HHS collaboration in the development of new e-specified measures of care coordination that encourage electronic sharing of summary records following transitions in care.
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HHS to require Medicare Accountable Care Organizations (ACOs) to exchange health information as a part of coordination of care across aligned providers or patient engagement strategies. (Currently, meaningful use of EHRs is treated as a measure of quality and used to determine ACO eligibility for the shared savings and/or shared losses.)
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Encourage the use of HIE in support of care coordination such as the Bundled Payments for Care Improvement Initiative, Comprehensive Primary Care Initiative, the Pioneer ACO model and the State Innovation Model Initiative.
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Under the Capitated Financial Alignment model, HHS will contract with states and health plans, with the health plans receiving a prospective, blended payment to provide comprehensive, coordinated care. HHS could address requirements, expectations, and/or the role of HIE in these new arrangements.
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