Centers for Medicare & Medicaid Services’ Health Technology Ecosystem: Request for Information
Aligning for Health appreciates the opportunity to respond to CMS and ONC’s Request for Information on building a more sustainable and effective health technology ecosystem. As a coalition focused on aligning health and human services to improve outcomes and drive system-wide efficiency, we support the direction outlined in this RFI and applaud CMS and ONC’s commitment to removing barriers, supporting innovation, and advancing a more connected, patient-centered infrastructure.
We believe this is a pivotal moment to strengthen data exchange across sectors, invest in local digital infrastructure, and support platforms already in use by government and community-based partners. Interoperability and smart use of data are foundational. The priorities identified in the RFI, including the expansion of FHIR APIs, adoption of USCDI v3, and maturation of TEFCA, are aligned with that vision. However, meaningful progress will require ensuring these tools also work for community-facing providers and platforms that manage care coordination and service delivery outside of traditional clinical settings. The following are recommendations from Aligning for Health in response to CMS’s Health Technology RFI, reflecting the organization’s experience supporting cross-sector data integration, funding alignment, and whole-person care delivery.FINAL Health IT Ecosystem RFI - AFH 061625