Healthcare Law Blog

JANUARY 26, 2024

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Hall Render

NOVEMBER 29, 2023

This change comes in response to concerns about reporting all payer/all patient data via the APP due to the cost of necessary system-wide infrastructure for data aggregation. Standards for benchmarking and data completeness for the Medicare CQM collection type will mirror the MIPS benchmarking and scoring policies.

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Hall Render

MARCH 20, 2024

The Final Rule aims to improve electronic exchange of health care data with a particular focus on improving the prior authorization process through the implementation of new requirements for a variety of payers related to Application Program Interfaces (“API”). This Patient Access API must be established by January 1, 2027.

Medicare 40

Medicare Medicare Health Insurance Medicaid 40

Healthcare Law Blog

FEBRUARY 1, 2023

If finalized, the Centers for Medicare and Medicaid Services (CMS) Proposed Rule on Advancing Interoperability and Improving Prior Authorization Processes will require payers to participate in electronic payer-to-payer data exchange and implement automated prior authorization processes.

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Electronic Medical Records Medicare Medicare Health Outcomes 52

Healthcare IT Today

NOVEMBER 20, 2022

Another joint study, this one involving CareEvolution, Scripps Research, and The Rockefeller Foundation, concluded that data from wearable devices could forecast COVID-19 infection rates as many as 12 days earlier than CDC data alone. Engagement platform Twilio released a customer data platform for health and life sciences.

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COVID-19 Telemedicine Hospitals Nurses 52

Health Law RX

JULY 18, 2023

2] The information blocking provisions of the Cures Act apply to three categories of actors: healthcare providers, Developers, and HIN/HIEs. The Cures Act authorized the Secretary of HHS to identify “reasonable and necessary activities that do not constitute information blocking.” [1]

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Fraud Compliance Medicaid Medicaid 52

Jane Sarashon

DECEMBER 20, 2023

At the end of each year since I launched the Health Populi blog, I have put my best forecasting hat on to focus on the next year in health and health care. Professor Galloway pointed out in his 2024 predictions the sheer scale that this new drug category could have on over 100 million Americans alone.

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