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 dedicated to health information at health.data.ny.gov.
NY healthcare professionals can leverage this centralized state resource for population health insights, research, and evidence-based clinical decision-making.
The state has launched a new Health Facility Map dataset on the Health Facilities Information System, currently showing locations of hospitals and hospital extension clinics with plans to add nursing homes, home health agencies, hospices, and adult care facilities.
Healthcare professionals in NY can now track hospital and extension clinic locations through a single state resource, with expanded facility types on the horizon for more comprehensive care coordination.
The Health Facilities Information System (HFIS) has published location data for Article 28 hospitals and hospital extension clinics, with nursing homes, diagnostic treatment centers, home health agencies, and hospices to follow.
Healthcare professionals can now access verified facility location data to support referral planning, network analysis, and care coordination across New York.
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3 stories
Three application defects routinely delay payor enrollment: incomplete work-history explanations for any gap over 30 days, a malpractice carrier-history that does not reconcile with the explanation, and CAQH attestation that has lapsed. Each forces a back-and-forth with the credentialing committee.
A new clinician without active payor enrollment cannot bill for covered services for most plans. Each month of delay is foregone revenue that does not retroactively recover.
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.
Covered entities must annually recertify their 340B eligibility through HRSA. Missing the recertification window pushes the entity to inactive status, which means immediate loss of 340B pricing and potentially diversion violations on previously dispensed drugs. Reinstatement requires a new application.
The discount value of 340B pricing for a covered entity often exceeds six figures annually. Letting the recertification lapse for paperwork reasons is one of the most expensive administrative errors in the regulation.
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