Friday, April 17 | Thought Leadership

Here's What You Need to Know About the New ONC & CMS Final Rules

By Hannah Patterson, Vice President, Workforce Management

A quick glance at the most important updates

Here’s what you need to know about the new final rules from the Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare and Medicaid Services (CMS) that address several provisions of the 21st Century Cures Act.

The ONC Rule:

  • Intends to support the seamless and secure access, exchange, and use of electronic health information (EHI). It focuses on standardized application programming interfaces (APIs), implementing the information-blocking provisions of the Cures Act. It also includes several changes to the current 2015 Certification standards, such as the requirement for EHRs to use the U.S. Core Data for Interoperability (USCDI).

  • Prohibits “information blocking” by payers and health systems, because this practice restricts access to health care information and slows down interoperability. As a result, payers and health systems must then provide data through an API to give patients access to their own data. The rule also identifies activities that don’t constitute information blocking.

  • Establishes secure API requirements to support patients’ access to and control of their own electronic health information.

  • Requires that EHRs provide the clinical data necessary to promote new business models of care.

The CMS Rule:

  • Requires health plans in Medicare Advantage, Medicaid, and HIP to share their claims data electronically with patients.

  • Creates a “Condition of Participation” for all Medicare and Medicaid participating hospitals, which mandates that they send electronic notifications to another health care facility or community provider/practitioner when a patient is admitted, discharged, or transferred.

  • Requires states to submit enrollee data daily (starting on April 1, 2022) for beneficiaries enrolled in Medicare and Medicaid.

For guidance on what these rules mean for you and your practice, visit this webpage from ONC or this webpage from CMS.


Meet the Author

Hannah Patterson Blog Photo
Hannah Patterson · Vice President, Workforce Management

Communities

From the CareThreads Blog

How Technology Drives Game-Changing Workforce Satisfaction

Thursday, January 26 | Thought Leadership,EHR Solutions and Operations,Care Coordination

EHRs have evolved to serve as a foundational launching point for integrated, coordinated healthcare. Hear how county providers can optimize the capabilities of their EHRs to help recruit and retain high-quality clinical, financial and operations staff to support overall workforce improvements.

More

NAHC President Bill Dombi Shares 2023 Industry Outlook

Wednesday, January 25 | Thought Leadership,Post-Acute Care,Value-based Care

From workforce issues to value-based reimbursement models and legislative & regulatory change, there is plenty for hospice and home care agencies to keep an eye on in 2023. The National Association of Home Care & Hospice (NAHC) President Bill Dombi discusses the trends of the new year and offers his expert advice on how to navigate the coming months.

More

The Future of CCRCs: Success for 2023 and Beyond

Tuesday, December 20 | Thought Leadership,Post-Acute Care,Value-based Care

According to a recent report, there will be a “healthy demand” for Continuing Care Retirement Communities (CCRC). That doesn’t mean there won’t be any challenges. Leaders of these full continuum communities are still dealing with issues like inflation and recovery from the coronavirus pandemic. Senior care expert Eva Bering, MSN, MHA, RN, NHA, shares her thoughts on what leadership and boards of not-for-profit life plan communities need to focus on for future success.

More