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, new york healthcare updates, background & context. Let's dive in.
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The State of New York has launched an open data portal dedicated to health-related datasets.
Healthcare professionals in NY can leverage this centralized resource for population health analysis, research, and evidence-based decision-making.
The New York State Health Facility Map dataset from the Health Facilities Information System now includes locations of hospitals and hospital extension clinics, with data for nursing homes, home health agencies, hospices, and adult care facilities to be added later.
Healthcare professionals in NY can now access centralized geospatial data for hospital infrastructure to support care coordination, referral planning, and service area analysis.
The Health Facilities Information System (HFIS) has released a dataset containing locations of Article 28, Article 36, and Article 40 health care facilities and programs, currently featuring hospitals and hospital extension clinics with additional facility types to follow.
Healthcare professionals in NY can now access centralized, authoritative location data for hospitals and extension clinics to support care coordination, referral networks, and strategic planning.
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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.
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.
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