• Analysis or Summary
  • June 19, 2020

CHA Summary of Interoperability, Pediatric HIT, Information Blocking and Price Transparency Final Rules

This summary highlights the provisions in recent companion final rules from CMS and the Office of the National Coordinator for Information Technology that implement provisions in the 21st Century Cures Act related to interoperability, electronic health records (EHR) certification, and information blocking. The two rules are intended to increase patient access to their health information and require providers and health plans to share the information via application interfaces and other means. 

Key provisions in the new rules for children’s hospitals include:    

  • Criteria for the voluntary certification of pediatric EHRs.
  • Prohibitions on provider, payer and vendor actions that interfere with the exchange or use of electronic health information (EHI). The EHI requirements include billing and claims information, which could include pricing information, but delay the implementation of this aspect of the rule until May 2022.
  • Updated Medicare and Medicaid Conditions of Participation that require hospitals to send automated electronic event notifications to a patient’s primary care provider when the patient is admitted, discharged, or transferred. 

CHA contact: Jan Kaplan