"Health & Medical News"

Washington — Doctors who want to go paperless when ordering drugs for their Medicare patients now have a set of federal standards on how to do it. Those who are prescribing electronically already have a year in which to become compliant with the rules.

The Centers for Medicare & Medicaid Services on April 2 released final e-prescribing regulations for Medicare Part D. Under the rules, physicians and pharmacies will not be required to use electronic prescriptions but must follow the new standards if they do.

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Many of the country’s largest health plans have agreed on a set of standards to be used nationwide as the basis for physician pay-for-performance initiatives and tiered networks. Underlying the effort is insurers’ fears that states could develop 50 different sets of regulations to govern these programs — a concern sparked by last year’s crackdown by New York’s attorney general.

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The movement to align patient safety and payment seems to be picking up a full head of steam. Hospitals and payers are coalescing around the idea that no one should get paid for so-called never events — serious reportable events, such as wrong-site surgery, that kill or maim patients.

Perhaps most significantly, the BlueCross BlueShield Assn. announced in November 2007 that its plans will work toward ending payment for never events. The change will be phased in over several years as the Blues alters its coding and claims processes. A spokesman said adoption will vary among the 39 Blues plans, which insure more than 100 million people, because the change requires renegotiating contracts and securing agreements from local physicians and hospitals.

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Washington — A House committee approved legislation that would make the National Institute of Standards and Technology responsible for setting federal health information technology standards and would make the institute available as a consulting body for private industry efforts.

The purpose is to speed up adoption of HIT, said Rep. Bart Gordon (D, Tenn.), who sponsored the measure.

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