• Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle
  • Digital Health
    • Artificial Intelligence
    • Blockchain
    • Mobile Health
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
    • Mergers & Acquisitions
  • Value-based Care

HHS Proposes New Interoperability Rules to Publicly Report “Information Blocking”

by Fred Pennic 02/11/2019 Leave a Comment

Share with your friends










Submit

Information Blocking in Health IT

The U.S. Department of Health and Human Services (HHS) today proposed new rules to support seamless and secure access, exchange, and use of electronic health information. The rules, issued by the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC), would increase choice and competition while fostering innovation that promotes patient access to and control over their health information. The proposed ONC rule would require that patient electronic access to this electronic health information (EHI) be made available at no cost.

CMS Proposed Rules Background

CMS’ proposed changes to the healthcare delivery system support the MyHealthEData initiative and would increase the seamless flow of health information, reduce the burden on patients and providers, and foster innovation by unleashing data for researchers and innovators. In 2018, CMS finalized regulations that use potential payment reductions for hospitals and clinicians to encourage providers to improve patient access to their electronic health information. For the first time, CMS is now proposing requirements that Medicaid, the Children’s Health Insurance Program, Medicare Advantage plans and Qualified Health Plans in the Federally-facilitated Exchanges must provide enrollees with immediate electronic access to medical claims and other health information electronically by 2020

Tackle Information Blocking

The CMS rule \proposes to publicly report providers or hospitals that participate in “information blocking,” practices that unreasonably limit the availability, disclosure, and use of electronic health information undermine efforts to improve interoperability.  Making this information publicly available may incentivize providers and clinicians to refrain from such practices.

Open Data Sharing

In support of patient-centered healthcare, CMS would also require these health care providers and plans to implement open data sharing technologies to support transitions of care as patients move between these plan types. By ensuring patients have easy access to their information, and that information follows them on their healthcare journey, we can reduce burden, and eliminate redundant procedures and testing thus giving clinicians the time to focus on improving care coordination and, ultimately, health outcomes.

ONC’s proposed rule promotes secure and more immediate access to health information for patients and their healthcare providers and new tools allowing for more choice in care and treatment. Specifically, the proposed rule calls on the healthcare industry to adopt standardized application programming interfaces (APIs), which will help allow individuals to securely and easily access structured and unstructured EHI formats using smartphones and other mobile devices. It also implements the information blocking provisions of the 21st Century Cures Act, including identifying reasonable and necessary activities that do not constitute information blocking. The proposed rule helps ensure that patients can electronically access their electronic health information at no cost. The proposed rule also asks for comments on pricing information that could be included as part of their EHI and would help the public see the prices they are paying for their healthcare.

Impact of Proposed CMS Rules

Policies in the proposed CMS and ONC rules align to advance interoperability in several important ways. CMS proposes that entities must conform to the same advanced API standards as those proposed for certified health IT in the ONC proposed rule, as well as including an aligned set of content and vocabulary standards for clinical data classes through the United States Core Data for Interoperability standard (USCDI). Together, these proposed rules address both technical and healthcare industry factors that create barriers to the interoperability of health information and limit a patient’s ability to access essential health information.

“Today’s announcement builds on CMS’ efforts to create a more interoperable healthcare system, which improves patient access, seamless data exchange, and enhanced care coordination,” said CMS Administrator Seema Verma.  “By requiring health insurers to share their information in an accessible, format by 2020, 125 million patients will have access to their health claims information electronically. This unprecedented step toward a healthcare future where patients are able to obtain and share their health data, securely and privately, with just a few clicks, is just the beginning of a digital data revolution that truly empowers American patients.”

Tagged With: EHR Data Blocking, Health IT Interoperability, Information Blocking, ONC

Share with your friends










Submit

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

« Providence St. Joseph Health Acquires Blockchain-Powered Revenue Cycle Platform Lumedic
Apple to Deploy Health Records Feature on iPhone to Veterans »

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Recent Articles

  • NarrativeDx Raises $3M for Patient Experience Intelligence Platform

    NarrativeDx Raises $3M for Patient Experience Intelligence Platform

    N... more
  • Emedgene Lands $6M to Expand AI-Driven Genomics Interpretation Platform

    Emedgene Lands $6M to Expand AI-Driven Genomics Interpretation Platform

    E... more
  • Treating Addiction: Bridging the Gap Between Physical & Behavioral Healthcare

    Treating Addiction: Bridging the Gap Between Physical & Behavioral Healthcare

    T... more

Most Read

  • 10 Major Themes Driving The Future of Blockchain in Healthcare 10 Major Themes Driving The Future of Blockchain in Healthcare
  • Healthcare Breach Report 2016 6 Ways Health Informatics Is Transforming Health Care
  • Business Models In Healthcare 12 Defining Healthcare Trends to Watch in 2018
  • Top 10 Challenges, Issues and Opportunities for Healthcare Executives in 2019 Top 10 Challenges, Issues and Opportunities for Healthcare Executives in 2019
  • Ochsner Health and Pfizer to Develop Innovative Models for Clinical Trials Ochsner Health and Pfizer to Develop Innovative Models for Clinical Trials
  • The State of Value-based Care in 2018: 10 Key Trends to Know The State of Value-based Care in 2018: 10 Key Trends to Know
  • Glooko Launches Integration with Novo Nordisk Insulin Pen Glooko Launches Integration with Novo Nordisk Insulin Pen
  • Geographic Information Systems in Healthcare 5 Benefits of Geographic Information Systems in Healthcare
  • Blockchain in Healthcare_Next Stop for Data-driven Healthcare: Blockchain 5 Benefits Of Using Blockchain Technology in Healthcare
  • Biomedical Engineering Trends to Watch 5 Emerging Biomedical Engineering Trends to Watch

Company

  • About Us
  • Advertise with Us
  • 2019 Editorial Calendar
  • Media Kit
  • Contributor Network
  • Contact
  • Subscribe

Editorial Coverage

  • Health IT
  • Policy
  • mHealth
  • Digital Health
  • Startups
  • Infographics

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2019. HIT Consultant Media. All Rights Reserved. Privacy Policy |