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 operates health.data.ny.gov, an open data portal providing public access to health-related datasets.
NY healthcare professionals can leverage this state-run repository to inform clinical decisions, track population health trends, and support quality improvement initiatives across their practice areas.
The state has published location data for Article 28 hospitals and hospital extension clinics through the Health Facilities Information System, with plans to add nursing homes, home health agencies, hospices, and adult care facilities.
Healthcare professionals can now access verified hospital locations for network planning, referrals, and service coordination across New York.
The Health Facilities Information System (HFIS) now provides 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 locations for care coordination, referral planning, and network analysis across New York 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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