Information Blocking Enforcement on the Horizon: Compliance Under the 21st Century Cures Act

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AHLA's Speaking of Health Law 44 min 2 speakers 8 chapters transcribed 1 month ago
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What is information blocking and why is it becoming an enforcement focus?

Unknown 0:01
This episode of AHLA Speaking of Health Law is brought to you by AHLA members and donors like you. For more information, visit AmericanHealthLaw.org.
Dennis Sapien Pangandian 0:17
Hello, everyone. Welcome to the podcast. My name is Denis Sapien Pangandian. I am the founding attorney at DSP Advocates. And I'm here today to talk with you all about a briefing that I had wrote for AHLA's Fraud and Abuse Practice Group. The title was Information Blocking Enforcement on the Horizon, Compliance Considerations Under the 21st Century Cures Act. A nice, easy breezy title by AHLA. A very lawyerly short title. And with me today, I have Ammon Fillmore. And Ammon, would you like to introduce yourself?
Ammon Fillmore 0:52
Dennis, thanks for letting me join you today on the podcast. And again, this is something that I'm passionate about. You and I have had conversations about this for a number of years now. But I mean, I'm in Fillmore. I'm the associate chief legal officer for information technology for Advent Health, a nonprofit health system that operates across nine different states. in the U.S., and suffice it to say, this is something that we have been watching for a number of years and working through, so it's exciting to be here and join you again. Before we jump into it, I just want to offer a quick disclaimer, right? Obviously, Dennis and I are both attorneys, especially form any type of attorney-client relationship, as well as, on my part, the opinions that I may express, those are my own and not necessarily representative of Advent Health.
Ammon Fillmore 1:42
But Dennis, unless you've got anything else, you want to jump into it?
Dennis Sapien Pangandian 1:47
Sure, definitely. I mean, I'm thinking that maybe we can start with just the basics, right? Like what is information blocking? Why should we care about it? All that stuff. And then, you know, like I said, I'm really happy that you're here because I think you can have really good on the ground, a really good on the ground perspective on this. So, you know, I think we could just probably take it back from the beginning, right? Information blocking.
Ammon Fillmore 2:13
What, 10 years?
Dennis Sapien Pangandian 2:14
Yeah. Right.
Ammon Fillmore 2:15
It's hard to think about that, but it was literally like we've been dealing with information blocking for 10 years in some form or the rule and the discussions predate that. But boil it down for us, right? There's so many crevices, but at a fundamental level, walk us through, Dennis, what's information blocking?
Dennis Sapien Pangandian 2:38
Sure. So information blocking, as defined by the 21st Century Cures Act and the regulations, it generally means any practice that is likely to interfere with the, what is it, access, exchange, or use of electronic health information, EHI. Now, it impacts different types of actors, and we can kind of get into that because depending on how you're defined as an actor, there's different standards of intent that's applicable to them that the government has to prove in order to show a violation. But it's generally meant to capture – Back in 2015, the Office of the National Coordinator for Health IT wrote a report for Congress outlining what this conduct is. They essentially said there's these health IT developers and actors out there.
Dennis Sapien Pangandian 3:36
that are actually inhibiting the exchange of EHI because what we really want is an empowered patient population to be able to control their EHI, I guess. But for various anti-competitive reasons that ONC laid out, there's various practices there that try to stymie that. Yeah.
Ammon Fillmore 3:59
So, okay, but this is where I think a lot of sometimes the, you know, attorneys stumble on, like, why did we even need information blocking? We have HIPAA, right? So Health Insurance Portability Act 1996, right? As amended, we get the HITECH Act. We are already sharing information, correct? I think a lot of folks went, why do we even need or why did Congress believe that we needed information blocking? Because we were already sharing or information sharing can happen, right? So why did they bring in info blocking on top of HIPAA?
Dennis Sapien Pangandian 4:33
Sure. I mean, it goes back to the advancement and adoption of EHR technology, right? Yeah. Sure, you can get access to your medical records, and there is some overlap.

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