Welcome to your daily briefing on healthcare developments in New York. Today we're covering 6 key stories including updates on new york healthcare headlines, background & context. Let's dive in.
3 stories
The State of New York maintains an open data portal at health.data.ny.gov providing public access to health-related datasets.
NY healthcare professionals can leverage this centralized data repository for research, population health analysis, and evidence-based decision making.
The Health Facility Map dataset from NYS's Health Facilities Information System now includes locations of Article 28 hospitals and hospital extension clinics, with plans to add nursing homes, home health agencies, hospices, and adult care facilities in the future.
Healthcare professionals in NY can track facility locations statewide as the dataset grows to encompass the full range of licensed and certified care settings.
The state has released a new dataset visualization mapping Article 28, 36, and 40 health care facilities from the Health Facilities Information System, currently showing hospitals and hospital extension clinics with additional facility types to follow.
Healthcare professionals in NY can now access centralized, up-to-date location data for hospitals and extension clinics to streamline referrals, care coordination, and network planning across the state.
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3 stories
A vendor is a business associate if they create, receive, maintain, or transmit PHI on behalf of the covered entity. They are NOT a business associate just because they happen to be in a building with PHI or could conceivably access it. The functional test matters, not the proximity test.
Forcing BAA execution on vendors who do not meet the functional test creates contractual bloat and weakens the negotiating position with vendors who actually do. Failing to execute BAAs with true business associates exposes the covered entity to OCR enforcement.
The MIPS cost performance category is calculated retrospectively by CMS using attributed Medicare claims; clinicians cannot directly affect what is attributed. The two attribution methods (TPCC and MSPB) capture different beneficiary cohorts. Practices that try to "manage" cost without understanding which patients are attributed to which clinician typically waste effort.
Cost is now 30% of the MIPS final score — the largest single category. Misunderstanding attribution is the leading cause of unfavorable payment adjustments in the next cycle.
The No Surprises Act good-faith-estimate requirement applies to all licensed providers offering services to self-pay or uninsured patients — not just hospitals or large groups. The estimate must be provided within timeframes that vary by how far in advance the appointment is scheduled.
Patient-provider dispute resolution under NSA typically defaults to the patient when the practice cannot produce a timely good-faith estimate. The penalty is the full disputed amount being struck.
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