Friday, April 17 | Thought Leadership

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


By Hannah Patterson, Director Project 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 · Director Project Management

Communities

From the CareThreads Blog

Why We Need to Go Back to the Future with Hospice

Thursday, October 07 | Client Success Stories,Thought Leadership,Post-Acute Care

The future of healthcare lies in replicating what hospice care is really about -- serving the whole person by an interdisciplinary team who believes in care without barriers. Tom Herzog sits down with Samira Beckwith, President and CEO at Hope Healthcare to unpack what it means and why it’s so important for hospices to go back to the future.

More
Netsmart September is National Suicide Prevention Month

Suicide Prevention In the Classroom: New Horizons Mental Health Services

Thursday, September 30 | Thought Leadership,Cause Connected,Client Success Stories

While Suicide Prevention Awareness Month is coming to a close, attention and implementation of prevention programs like SOS is key to eradicating suicide in our communities. Learn how New Horizons is taking action in county classrooms.

More

Keeping Us Productive, Safe and Supported: Netsmart Facilities Team

Monday, September 20 | Thought Leadership,Netsmart Culture

An ode to our Facilities team, who played an integral role in keeping Netsmart business operations up and running during the stay-at-home orders of the COVID-19 pandemic, as well as launching and maintaining a safe and successful return to office strategy.

More