Health Care Reform Dashboard

Health Care Reform Dashboard

Charting Developments with the
Affordable Care Act and Beyond

Philip E. Legendy

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HHS Aligns Part 2 Substance Use Disorder Confidentiality Requirements with HIPAA

Posted in HIPAA
Summary Newly effective regulations governing confidentiality of Substance Use Disorder (SUD) records now more closely mirror regulations implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal law. The new measures ease the administrative burden on programs by aligning regulations governing the privacy of Part 2 SUD records with the regulatory [&hellip… Continue Reading »

CMS Postponement of Medicare Advantage RADV Audit Rule Keeps Stakeholders Guessing

Posted in Health Plans, Healthcare Providers / Suppliers
Summary On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) published notice that it will postpone for another three months the finalization of a methodology to audit Medicare Advantage (MA) diagnosis coding data. The final rule could impact payors and providers in unexpected ways, and could fundamentally alter the economics of MA. [&hellip… Continue Reading »