ONC Releases HTI-2 Proposed Rule 

August 21, 2024

EGWP marketplace medicaid Medicare

On July 10, HHS, through the Office of the National Coordinator for Health Information Technology (ONC), released the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule for public comment. The rule builds on previous interoperability rules to improve transparency and support the access, exchange, and use of electronic health information through new and revised standards and certification criteria in the ONC Health IT Certification Program.

In coordination with CMS, the rule would establish two sets of new certification criteria for health plans and other health IT developers to support technical requirements in the Interoperability and Prior Authorization proposed rule. The proposed rule would also update and establish new exceptions related to information blocking and establish a new real-time prescription benefit criterion. Federal Government Affairs is working with impacted business areas across the enterprise to review the proposed rule and develop comments by the mid-September deadline.

legislation

House Committee Holds Final Hearing in Series on the Role of PBMs

The House Committee on Oversight and Accountability held a final hearing on the value of PBMs in the marketplace, with Adam Kautzner, PharmD, President of Evernorth Care Management and Express Scripts, testifying alongside executives from CVS Caremark and OptumRx. The Committee made it a priority to study PBMs when Republicans gained control of the House […]
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August 21, 2024

EGWP marketplace medicaid Medicare

legislation

Members of Congress, PCMA, and Others Respond to FTC PBM Interim Report

On July 9, the FTC released an interim staff report in connection with its 6(b) study of the PBM industry. In a dissenting statement released with the report, Commissioner Holyoak calls the report “premature and deficient,” saying that FTC Chair Lisa Khan “cobbles together structural observations that in her apparent view dispenses with the need […]
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August 21, 2024

EGWP marketplace medicaid Medicare

survey results

Former DOJ Economist Dennis Carlton Releases Empirical Analysis of PBM Data Contradicting FTC Findings

Dennis W. Carlton, Ph.D., David McDaniel Keller Professor of Economics Emeritus at the University of Chicago Booth School of Business and former chief economist at the U.S. Department of Justice, released preliminary findings of his research into PBMs. The analysis was based on the same data submitted to the FTC by Express Scripts, CVS Caremark, […]
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August 21, 2024

EGWP marketplace medicaid Medicare

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