Monday Morning Rounds with CMS
In case you missed it, this is recent communication from the Centers for Medicare & Medicaid Services. Subscribe to their email lists to keep up to date on all press and news releases.
Read MoreRegulatory Issues
The Evolution of Patient-Centered Care: Patient Access to Their Health Data
By Lana Moriarty & Alex Mugge – HHS is working diligently to strengthen policies that can bring patients more comprehensive access to their health information. In October 2023, the ONC and CMS held an event to share initiatives that help patients access their health data.
CMS Rule Drives New Era of API-Enabled Data Sharing and Prior Authorization Reform
By Kim Boyd – On January 17, 2024, CMS unveiled the final rule aimed at advancing interoperability and enhancing prior authorization processes. This regulation leverages API technology to drive transparency, efficiency, and reduce provider, patient, and payer burden.
Participation Continues to Grow in CMS’ ACO Initiatives in 2024
CMS announced increased participation in CMS’ accountable care organization initiatives in 2024, which will increase the quality of care for more people with Medicare. Of note, CMS is announcing that 19 newly formed ACOs in the Medicare Shared Savings Program are participating in new, permanent payment option beginning in 2024…
Reminder: MIPS 2023 Data Submission is Open
The Centers for Medicare & Medicaid Services opened data submission for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2023 performance year of the Quality Payment Program. Data can be submitted and updated until 8:00 p.m. ET on April 1, 2024.
ONC’s HITAC: 2023 Recap and a Look Ahead to 2024
By Wendy Noboa & Seth Pazinski – The Health Information Technology Advisory Committee (HITAC) plays an important role in informing ONC policies and programs, consisting of experts across the health care industry offering a wide range of health IT perspectives.
CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process
As part of the Biden-Harris Administration’s ongoing commitment to increasing health data exchange and strengthening access to care, the Centers for Medicare & Medicaid Services finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F).
Ensuring Health IT API Accessibility for Seamless Data Exchange
By Laura M. Urioste – It’s been just over a year since certified Health IT developers aligned their Health IT Modules with the requirements outlined in the Cures Act Final Rule. As part of this transformative update, developers of certified API technology completed certification.
Realizing the Promise of Real-World Evidence
By Robert Califf – What we now call real-world data (RWD) have been used for years in medical product development to inform study design and endpoint selection, identify potential participants and trial sites, and assess safety in the post-marketing setting.