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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

The Time Is Ripe for Prior Authorization Reform

Aug 24, 2017, 16:55 PM

The following feature article appeared as the lead story in the August issue of Population Health News:

Ask any physician about the biggest time waster in their practice, and they likely would say prior authorization (PA). Three-quarters of 1,000 practicing physicians surveyed by the American Medical Association (AMA) late last year said the prior authorization burden is “high or extremely high.” Each individual physician fielded nearly 37 PA requests in the week before taking the survey, and answering those requests consumed nearly 17 hours of physician and staff time.

To read the full Population Health News article, click here.

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