Rural Health Information Hub Latest News

HHS Releases Advisory Opinion Clarifying that 340B Discounts Apply to Contract Pharmacies  

The U.S. Department of Health and Human Servies (HHS) Office of the General Counsel released an advisory opinion concluding that drug manufacturers are required to deliver discounts under the 340B Drug Pricing Program to contract pharmacies. The release says, “HHS has become aware of drug manufacturers refusing to provide 340B discounts to covered entities when covered entities order the drugs themselves but then have the drug physically delivered to patients through “contract pharmacies.” Through the new advisory opinion, HHS has clarified that drug manufacturers must provide 340B discounts when a contract pharmacy is acting as an agent of a covered entity, providing services on behalf of the covered entity.” Read the full advisory here.

MIPS Participation for Low-Volume Providers

Clinicians are encouraged to go to the Quality Payment Program (QPP) Participation Status Tool to determine if they are required to report into the Merit-based Incentive Program (MIPS) for 2020. Those excluded from MIPS due to low volumes may be eligible to voluntarily report (‘opt-in eligible’). Check out the 2020 MIPS Opt-In Reporting and Election Process Toolkit for more information and visit the Reporting Options Overview Webpage for next steps.  Clinicians concerned about the effect of COVID-19 on their 2020 performance data can submit an application for an extreme and uncontrollable exception until February 1 (extended deadline) and cite COVID-19 as the reason for the application. Find more information here.

Accountable Health Communities Evaluation Report

This first evaluation report of the CMS Center for Medicare & Medicaid Innovation Accountable Health Communities (AHC) Model focuses on the beneficiaries served in the initial year of the model, which is testing whether addressing health-related social needs can improve health and reduce costs for Medicare and Medicaid beneficiaries.

Comments Requested: Proposed Changes to HIPAA Privacy Rule – February 12

The Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) seeks comment on proposed changes to the use and disclosure of protected health information (PHI) in the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, which protects the privacy and security of individuals’ medical records and other PHI. Find more information here.