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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

Prior Authorization Still a Pain Point for Providers

Feb 22, 2017, 12:43 PM
ORLANDO -- The healthcare industry hasn't eliminated the hassles for providers that prior authorization often entails, but they're getting closer, several speakers said here at Healthcare Information and Management Systems Society (HIMSS) annual meeting.







"Studies have shown that prior authorization is the biggest 'pain point' among providers," Pam Jodock, senior director of healthcare business solutions at HIMSS, said at a Tuesday morning meeting session. "The issue is not automation; it's the business processes to which automation would be applied."

The six groups represented at the morning session are hoping to develop consistency in the requirements for getting a prior authorization and reducing the number of treatments and procedures that require it, she added. "The fact that we have six [groups represented] is because this is a critical issue of everybody on the stage today."

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