1. HHS announces proposed rules to support the path to nationwide interoperability

    Electronic Health Record Incentive Programs and 2015 Edition Health IT Certification Criteria rules proposed
     
    The U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) today announced the release of the Stage 3 notice of proposed rulemaking for the Medicare and Medicaid Electronic Health Records (EHRs) Incentive Programs and 2015 Edition Health IT Certification Criteria to improve the way electronic health information is shared and ultimately improve the way care is delivered and experienced. Read more.

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  2. New York ePrescribing Mandate Delayed One Year

    New York Governor, Andrew Cuomo, signed legislation, SB 2486, late last week effectively postponing a law that would have mandated prescribers use ePrescribing for all prescriptions for one year.  The provision was part of the I-STOP prescription-drug program adopted in 2012.  The mandate, which is intended to crack down on fraud and abuse of prescription drugs, will now take effect March 27, 2016.

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  3. PDMP Study Validates NCPDP's Edvocacy Efforts

    Consistent with NCPDP's focus on the issue of improving state prescription drug monitoring programs (PDMPs) in the fight against prescription drug abuse, a recent article in Health Affairs (subscription required) highlights a study detailing the history and use of PDMPs as well as common barriers to access and possible avenues forward to ensure the programs are being fully utilized. The article and study come to many of the same conclusions that NCPDP has over the years:

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  4. 21st Century Cures: Interoperability Bill Introduced

    Representative Michael Burgess (R-Texas) released a draft bill recently focused on interoperability. Provisions include:

    • Requiring HHS to create a plan for achieving widespread interoperability of EHR systems by 2017.
    • Replacing the ONC's existing federal advisory committees with a new organization comprised of congressionally appointed members.
    • Defining EHR interoperability as the ability for authorized users to access the entirety of a patient's data from any EHR system without restriction and without the need for multiple interfaces.
    The draft bill is expected to be part of the House Energy and Commerce Committee's 21st Century Cures legislation. BGOV has provided a summary of the draft legislation.

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  5. Prescriber Outreach Letter

    Effective December 1, 2015 Medicare Part D prescription claims will only be covered if the prescriber is enrolled in Medicare or has a valid opt-out affidavit on file with his/her Medicare Administrative Contractors (MAC).  Based on CMS' evaluation of Part D claim data, 30% of the prescribers are not currently enrolled. To mitigate point of service rejections and patient care delays as of December 1, 2015, prescriber outreach is necessary.  The Definition of a Valid Prescriber Task Group has developed a prescriber outreach letter template to assist with this effort.  This letter may be used by pharmacy providers, PBMs, plan sponsors, and other impacted entities.

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