Blog.pocp.com

What’s Next in Digital Health Infrastructure

WEBMore healthcare organization s will be looking to blockchain in 2022 to increase transparency and trust, and reduce transactional friction. An example is …

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URL: https://blog.pocp.com/blog/whats-next-in-digital-health-infrastructure

Here’s the Scoop on Implementation and Enforcement of the New

WEBThe OIG is the investigative, enforcement and oversight arm of the Department of Health and Human Services. It issued a proposed rule on April 24, which …

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Providing Perspectives through the Regulatory RFI Process Can …

WEBAdvancing true healthcare interoperability and data fluidity is dependent upon collaboration, and collaboration requires participation. Recently, the Centers for …

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Key 2022 Health Care Regulatory and Policy Priorities to Navigate

WEBColorado, Ohio, Tennessee, and Maine all passed legislation in 2021 requiring health plans to make eligibility, benefit coverage, cost and utilization management information available, in real-time, to providers, patients, and their third-party partners. We expect state-level legislative activity to continue in 2022.

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From Federal to State: The Vital Importance of Vigilance in DEA …

WEBThe Controlled Substances Act (CSA) in the United States imposes stringent regulations governing the prescribing, dispensing, and usage of narcotic drugs, …

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3 Things Health Plans Must Do to Understand Their Impact on …

WEBKey Activity #1 – Assess and measure health equity in our communities. Health Plans have extensive clinical and economic knowledge available from their …

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HHS Proposed Rule to Standardize Attachments: A Step Back from …

WEBShare this story: On December 21, 2022, the Department of Health and Human Services (HHS) issued a proposed rule that would regulate standards for health …

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Social Determinants of Health: Where Medicine, Behavior, …

WEBOver the last few years, attention has increased into the area of effect between behavior and genetics - the so-called Social Determinants of Health (SDoH). …

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Recap of the Changes to Medicare Advantage and Medicare …

WEBOur December 20 blog shared highlights from the CMS proposed rule for Advancing Interoperability and Improving Prior Authorization Processes, intended to …

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Combining Health Insurers and Pharmacy Benefit Managers: …

WEBBy Michael Solomon, PhD, MBA. Big moves by market-leading commercial payers signal sweeping transformative change is underway for health insurers and …

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EHRs Offer Ready-Made Tools for Population Health Management

WEBBy Michael Burger, Senior Consultant. Providers need tools for population health management (PHM) for reimbursement as well as reporting on metrics for related …

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HHS Data Strategy: The Vital Role of Consent Management in …

WEBThe latest HHS Data Strategy was unveiled back in December, and it's packed with updates that provide valuable insight into their priorities and where they're putting their attention. One of the key insights is their recognition of the evolving needs and opportunities since the last strategy in 2018, especially considering the COVID-19 …

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Key Trends Facing Payers in 2022

WEBConclusion. These are just a few of the trends that will be affecting payers in 2022. Providers also should be aware of overarching trends, such as Diversity, Equity, …

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Perspective: What’s Up With TEFCA

WEBTEFCA is a set of contracts, policies, and standards to support the development, governance, and operation of a national system that offers secure, …

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Washington State Takes a Leap to Require FHIR APIs and Reshape …

WEBWashington State has taken a pioneering leap in reshaping the landscape of prior authorization, racing ahead of federal guidelines by mandating the use of FHIR …

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Kicking Back the Anti-Kickback Rules for Patient Data Sharing

WEBAccording to the response, patient data transfer most often occurs when a clinician is referring a patient elsewhere. However, the anti-kickback rules would prohibit …

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Feds Officially Acknowledge Two NCPDP Standards. Part 1.

WEBThere are two ePA standards. The ASC x12 278 for non-retail pharmacy prior authorization transactions was officially adopted in 2009 by the federal government for use by the numerous “covered entities” under the Health Insurance Portability and Accountability Act (HIPAA) of 1996. However, the 278 has struggled to gain a foothold in …

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Lack of Training is at the Core of Physician EHR Usability Complaints

WEBAnd recent studies from March 2019 and December 2020 have identified how the lack of training impacts physician usability perspectives. EHR usability challenges. …

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Highlights of the Advancing Interoperability and Improving Prior

WEBReading and analyzing proposed rules is a necessary, albeit time consuming task. In order to help healthcare stakeholders, we’ve compiled some …

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