In its comments on the CMS' proposed rule (PDF) for accountable care organizations, the College of Health Information Management Executives opposes a privacy provision in the rule that would allow some patients to control the sharing of their medical records.
CHIME weighs in on proposed ACO rule
In its five-page public response (PDF) to the CMS' March 31 proposed rule, CHIME said that “allowing ACO patients the ability to opt-out of data sharing, while maintaining their ability to see the primary-care physician participating in an ACO, contraindicates efforts to provide accountable care.”
The Ann Arbor, Mich.-based association of provider chief information officers recommends “that patients who want to opt out of sharing claims data be required to see a primary-care physician not affiliated with an ACO, or that healthcare expenditures for these patients not be included for calculations to determine whether an ACO is eligible for payments for shared savings.”
Among other comments, CHIME also “takes issue” with a requirement that by the beginning of the second year of the ACO's agreement with the CMS, at least 50% of an ACO's primary-care physicians must meet all federal meaningful-use requirements of the federal EHR incentive program under the American Recovery and Reinvestment Act of 2009. The statement says that “from both patient management and business perspectives, CHIME feels it would not be necessary for an ACO's PCPs to meet all MU requirements.”
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