OCHIN regularly comments on proposed regulatory and federal guidelines to share our perspective as a health innovation organization.
2018 Public Comments
OCHIN took the opportunity to advocate for common metrics between state and federal programs, reporting substance use treatment services performed by primary care providers, and extending telemedicine and virtual visits to those suffering from substance use disorder. We also made a number of specific comments on proposed changes.
OCHIN praised the format of the ISA but also made some recommendations on how to improve it. We advocated for reducing provider burden by promoting the exchange of healthcare information through national framework’s standards, such as Carequality or Commonwell, continuing adoption of 2015 or newer CEHRT, and standardization across all healthcare platforms.
Medicare Program: Proposed Changes to Hospital Outpatient Prospective Maybe and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Requests for Information on Promoting Interoperability and Electronic Health Care Information, Price Transparency, and Leveraging Authority for the Competitive Acquisition Program for Part B Drugs and Biologicals for a Potential CMS Innovation Center Model
OCHIN expressed its support for assisting providers adopt 2015 or newer CEHRT through national standardization and funding, improving virtual care reimbursement rates, and reducing provider burden by promoting and incentivizing use of national frameworks such as Carequality or Commonwell.
Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019l Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program
OCHIN provided comments on modernizing Medicare reimbursement for virtual care. We also expressed support of expanding virtual care, integrating PDMP into the electronic health record system, and incentivizing non-opioid alternatives to heal the opioid crisis.
Healthcare Innovation Caucus Request for Information
OCHIN took the opportunity to express the great need for utilize technology to expand care for the safety net. Increasing virtual screening, e-consults, tele-counseling, and remote patient monitoring will increase access to specialist care, and improve both outcomes and costs. OCHIN also advocated for an increase in reimbursement rates for virtual care.
OCHIN made recommendations on research design, baseline data considerations, possible confounding variables and other threats to study validity, target metrics, and best approaches based on experience as a leader in clinical safety-net data.
OCHIN echoed the importance of the HHS proposal to create this workgroup and suggested the group place emphasis on the Medicaid Reimbursement structure for telehealth expansion and utilization. OCHIN recommended including clinics, public health entities, health data researcher organizations, health IT perspectives, Primary Care Associations and related state and federal actors.
OCHIN suggested a measurement for closed loop referrals, another for reductions in ancillary orders with an increase in health information exchange (reduction in duplicated orders), and finally, a measure for interoperability between all healthcare sectors, including physical, mental, dental, and public health services.
Medicare Program: Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates Proposed Quality Reporting Requirements for Specific Providers; Proposed Medicare and Medicaid Electronic Health Record Incentive Programs
OCHIN used this opportunity to comment on the need to align state and federal measures, employ the national interoperability framework, and incorporate the PDMP into the EHR.
Fore more information on OCHIN’s government affairs work, please contact:
Vice President of Government Affairs