CHIME

Recently, the long-awaited updates to the Health Insurance Portability and Accountability Act (HIPAA) were released. Most observers agree that provisions meant to move business associates and subcontractors into the world of covered entities will lead to more accountability of protected health information. But some worry that the rule does not clarify the emerging role of HIEs and population health management initiatives.

According to officials at CMS, December was the single largest monthly payout of EHR incentives in the program’s history. Roughly $1.2 billion went to eligible hospitals and eligible physicians in December, bringing the total estimated payout to $10.3 billion. The bulk of the payments went to EHs, who received $1 billion in Medicare and Medicaid incentive payments. EPs received $175 million in Medicare payments and $80 million in Medicaid payments.

The Centers for Medicare & Medicaid Services intends to waive certain quality data submission and validation requirements for hospitals in Connecticut, New Jersey, New York and Rhode Island counties designated “major disaster” areas for Hurricane Sandy by the Federal Emergency Management Agency, CMS announced recently.

While the power dynamics will appear similar in the 113th Congress as it did in the 112th Congress, the environment in which the new Congress operates looks entirely different. Sequestration and other fragments of the "fiscal cliff" must be dealt with over the next several weeks and it would seem probable that Republicans look to use parts of the ACA as bargaining chips to get the bigger deal done.

CHIME members voiced their concern this week with congressional proposals to “immediately suspend” EHR incentive payments. In an Oct. 4 letter to HHS Secretary Kathleen Sebelius, Ways & Means Chairman Dave Camp (R-MI-4), Energy & Commerce Chairman Fred Upton (R-MI-6), Ways & Means Health Subcommittee Chair Wally Herger (R-CA-2) and Energy & Commerce Health Subcommittee Chair Joe Pitts (R-PA-16) voice concern that the incentive payments were being wasted because many providers continue to lack interoperability.