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  • NCVHS Predictability Roadmap

    by Samantha Holvey | Oct 05, 2018

    From: Nick Coussoule and Alix Goss, Co-chairs, NCVHS Subcommittee on Standards

    The National Committee for Vital and Health Statistics (NCVHS) is requesting your assistance with the next step of the Predictability Roadmap initiative on updating and adopting administrative standards and operating rules under the Health Insurance and Portability Act of 1996 (HIPAA).  The attached draft recommendations for the Roadmap were developed after an 18-month industry engagement process which includes a set of 23 recommendations, calls to actions and measurements under 3 focus areas:1.  Improved education, outreach and enforcement from Health and Human Services (HHS), 2.  Policy levers to support process improvement changes from the standards organizations, and 3.  Regulatory levers to enable timely adoption, testing, and implementation of updated or new standards and operating rules.

    The recommendations have been incorporated into a narrative report and presentation.  The narrative report provides a history of standards development and adoption under the Health Insurance and Portability Act of 1996 (HIPAA) and the Affordable Care Act of 2010 (ACA), and the NCVHS Subcommittee on Standards engagement activities to date.  The power point summarizes our work and includes the list of recommendations, calls to action and measurements.  This information is also on the NCVHS website at https://ncvhs.hhs.gov/meetings/full-committee-meeting/

    The Subcommittee is interested in getting as much feedback as possible so that final recommendations can be developed for subsequent transmission to the Secretary of Health and Human Services (HHS) in 2019.  Please send comments to NCVHSmail@cdc.gov with the subject line “Predictability Roadmap” and include your name, email address, and organization.  A hearing will be held on December 12 – 13th in Washington, DC.

Featured Articles

Payer, Provider Dialogue Key To Prior Authorization Reform

Feb 22, 2017, 11:23 AM

 - ORLANDO - Prior authorization reform has recently been a hot topic for many healthcare industry groups and it was no different at HIMSS17.

To find out more about what providers and payers plan on doing to alleviate the administrative and care access challenges related to prior authorizations, RevCycleIntelligence.com sat down with Charles Stellar, President and CEO of the Workgroup for Electronic Data Exchange (WEDI).

Stellar was one of many on a panel discussing prior authorization burdens at HIMSS17. His fellow panelists hailed from various parts of the healthcare system, including payers, vendors, and industry groups, such as the American Medical Association (AMA).

The AMA recently released survey results that showed three-quarters of physicians found prior authorization burdens high or extremely high. Physician practices also send about 37 prior authorizations per physician a week, accounting for an average of 16 hours of staff time.

To read more, visit Rev Cycle Intelligence.

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