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2 months ago | 
jdsupra.com | Jeffrey Davis |Kristen O'Brien
One of the Biden Administration’s last healthcare regs was a proposed rule that, if finalized, would make significant changes to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule to strengthen cybersecurity protections for electronic protected health information (ePHI).
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Jan 15, 2025 | 
jdsupra.com | James Cannatti III |Daniel Gottlieb |Kristen O'Brien
On December 17, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP) published the Health Data, Technology, and Interoperability: Protecting Care Access (HTI-3) final rule in the Federal Register.
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Dec 12, 2024 | 
jdsupra.com | Kristen O'Brien
The No Surprises Act, a law that ended the practice of “balance billing” by certain out-of-network providers, was enacted as part of the Consolidated Appropriations Act of 2021 on December 27, 2020. While the law passed during President Trump’s first term in office, the Biden Administration has been fully responsible for its implementation to date. Come January 20, 2025, that responsibility will shift to the second Trump Administration.
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Nov 5, 2024 | 
jdsupra.com | James Cannatti III |Daniel Gottlieb |Kristen O'Brien
On October 29, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy (ASTP) released a fact sheet titled “Information Blocking Reminders Related to API Technology.” The fact sheet reminds developers of application programming interfaces (APIs) certified under the ASTP’s Health Information Technology (IT) Certification Program and their health care provider customers of practices that constitute information blocking under ASTP’s information...
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Aug 8, 2024 | 
jdsupra.com | Jeffrey Davis |Leigh Feldman |Kristen O'Brien
The fiscal year 2025 Inpatient Prospective Payment System (IPPS) final regulation has been released! Embedded in this massive, 2,987-page final reg is a new episode-based payment model, called the Transforming Episode Accountability Model (TEAM). When the Center for Medicare and Medicaid Innovation (CMMI) proposed the model, it garnered significant attention from the provider community. We previously covered the top 10 comments submitted to CMMI.
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Aug 8, 2024 | 
jdsupra.com | James Cannatti III |Daniel Gottlieb |Kristen O'Brien
On August 5, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP) published the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) Proposed Rule in the Federal Register to update its Health IT Certification Program (Certification Program) requirements and amend the information blocking...
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Jun 27, 2024 | 
jdsupra.com | Jeffrey Davis |Lauren Knizner |Kristen O'Brien
The long-awaited final reg is upon us! The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) released a final regulation earlier this week establishing disincentives for certain healthcare providers determined to have committed information blocking. The reg finalizes most of the provisions in the October 2023 proposed reg and is effective 30 days after publication in the Federal Register.
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Apr 18, 2024 | 
jdsupra.com | Jeffrey Davis |Kristen O'Brien
Last week, the Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year 2025 Inpatient Prospective Payment System (IPPS) proposed regulation. This 1,900+ page annual reg updates Medicare payments and policies for hospitals and long-term care hospitals – and it includes a plethora of major proposals that affect hospitals, clinicians and patients. Our full summary of the reg can be found here.
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Apr 4, 2024 | 
jdsupra.com | Jeffrey Davis |Kristen O'Brien
Although I previously declared January 2024 Medicare Advantage (MA) Month, this week has also been filled with news about the MA program. The Centers for Medicare & Medicaid Services (CMS) released two final regulatory documents related to MA: the final rate announcement that establishes payment rates for calendar year (CY) 2025 and a final reg that determines major MA policies in CY 2025 and beyond.
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Apr 3, 2024 | 
jdsupra.com | Kristen O'Brien
On April 1, 2024, the US Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and D Payment Policies (Rate Announcement). CMS also issued a press release, fact sheet and Part D redesign program instructions.
