CMS is launching a Medicare-focused digital health ecosystem that functions like an “App Store,” aiming to make patient data more portable across a curated set of digital health apps. The program is designed to operationalize interoperability by connecting Medicare beneficiaries to approved digital tools. The initiative is positioned as a distribution mechanism rather than only a data standard, potentially shifting how software products gain access to large payer populations. For developers and health systems, the step raises the stakes on compliance, integration, and evidence requirements tied to interoperability. As reimbursement and data access increasingly define adoption, CMS’s “library” model could become a new gateway for clinically relevant digital therapeutics and monitoring platforms.