The College of Healthcare Information Management Executives is asking the Centers for Medicare & Medicaid Services to re-examine proposals that would restrict the flow of information and create significant pressure on accountable care organizations.

CHIME’s comments cover proposed rules that would govern the capabilities of healthcare organizations to share data, and requirements that would create linkages between ACO rules, the meaningful use of electronic health records, and health information exchange. CHIME challenged a proposed rule by CMS that gives patients enrolled in an ACO the ability to restrict access to their health information. “If beneficiary claims data are withheld, the ACO’s ability to improve individual beneficiary health, as well as achieve the desired shared savings, could be compromised,” the CHIME comments said. “We believe that allowing ACO patients to opt out of data sharing, while maintaining their ability to see the primary care physician participating in an ACO, contraindicates efforts to provide accountable care.”

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