- It’s a short week ahead for health IT interoperability as we pause to appreciate the unsung heroes on the caregiving frontlines and all who support them behind the scenes. With many family members, friends and professional colleagues serving healthcare — an industry that never takes a break and provides help for all in need — HealthITInteroperability.com extends a heartfelt “thank you.”
Here’s a look at what’s happening this week.
Deadline extended for PQRS payment adjustment review. If you believe you have been incorrectly assessed a negative payment adjustment for the 2016 Physician Quality Reporting System (PQRS), you have through Dec. 11 to submit a request for an informal review. The previous deadline had been set for Nov. 23. The 2016 adjustment applies to individual eligible professionals, Comprehensive Primary Care practice sites and group practices participating in the PQRS group reporting option, including accountable care organizations that did not satisfactorily report PQRS in 2014. Requests for review must be submitted electronically here. All decisions will be final, with no further review, according to the Centers for Medicare and Medicaid Services.
All quiet on the advisory front. The Health IT Policy Committee’s Privacy and Security Workgroup meeting scheduled for Nov. 23 has been cancelled. The group makes recommendations to ensure that information captured and exchanged electronically is protected and shared in a manner consistent with consumer needs and expectations. The federal health IT advisory panels swing back into action on Nov. 30 with a joint meeting of the Policy and Standards Committees to review the work of the API Task Force. That panel makes recommendations to the Office of the National Coordinator for Health IT on how to enable consumers to use API technology to access patient data while ensuring appropriate privacy and security protection.
Rocky road anticipated for ACA. While healthcare CIOs continue to build or contract for IT infrastructure to support value-based care and population health, some observers see signs of trouble for the foundational Affordable Care Act (ACA). For example, The Fiscal Times reports a confluence of recent developments that could be problematic: administration enrollment projections are down for the coming year; estimated premiums and out-of-pocket costs are rising; nearly half of the insurance co-ops associated with ACA are going out of business; and UnitedHealth Group, the nation’s largest insurer, has threatened to withdraw from the government marketplaces in 2017.