A proposed federal rule setting Medicare FY 2016 payment rates for skilled nursing facilities sets no requirements nor offers substantial help for these critical partners in care coordination to adopt electronic health records and health information exchange technologies.

The rule, from the Centers for Medicare and Medicaid Services, follows a bill awaiting President Obama’s signature changing how physicians are paid under Medicare that also declares interoperable electronic health records across the nation by 2019 to be a national objective. It also follows a draft national Interoperability Roadmap from the Office of the National Coordinator for Health IT, accelerated work by Health Level Seven to complete its FHIR initiative creating an open healthcare data standard using the latest web standards, and ramped up operations by industry-backed interoperable organizations CommonWell and Healtheway.

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