative impacts on their practices due to changes in Medicare reimbursements for telehealth. - **Regulatory Clarity**: Many healthcare executives are awaiting regulatory guidance before making significant investments in AI technologies. - **Interoperability Issues**: Challenges in adopting FHIR standards hinder seamless data exchange among healthcare organizations. - **Complexity of Implementation**: Healthcare organizations express apprehension about the readiness of certain specialties to implement changes effectively, particularly regarding the integration of diagnostic images within patient records. - **Regulatory Compliance**: Balancing innovation with adherence to healthcare regulations remains a significant challenge. - **Ethical Considerations**: The need for ethical guidelines in AI use, particularly regarding bias and data privacy in healthcare. - **Regulatory Issues**: The lack of specific regulations for medical software and AI technologies poses challenges for development and implementation. - **Interoperability**: Need for improved data sharing between healthcare providers to enhance patient care. - **Data Privacy**: Concerns regarding the protection of patient information amidst increasing AI integration. - **Workforce Displacement**: Concerns about AI potentially displacing healthcare workers and the implications for future healthcare employment. ## Related Topics [[HTI-2 Rule]]