The Centers for Medicare & Medicaid Services will continue to exercise discretion in enforcing compliance with the payer-to-payer data exchange provisions of its 2020 final rule on interoperability and patient access until it finalizes future rulemaking to address implementation challenges, the agency announced today. 

“We anticipate providing an update on any evaluation of this enforcement discretion notification and related actions during calendar year 2022,” the CMS notice states. 

Effective Jan. 1, 2022, the rule’s payer-to-payer data exchange provisions required Medicare Advantage organizations, Medicaid managed care plans, Children’s Health Insurance Program managed care entities, and qualified health plan issuers on the federally facilitated exchanges to exchange data with other payers at the patient’s request. 
 

Related News Articles

Headline
In an op-ed yesterday in The Hill, AHA President and CEO Rick Pollack explains why hospitals and health systems are working with government and other…
Perspective
The convening of the 118th Congress this week is a reminder of Washington’s highly-charged political environment. The once-in-a-century floor tussle over the…
Headline
A coalition of organizations, including the AHA, today urged the Department of Health and Human Services to consider postponing for one year the Oct. 6…
Headline
The AHA, in a letter today to the Centers for Medicare & Medicaid Services, cautioned against softening standards designed to maintain the safety and…
Headline
The Centers for Medicare & Medicaid Services yesterday announced the first civil monetary penalties under its hospital price transparency rule, fining two…
Headline
Tax-exempt hospitals and health systems provided over $110 billion in community benefits in fiscal year 2019, almost nine times the value of their federal tax…