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 has established health.data.ny.gov, an open data platform publishing health-related datasets to the public.
NY healthcare professionals can leverage this centralized resource for population health insights, benchmarking, and evidence-based decision-making across the state.
The state has released a dataset showing locations of Article 28, 36, 40, and 7 health care facilities from the Health Facilities Information System, currently featuring hospitals and hospital extension clinics with additional facility types to follow.
Healthcare professionals can now access centralized location data for NY hospitals to inform referral networks, service planning, and patient care coordination.
The Health Facilities Information System (HFIS) has released location data for Article 28, 36, and 40 health care facilities, currently covering hospitals and hospital extension clinics with additional facility types to follow.
Healthcare professionals in NY can now access centralized, state-verified facility location data to inform care coordination, network planning, and patient referrals.
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3 stories
Covered entities must annually recertify their 340B eligibility through HRSA. Missing the recertification window may result in inactive status and loss of 340B pricing. Entities should consult HRSA guidance or their legal counsel to understand specific compliance obligations and any questions about previously dispensed drugs. For official requirements, see HRSA's 340B Program website. 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.
Across most payors, the top-five denial reasons account for over 80% of prior-auth rejections: missing clinical documentation, wrong CPT/HCPCS code, service not in benefit plan, step-therapy not completed, and ordering provider not on the patient's plan. The same five repeat across plans because they are the easiest to deny on automation.
Practices that build a five-line pre-submission checklist around these reasons typically cut prior-auth denials by 40-60% within a quarter. The fix is process, not appeals capacity.
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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