Maverick Minute

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President Biden’s Executive Order on Data Privacy

President Biden signed an Executive Order (“EO”) – Preventing Access to Americans' Bulk Sensitive Data and United States Government-Related Data by Countries of Concern – to protect Americans from the unwanted collection and sale of their sensitive personal data.

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Provider Access API

The federal government is requiring certain health plans to share information about their members with treating providers -- if the provider is in the plan's network and they ask for the information.

Social Determinants of Health


HHS Call to Action: Addressing Health-Related Social Needs (HRSNs) in Communities Across the Nation

Identifying social determinants of health (SDOH) is just the start; addressing HRSNs is essential for achieving equitable health outcomes.

Social Determinants of Health


The U.S. Playbook to Address Social Determinants of Health (SDOH)

The federal government issued a set of recommendations about how to focus resources on social issues that impact health.

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OVERVIEW: Electronic Prior Authorization

Health plans will soon have to make prior authorization decisions faster and electronically.

Advancing Inteoperability


Payer-to-Payer API

The federal government will soon require health plans to share information about patients with other health plans.

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Prior Authorization API and Processes

The federal government will soon require health plans to create an API that automates prior authorization decisions

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Medicare Advantage (MA) Transparency RFI

CMS is asking healthcare stakeholders what data they should collect to make the MA program more transparent.

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CMMI’s Second Decade Refresh

CMMI launched a strategy to direct its work for the next decade.

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A new model will try to scale value-based payments to the state level.