… information be updated at least annually if there are changes to report. More rapid updating is required for several data elements to help ensure that users of ClinicalTrials.gov have access to accurate, up-to-date information about important aspects of an applicable clinical tr…

…ely adjust the drug categories in the HHS risk adjustment adult models for the rapidly changing drug prices, and the plan liability expenditures calculation in all of the HHS risk adjustment models for the rebates, discounts and price concessions that are passed through to the pl…

…nal Prosthesis Implant Procedure (APC 1908) b. Administration of Subretinal Therapies Requiring Vitrectomy (APC 1561) c. Bronchoscopy With Transbronchial Ablation of Lesion(s) by Microwave Energy (APC 1562) d. Fractional Flow Reserve Derived From Computed Tomography (FFRCT) (APC …

…guarding an individual's health information while allowing covered entities to rapidly adopt new technologies to improve the quality and efficiency of patient care. [ 56 ] Specifically, the HITECH Act extends the application of the Security Rule's provisions on administrative, ph…

…el specification. Comment: Some commenters questioned whether the exclusion of capitated claims biases the analysis of the proposed interacted HCC counts model specification change. Response: As previously explained, [ 60 ] we have historically excluded enrollees with capitated c…

… d. Electronic Health Information Export e. Application Programming Interfaces (APIs) f. Privacy and Security Transparency Attestations g. Data Segmentation for Privacy and Consent Management 3. Modifications to the ONC Health IT Certification Program 4. Health IT for the Care Co…

…nts, adopted non-standards-based, functional application programming interface (API) certification criteria ( 45 CFR 170.315(g)(7) , (8) , and (9) ). The adoption of these certification criteria combined with the data elements specified in the “common clinical data set” (CCDS) he…

… information be updated at least annually if there are changes to report. More rapid updating is required for several data elements to help ensure that users of ClinicalTrials.gov have access to accurate, up-to-date information about important aspects of an applicable clinical tr…

…ntions and Predictive Models vi. Synchronized Clocks Standard vii. Standardized API for Patient and Population Services viii. Patient Demographics and Observations Certification Criterion in § 170.315(a)(5) ix. Updates to Transitions of Care Certification Criterion in § 170.315(b…

… Drugs or Biologicals) From the C-APC Policy (4) Exclusion of Cell and Gene Therapies From the C-APC Policy (5) Exclusion of Non-Opioid Products for Pain Relief Under Section 4135 of the Consolidated Appropriations Act, 2023 From the C-APC Policy (6) C-APCs for CY 2025 c. Calcula…

…ge 5794) Standards and 255 Guidelines, technology has continued to evolve at a rapid pace. Pursuant to our statutory mandate, the Access Board deemed it necessary and appropriate to review and update the existing 508 Standards and 255 Guidelines in order to make them consistent w…

…ectronic Health Information (EHI) Export e. Application Programming Interfaces (APIs) f. Privacy and Security Transparency Attestations g. Security Tags and Consent Management 3. Modifications to the ONC Health IT Certification Program 4. Health IT for the Care Continuum 5. Condi…

…st for Information: Disclosure of Pricing Information Through a Standards-Based API IV. Request for Information: Provider Quality Measurement and Reporting in the Private Health Insurance Market V. Overview of the Proposed Rule Regarding Issuer Use of Premium Revenue Under the Me…

…erability II. Provisions of the Proposed Rule A. Interoperability Standards for APIs 1. Background 2. NCPDP Standards for Prior Authorization of Drugs Covered Under a Pharmacy Benefit a. NCPDP SCRIPT Standard (2) Transactions b. NCPDP Formulary & Benefit Standard c. NCPDP Real-Ti…

…sed Rule and the Analysis of and Responses to Public Comments A. Patient Access API 1. Background 2. Enhancing the Patient Access API a. Prior Authorization Information i. Compliance Dates ii. Data Content iii. Timeline for Data Sharing iv. Length of Prior Authorization Data Avai…