Andrew VanLandingham

Policy nerd focused on Medicaid and health IT @OIGatHHS. Tweets are my own personal opinion. Apologies for all the dog stuff / yelling at the Nationals.

[Andrew VanLandingham @vanman0254]

@ElliottStephenB Did you just skip over the demons?

[Andrew VanLandingham @vanman0254]

@LauraDague @OIGatHHS There are about 10 audits related to deceased enrollees like this one: https://t.co/KWsVlrRquI. And this audit covers individuals enrolled in two states: https://t.co/AgaDXx8GmQ

[Andrew VanLandingham @vanman0254]

@LauraDague We at @OIGatHHS found several issues in our audits that demonstrate this problem. States paying MCOs for deceased enrollees & enrollees that have moved out of state and now covered by another plan. Those are pretty straight forward problems that are eligibility adjacent.

[OIG at HHS @OIGatHHS]

New Report: HHS-OIG found that #Medicaid #managedcare organizations (MCOs) denied 1 out of 8 prior authorization requests for services, several MCOs had denial rates higher than 25%, and most states’ oversight of these denials was limited. https://t.co/9I3zhv5vxD

[Andrew VanLandingham @vanman0254]

@HealthPrivacy @healthapiguy @lisabari @OIGatHHS We will investigate health care providers once HHS establishes the disincentives. For more specific info, stay tuned to the HHS provider disincentives rule currently in development. But generally, priorities in OIG’s recent final rule are consistent across all of our authorities.

[Andrew VanLandingham @vanman0254]

@HealthPrivacy @healthapiguy @lisabari @OIGatHHS Sorry, did not apply to the provider disincentives.

[Andrew VanLandingham @vanman0254]

@HealthPrivacy @healthapiguy @lisabari @OIGatHHS That’s not quite right. The due process and appeals pieces of the rule are specific to the civil monetary penalities that only apply to health IT developers and HIN / HIEs. All of that was specifically established in the Cures Act and it did apply to the provider disincentives.

[Andrew VanLandingham @vanman0254]

@HITpolicywonk @lisabari @healthapiguy @OIGatHHS @ONC_HealthIT Also, as the rule explains, we will use the complaints to see if there is a pattern of conduct that raises concerns. Even if those complaints were made prior to the rule’s effective date, they will help inform what allegations we prioritize to investigate.

[Andrew VanLandingham @vanman0254]

@HITpolicywonk @lisabari @healthapiguy @OIGatHHS If a complaint was made to @ONC_HealthIT or @OIGatHHS prior to the rule’s effective date, it still may warrant investigation. We may follow up with complainant to see if the conduct is ongoing. If conduct occurs after the rule’s effective date, then it’s subject to enforcement.

[Andrew VanLandingham @vanman0254]

@OIGatHHS @ONC_HealthIT 7) finally, while we fully expect #infoblocking enforcement will improve interoperability in health care, it’s not the only tool. Avoid enforcement and improve the flow of data by being proactive to comply with @ONC_HealthIT rules. Don’t wait for @OIGatHHS to knock on your door.

[Andrew VanLandingham @vanman0254]

The @OIGatHHS final rule for #infoblocking enforcement is now public. https://t.co/ii3cTGGdVv.

[Andrew VanLandingham @vanman0254]

@OIGatHHS @ONC_HealthIT 6) if you have questions about @OIGatHHS rule on #infoblocking enforcement please reach out. We may post answers to common questions on our website. If you have questions about @ONC_HealthIT info blocking definitions and exceptions continue to reach out to them.

[Andrew VanLandingham @vanman0254]

@nikillinit Most frequent error was not documenting treatment time. Every time I go to therapy the practitioner says “we’re about at time.” So they already monitor the clock; it’s just about documenting it. I’m sure there are easy ways to do that, but this isn’t a crazy requirement.

[Downdetector @downdetector]

User reports indicate Hulu is having problems since 4:48 PM EDT. https://t.co/EjLndPlVH1 RT if you're also having problems #Huludown