MEDHOST Blue Logo

Let’s talk about your EHR needs: 1.800.383.6278  

Staying ahead of regulatory trends and keeping our partner hospitals up-to-date and compliant has put MEDHOST at the forefront of community healthcare for over 40 years. That’s because we believe rising to meet the challenges of today means securing a healthy future for tomorrow.

In this post, we’ll discuss HT1-1, what it means to you, and how we’re prepared to help our partner facilities stay ahead of regulatory updates.

What is HTI-1?

The ONC published the final rule for “Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing” (HTI-1) on January 9, 2024, to update implementations related to the 21st Century Cures Act, expand interoperability, and promoting health equity.

From a certification perspective, an impactful component of the HTI-1 rule is “editionless” certification. This update has been perceived to provide a consistent, transparent, and incremental update cycle.

Just like other iterative regulatory requirements participating facilities must adhere to, compliance with HTI-1 is mandatory.

How Can You Prepare?

In the coming years, programs like HTI-1 will redefine government requirements across the healthcare industry, putting increased demands on providers and opening the door for new technologies and advanced care modalities.

Staying ahead of technological evolution, embracing software innovation, and ensuring regulatory compliance requires a strategy driven by leading practices, a focus on end-user adoption, and execution through partnerships between facilities and their IT vendors.

MEDHOST Elevate: Your Path to Compliance and Modernization

Extremely tight timeframes complicate the path to meaningful use. In response, MEDHOST has launched our most ambitious customer support initiative yet—MEDHOST ElevateTM—to sustain and prepare our partner hospitals for these changes while empowering them with greater financial, clinical, and operational resiliency than ever before.

For customers participating in the HTI-1 program, we offer comprehensive guidance and expert support, assisting them every step of the way—from their current state to successful implementation.

If you're interested in learning more about how we can help your facility stay ahead of regulatory trends, email us at inquiries@medhost.com or call 1.800.383.6278.

Implementing interoperability solutions can help healthcare providers to better comply with industry regulations and reduce the risk of compliance-related issues and penalties. But that’s only half the story.

Because most federal guidelines aim to streamline patient access to financial and health information, improved compliance can also bolster the customer experience, increasing the likelihood of repeat business, and helping revenue move back into your facility faster.

Unfortunately, staying up-to-date and in good standing with federal regulations is easier said than done. In this blog, we’ll break down what you need to know and how technology partnerships can keep your facility on track.

Overcoming Healthcare Mandates

Delivering high-quality patient care while meeting healthcare mandates can be a challenging task for many providers. However, partnering with an experienced professional can provide a strong foundation of established compliance and ongoing assistance.

One of the most pressing regulations for hospitals, and our focus for this post, is the 2015 Edition Cures Update of the Promoting Interoperability (PI) program.

What is the 2015 Edition Cures Update?

The 2015 Edition Cures Update of the Promoting Interoperability (PI) program is a set of regulations developed by the Centers for Medicare & Medicaid Services (CMS) that are intended to promote the use of electronic health records (EHRs) by healthcare providers.

This update introduces new requirements for providers and aims to improve patient access and health data sharing options.

How a Technology Partnership Can Help

Most traditional, on-site IT teams already have their plate full with day-to-day operations and aren’t equipped to handle monitoring and implementing increasingly complex regulatory updates. Working with an experienced partner can help offload some of these obligations while ensuring the secure access, exchange, and use of electronic health information at enterprise scale.

Some services these partnerships can offer include:

If some of that reads like a foreign language—you're not alone, and we can help.

MEDHOST Cures 2023 Interoperability Solution

The MEDHOST Cures 2023 Interoperability Solution is the result of over 35 years of managed IT experience. It enables hospitals to comply with PI regulations, maximize reimbursements, and avoid penalties from non-compliance.

MEDHOST Electronic Case Reporting (eCR)

This feature helps you meet public health reporting requirements under the Promoting Interoperability Program through streamlined automation.

For example, “hands-free” functionality can take the pressure off hospital staff by reducing workflow disruptions such as eligible case identification or maintaining reportable condition trigger codes for electronic case reporting (eCR).

CommonWell Health Alliance Integration

CommonWell Integration provides access to a secure, nationwide exchange of health records for over 34,000 provider sites and more than 191 million unique individuals.

Through this partnership, MEDHOST customers can access:

To learn more about how we can support Interoperability and help your facility navigate any future regulations, please contact your Customer Success Executive or inquiries@medhost.com.

MEDHOST Launches Interoperability Solution to Anticipate Future Regulatory Updates

Franklin, Tennessee – On May 9, 2023 – The Office of the National Coordinator for Health Information Technology (ONC) has announced a proposed rule, referred to as “HTI-1”, for expanding and enhancing the interoperability requirements instituted as part of the 21st Century Cures Act.

These new requirements are expected to be issued every three years or less, and their implementation could pose significant challenges for Health Care Organizations (HCOs).

To address this issue, MEDHOST has teamed up with Amazon Web Services (AWS) to launch a new service that can help alleviate the burden of updating systems to comply with ongoing interoperability requirements.

Features include:

MEDHOST will also provide services as requested to support data movement from the electronic health record (EHR).

A Powerful Interoperability Solution

More than 140 healthcare facilities across the nation have chosen the MEDHOST Cures 2023 Interoperability Solution to meet regulatory requirements and enhance their data exchange capabilities.

Now, non-MEDHOST customers can take advantage of seamless interoperability and improved compliance through our expanded services. To ensure timely compliance, we recommend that customers using a non-MEDHOST EHR implement our solution for their current requirements before upgrading to this service.

Elite Security

In addition to achieving seamless health information exchange, we also prioritize security in all our solutions. Built on leading-practice standards, including SSL, OAuth 2.0, OIDC, and SMART on FHIR, our offerings have a track record of security, control, and compatibility across the industry. MEDHOST also supports encryption of user credentials and two-factor authentication as additional layers of protection.

ONC Expectations

The ONC expects patients to receive near real-time access to their EHI. This specification dictates that the USCDI be stored in a cloud data store as the inherent latency associated with pulling data on demand would be excessive.

A complete list of new and proposed regulations is available through the ONC’s website.

Implementing Proposed Requirements Before the Deadline

New requirements currently open for comments include expansion of the USCDI data set and upgrade of the FHIR APIs for additional data elements. Final specifications for the new requirements may change after the comment period, but MEDHOST is well-positioned to meet the final deadline for current and future customers.

If your organization will be impacted by these proposed changes, you can learn more about MEDHOST’s solution at www.medhost.com.

About MEDHOST

For over 35 years, MEDHOST has provided products and services to healthcare facilities of all types and sizes. Today, healthcare facilities nationwide partner with MEDHOST to enhance patient care and operational excellence with our clinical and financial solutions, including an integrated EHR solution. MEDHOST offers a comprehensive emergency department information system with business and reporting tools. Through unparalleled support and cloud platform solutions, we make it easy for healthcare facilities to focus on what's important: their patients and business. Connect with MEDHOST on Twitter,  Facebook , and LinkedIn.

Media Inquiries

Samra Khan
Senior Marketing Manager
media@medhost.com

In this blog, we explore why you should focus on patient financial care and provide some steps that providers can take right now to elevate the patient experience and improve ROIs.

Patients Are Concerned About Healthcare Costs

According to a survey by the Kaiser Family Foundation, 67% of adults in the United States worry about unexpected medical bills, and 45% are concerned about affording healthcare services, even with insurance coverage.

Not a bombshell piece of information. We've all had sticker shock after seeing the doctor. But as financial pressures mount and those costs continue to climb, being proactive about patient frustrations and billing concerns can help increase the likelihood that your facility is paid accurately and on time.

Medical Billing is Confusing

The world of medical billing is astoundingly chaotic. Whether it's complex billing systems, outdated technology, payor issues, communication breakdowns, or a lack of public insight into the industry—most patients are left dumbfounded about their cost of care.

A study published in JAMA Internal Medicine found that more than half of insured adults in the United States received an unexpected medical bill, and 69% reported difficulties understanding the explanation of benefits.

Provider Revenue Is Negatively Affected by Poor Billing

It's natural to want to stick with what we know and keep things in-house. But outdated billing processes, such as paper and manual transactions, are becoming costly and time-consuming in a world of digital-first expectations.

According to the 2021 Trends in Healthcare Payments Annual Report, 75% of providers still use paper and manual processes for collections, despite the fact that most patients prefer online bill payments.

What Providers Can Do To Address Patient Financial Care

Improve Compliance

Many regulatory mandates are geared toward promoting interoperability, improving transparency, and empowering patients to access their financial health information. By engaging a partner with regulatory expertise or developing a consistent process for staying up-to-date, providers can meet patient expectations and avoid fees related to compliance issues.

Maintaining compliance can help:

MEDHOST Cures 2023 Interoperability Solution facilitates smooth and secure access, exchange, and use of electronic health information while helping you maximize reimbursements and avoid penalties for non-compliance. It also alleviates the effort of addressing EHI requests and meeting information blocking requirements.

Provide Modern Payment Tools

Transitioning to electronic billing and payment systems can streamline revenue cycle management and reduce costs associated with paper and manual processes. It can also improve the patient experience by offering online bill payment options, which most patients prefer.

Simplifying medical billing can improve patient understanding and trust and enhance the financial experience. When working with a partner to improve your payment options, look for solutions that:

MEDHOST online bill payment allows patients to manage their healthcare financial obligations in one integrated, responsive portal. Our Quick Pay feature allows users to make pay bills without entering a username and password, while self-service payment plans will enable them to select recurring payments or set up a customized plan within the boundaries set by their provider.


About MEDHOST

For over 35 years, MEDHOST has provided products and services to healthcare facilities of all types and sizes. Today, healthcare facilities nationwide partner with MEDHOST to enhance patient care and operational excellence with our clinical and financial solutions, including an integrated EHR solution. MEDHOST also offers a comprehensive emergency department information system with business and reporting tools. Through unparalleled support and cloud platform solutions, we make it easy for healthcare facilities to focus on what's important: their patients and business.

To learn more, contact us at inquiries@medhost.com or dial 1.800.383.6278.

The American Medical Informatics Association (AMIA) recently held its annual Informatics Summit in Seattle. The event drew numerous speakers and attendees from around the country with a shared passion for data science and bioinformatics.

Front and center during these presentations was the importance of drawing connections between healthcare data collection and analysis to address health disparities and improve patient outcomes.

In this post, we outline the importance of understanding the social determinants of health (SDoH) and how a full-featured EHR can support providers in tackling these population health challenges.

What are Social Determinants of Health?

According to Healthy People 2030, social determinants of health significantly impact well-being and quality of life.

The opportunity to obtain an education, secure a good job, and earn a stable income are critical social determinants of health that can significantly influence health outcomes. Individuals with limited access to these resources may face difficulties in receiving healthcare and other essential services.

Moreover, nutritious foods and opportunities for physical activity are crucial SDoH. Lack of access to healthy foods and exercise can raise the risk of heart disease, diabetes, and obesity.

What roles do EHRs and FHIR play in addressing healthcare disparities?

Fast Healthcare Interoperability Resources (FHIR) has been described as the future of interoperability. As a part of federal regulation via the Cures Act, Electronic Health Records (EHRs) are required to conform to interoperability standards outlined within this Final Rule. A component of this rule is adherence to HL7 FHIR standards, specifically, the United States Core Data for Interoperability (USCDI) Version 1 and SMART Application Launch.

These efforts aim to increase connectivity between healthcare systems and the patients they serve, as well as improve the availability of patient data for a wide range of users as they move around the healthcare ecosystem. A key factor when considering the potential use cases for these efforts is their impact on a patient's social determinants of health (SDoH).

A few real-world examples to consider:

MEDHOST Cures 2023 Interoperability Solution

MEDHOST is a committed partner in helping our customers achieve these initiatives. Our Cures 2023 Interoperability Solution is an essential building block in seeing your population health goals come to fruition.

To learn more about how MEDHOST can help achieve interoperability and facilitate addressing healthcare disparities, please get in touch with us at  inquiries@medhost.com or call 1.800.383.6278.

(more…)

MEDHOST first engaged with Amazon Web Services (AWS) in 2013 to facilitate a cloud-based patient portal. Since then, we have expanded this collaboration to include the development of better interoperability solutions, enhanced clinical capabilities, and access to meaningful analytics.

As part of the AWS Partner Network (APN), this ongoing dialogue provides us with the necessary tools to create and deploy new products while enhancing existing customer solutions. In this post, we discuss our history with AWS, current initiatives, and projects still on the horizon.

CURES Act

As a leader in the Healthcare IT (HIT) space, our mission is to help providers achieve interoperability, or the secure and easy exchange of electronic health information (EHI).

Seeking to protect and define interoperability, congress signed the 21st Century Cures Act into law on December 13, 2016. The Cures Act established an actionable legal framework that required hospitals to give patients and their providers secure access to all healthcare information stored in electronic health records (EHR) and other health information technology (HIT) systems.

More importantly, the Cures Act prohibited all practices that interfere with collecting, sharing, and using EHI within an appropriate care setting, commonly known as health information blocking.

API Support

As part of the Cures Act, compliant EHRs were also required to provide data through application programming interfaces (API), allowing programmers to use third-party resources to create interoperability software geared toward providers and patients.

Moreover, APIs must comply with Fast Healthcare Interoperability Resources (FHIR) standards for exchanging healthcare information. FHIR API interface standards ensure that patients own their data and can access it in real-time. While this benefits the patient directly, it also allows providers to adopt emergent technologies, such as mobile applications, that increase ease of use.

Multi-Tenancy

Using AWS FHIR Works, Amazon’s open-source programming toolkit for creating multi-tenant, interoperability solutions, we worked with AWS to build an API platform that could be universally implemented at our partner hospitals.

Multitenancy is a software architecture that allows a program to run on a single server, accessible by many clients. For MEDHOST customers, many of which operate in remote or rural settings, independently setting up and managing an FHIR server is a daunting challenge. By offloading FHIR API to our servers, these customers can simplify compliance, enhance security, and minimize disruptions.

The MEDHOST Cures 2023 Interoperability Solution incorporates all the functionality mentioned above into a single, comprehensive deliverable. This solution creates a framework for the seamless and secure access, exchange, and use of electronic health information for healthcare systems of any size, anywhere.

Mobile Solutions

As part of MEDHOST’s commitment to providing industry-leading, affordable technology to rural and community hospitals, we conduct regular advisory group sessions that help facilitate a dialogue between our engineers and customers. These sessions allow us to understand the unique challenges these facilities face and better catalog their workflows and processes.

Developed in collaboration with AWS, and with insights gleaned from our customers, we created MEDHOST Mobility Physician, a mobile solution that empowers providers by putting EHR insights in the palm of their hand.

Instant messaging was a particularly exciting capability that stemmed from these sessions. Through Amazon Chime SDK, which facilitates real-time communications for web or mobile applications, providers can place orders and receive critical notifications within the MEDHOST Mobility Physician app.

In the future, we plan to augment this solution with machine learning-powered data visualizations and intelligent tools that allow physicians to better predict patient outcomes.

Analytics

When MEDHOST first began working with AWS to enable Cures Act compliance, it became apparent that artificial intelligence could be leveraged to extract advanced analytics, opening the door to better insights from secure clinical data, such as vitals, diagnoses, medications and procedures.

After collaborating with the AWS Data Lab team, our engineers quickly identified the importance of data lake, and built a platform to deliver analytics to hospitals as software as service (SaaS).

Data available in the cloud can provide radical solutions for some of clinicians’ most pressing concerns, like predicting the onset of sepsis and cardiac risk.

In addition, by utilizing the AWS QuickSight business intelligence tool, MEDHOST YourCare Analytics brings these advanced insights to the hospital back office, making it easy to target and track the most critical data related to effective contract management, projections, postings, denials, and overall business growth.

To learn more about how MEDHOST’s AWS-powered solutions can benefit your hospital, please reach out to us at inquiries@medhost.com or call 1.800.383.6278.

The regulatory views and assessments contained within this post are solely those of MEDHOST.

It’s not easy to provide top-quality care while maintaining compliance with the many new and evolving healthcare mandates. Of those mandates, the 2015 Edition Cures Update of the Promoting Interoperability (PI) program represents one of the most pressing federal regulations hospitals have to comply with.

An integrated and interoperable healthcare information infrastructure is highly dependent on all stakeholders having complete, correct, secure, and interoperable systems, tools, and information. MEDHOST provides hospitals with reliable and effective PI solutions to maintain operations without stretching their human and fiscal resources too far. The following are just a few of our tools to help you become more interoperable while complying with PI requirements.

MEDHOST Cures 2023 Interoperability

This is your foundation for delivering more effective, convenient, and secure data interoperability. MEDHOST Cures 2023 Interoperability Solution facilitates smooth and secure access, exchange, and use of electronic health information while helping you maximize reimbursements and avoid penalties for non-compliance. It also alleviates the effort of addressing EHI requests and meeting information blocking requirements. MEDHOST Cures 2023 Interoperability Solution helps you:

MEDHOST Electronic Case Reporting (eCR)

This helps you meet public health reporting requirements under the Promoting Interoperability Program through streamlined automation. For example, this “hands-free” functionality can take the pressure off hospital staff by reducing workflow disruptions such as eligible case identification or maintaining reportable condition trigger codes for electronic case reporting (eCR).

CommonWell Health Alliance Integration

CommonWell Integration is an automated solution for facilitating the exchange and access of patient records across an extensive nationwide network, The CommonWell Health Alliance. With this partnership and integration, MEDHOST customers can now:

To learn more about how we can support Interoperability and help navigate any regulations around it, please reach out to your Customer Success Executive or inquiries@medhost.com.

FRANKLIN, Tenn., February 22, 2022 – MEDHOST®, a leading EHR (electronic health record) and healthcare IT solutions provider, has launched two critical solutions that will help hospitals comply with The Centers for Medicare & Medicaid Services’ (CMS) Promoting Interoperability Program—MEDHOST Cures 2023 Interoperability and MEDHOST Electronic Case Reporting (eCR) solutions.

MEDHOST Cures 2023 Interoperability Solution enables the access and exchange of electronic health information (EHI). Per the CMS mandate, this capability will allow hospitals to fulfill patients’ requests for healthcare data and enable facilities to export system-wide patient datasets across different care settings in machine-readable formats. Using the MEDHOST Cures 2023 Interoperability Solution, providers can also allow patients to download their EHI via the MEDHOST patient portal.

Another key component to the platform is an expanded FHIR API Integration that enhances a hospital’s ability to extend EHI exchanges to third-party solutions. This extension is enacted across the USCDI v1 data set of clinical information while providing an added layer of industry-standard security and compatibility. These certified features enable hospitals to more easily meet the EHI exchange requirements outlined in the federal program.1

The MEDHOST Electronic Case Reporting solution helps MEDHOST customers participating in the Promoting Interoperability program to meet new CMS public health reporting requirements by enabling them to generate and transmit case reports for specific reportable conditions. The solution automates several core reporting functions in furtherance of minimizing manual interventions, reducing workflow disruptions related to eligible case identification, and maintaining reportable condition trigger codes. This feature will also help hospitals to prevent penalties for non-compliance with the Promoting Interoperability Program requirements.

“We have always adhered to a policy of proactivity in preparing our customers to meet key regulatory mandates and provisions,” says Ken Misch, President at MEDHOST. “These solutions will put our customers in a position of strength, allowing them to fulfill each requirement with minimal workflow disruptions and avoid costly penalties.”

MEDHOST customers can reach out to their Customer Success Executives to learn more and sign up for these two solutions.

 1 MEDHOST Enterprise 2019 R1, The Business Intelligence v5.5, MEDHOST EDIS 2019 R1 MEDHOST Enterprise, The Business Intelligence, MEDHOST EDIS 1 and MEDHOST Cloud Services Patient Portal with YourCareEverywhere ® App products and MEDHOST Cloud Services API are ONC 2015 Edition-compliant and have been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the US Department of Health and Human Services. This certification does not represent an endorsement by the US Department of Health and Human Services or guarantee the receipt of incentive payments. For a complete review of the EHR certification and accompanying "Cost and Limitations" statements, visit “https://www.medhost.com/about-us/regulatory-and-compliance/.”

A version of this article was originally published by our ePCS (electronic prescribing of controlled substances) partner, Surescripts.

Our partnership with Surescripts plays a critical role in helping our hospital customers remain compliant with several healthcare IT-related regulations.

------

As Congress reconvenes in Washington this week, here are six healthcare regulatory and policy issues we’re keeping our eyes on. We hope this primer will help demystify the state of the health IT regulatory environment and give readers a deeper understanding of the impact and import of this activity.

  1. The 21st Century Cures Act, Interoperability and Patient Access Rules

The gist: In 2020, the Department of Health and Human Services (HHS) issued two related rules to implement the 21st Century Cures Act to encourage interoperability among health information technology systems, improve patient access to their health care information, and discourage practices that unreasonably prevent the access, exchange or use of such information. These rules, among many other things:

Background: The intent of these rules is to address concerns that healthcare organizations may make it unnecessarily difficult for patients and providers to obtain electronic health information, whether it's upon a patient's request, or for purposes already permitted under applicable law, such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Status: These rules are in effect. We expect the HHS Office of Inspector General (OIG) to release its final rule regarding the enforcement of the information blocking provision early this year.

2. The Trusted Exchange Framework and Common Agreement (TEFCA)

The gist: TEFCA is intended to establish the infrastructure model and the governing approach for users in different networks to securely share basic clinical information with each other—all under commonly agreed-to expectations and rules. In August 2019, the Office of the National Coordinator for Health Information Technology (ONC) awarded a cooperative agreement to The Sequoia Project to serve as the Recognized Coordinating Entity (RCE) to administer a new nationwide network based on the Common Agreement. Visit ONC’s TEFCA website for more detail.

Status: The RCE recently finalized the common agreement,  standard operating procedures as well as the Qualified Health Information Network (QHIN) technical framework. ONC expects to begin reviewing QHIN applications and onboarding QHINs to the network by the second half of 2022.

3. HIPAA Notice of Proposed Rule Making and Care Management

The gist: The current HIPAA regulation limits the ability to access protected health information (PHI) for purposes of care coordination and case management with entities that are not health care providers. HHS is looking to change that. The HIPAA Notice of Proposed Rule Making modifies the current regulation in order to support individuals' engagement in their health care, remove barriers to coordinated care, and decrease regulatory burdens on health care providers and health plans.

More background: These modifications address impediments to the transition to value-based health care by limiting or discouraging care coordination and care management communications among individuals and covered entities (including hospitals, physicians, and other health care providers, payers, and insurers) or posing other unnecessary burdens. The NPRM includes proposals to address these burdens while continuing to protect the privacy and security of individuals' PHI.

Status: This is a proposed rule, pending the publication of a final rule by the HHS Office of Civil Rights.

  1. Real-Time Prescription Benefit Tools

The gist: The Consolidated Appropriations Act of 2020 included three provisions aimed at accelerating adoption and use of a real-time benefit tool (RTBT) for prescription drugs by 1) requiring that all Part D insurers provide for a RTBT that enables electronic transmission of eligibility, formulary and benefit information to each enrollee’s prescribing clinician; (2) adding use of a RTBT to the Merit-Based Incentive Payment System (MIPS) measures, and (3) requiring qualified EHRs under the ONC Health IT Certification Program to include a RTBT that conveys patient-specific cost and coverage information.

Status: The requirement on Part D plans was implemented on January 1, 2021. The second provision regarding MIPS took effect January 1, 2022. However, HHS’ implementation of the third provision, which requires qualified EHRs to include RTBT functionality that conveys patient-specific cost and coverage information, has been delayed. The delay is due to the requirement that rulemaking be conducted by CMS and ONC prior to implementation We don’t expect rulemaking to be complete before the third quarter of 2022 at the earliest.

Context and commentary: The requirement that insurers make an RTBT available in the Part D context is already in place. Surescripts Real-Time Prescription Benefit enables prescribers to be compliant with these legislative and regulatory actions. As of October, more than 550,000 prescribers were using Real-Time Prescription Benefit, which speaks to the technology’s utility and value. This year, we also expanded the reach of Real-Time Prescription Benefit among pharmacy benefit managers and health plans, covering more than 97% of U.S. patients in October 2021, up from 82% in 2020.

  1. Electronic Prior Authorization Requirement

The gist: On Dec 31, 2020, CMS issued a final rule that, for the first time, requires Part D prescription drug plans and prescribers to support a new electronic prior authorization transaction standard for their Part D e-prescribing programs. The rule, which has an effective date of January 1, 2022, but allowed plans to begin adopting it on January 1, 2021, also requires Part D plans to adopt NCPDP SCRIPT standard v2017071.

Status: This rule took effect on January 1, 2022 and adoption is underway.

Context and commentary: We are glad that CMS has recognized the value of the NCPDP standard for electronic prior authorization by mandating it for the patient populations they serve, specifically those in Medicare Part D plans and prescribers. Surescripts Electronic Prior Authorization utilizes NCPDP SCRIPT standard v2017071.

  1. EPCS Federal Mandate

The gist: On December 1, 2020, CMS announced in a final rule its decision to require that Part D providers use e-prescribing of controlled substances (EPCS) effective January 1, 2021. The rule implements a provision of the SUPPORT for Patients and Communities Act, which became law in 2018.

Status: While the rule is in effect, CMS has delayed the start date for compliance actions by one year to January 1, 2023. The start date for compliance actions for Part D prescriptions written for beneficiaries in long-term care facilities has also been delayed to January 1, 2025. CMS will initially enforce compliance by sending compliance letters to prescribers violating the EPCS mandate.

-----

In partnership with Surescripts, MEDHOST is dedicated to helping hospitals across the nation remain in compliance with new healthcare IT regulations, optimize patient care, maximize reimbursements, and avoid penalties.

To learn more about how we can support your hospital reach out to us at inquiries@medhost.com or call 1.800.383.6278.

Patients and their providers both expect and need unfettered access to critical health data from multiple care settings. Patients also desire to have greater control over their health information. This shift in electronic health information (EHI) management and usage creates an even greater need to broaden healthcare’s digital doorway. The 21st Cures Act stands as a significant piece of regulation that will help improve EHI access, promote interoperability, and meet the demands of healthcare consumers, providers, and regulatory bodies.  

Hospitals need to prepare for this Promoting Interoperability regulation well before the 2023 reporting period, and MEDHOST can help.  

Keys to Cures Compliancy 

The Cures Act advances Promoting Interoperability by requiring hospitals to give patients and providers a way to securely access and share healthcare data stored in electronic health records (EHR) and other health information technology (HIT) systems.  

Most importantly, Cures prohibits information blocking that restricts access to specified personal healthcare data. For that reason, the ability to allow open access to healthcare data across the spectrum of care and move that data between different healthcare settings is critical to compliance.  

These are two major technology areas a Cures compliant solution must focus on. 

How MEDHOST Gets You Cures Compliant 

As an integral portion of our current HIT products and solutions, the MEDHOST Cures 2023 Interoperability Solution incorporates all of the features mentioned above into a single deliverable. This solution creates a framework for the seamless and secure access, exchange, and use of electronic health information for our customers.  

By leveraging the existing MEDHOST platform, the MEDHOST Cures 2023 Interoperability Solution empowers our customers and their patients with improved access to electronic health record (EHR) systems across various healthcare settings. 

Need more information on how MEDHOST can help you fulfill all Cures Act and Promoting Interoperability requirements? Please reach out to your Customer Success Executive or at inquiries@medhost.com