Subcommittee on Standards

December 12 – 13, 2018

Omni Shoreham Hotel, 2500 Calvert Street, Washington, DC 20008


Topic: NCVHS Subcommittee on Standards Predictability Roadmap Hearing
Date: December 12-13, 2018
Time: December 12-9:00am-5:00pm and December 13-8:30am-3:30pm EST

Session number: 644 192 285
Session password: December

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This hearing is a continuation of the Committee’s work to identify the challenges regarding the update, adoption, and implementation of health care administrative standards and operating rules. The Committee’s overarching objective is to create a “Predictability Roadmap” to enhance the transparency and pace of change of the standards process under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The purpose of this hearing is to obtain stakeholder perspective on the Committee’s draft recommendations developed with industry’s input and released to the public on September 30, 2018. This feedback will inform development of final recommendations for submission to the HHS Secretary in early 2019.


Wednesday, December 12


9:00 a.m. Welcome

  • Call to Order
  • Roll Call
  • Review Agenda
Alix Goss and Nick Coussoule, Co-chairs


Rebecca Hines, NCVHS Designated Federal Official

9:10 a.m. Introductions Nick Coussoule, Co-chair
9:40 a.m. Background of the Predictability Roadmap

  • History, actions and outcomes
  • Proposed recommendations
Alix Goss & Nick Coussoule
10:00 a.m. Discussion of Outcome Goal 1 Outreach, Education & Enforcement – 8 recommendations/calls to action All participants in open discussion forum
11:00 a.m. Break
11:15 a.m. Continuation of discussion of Outcome Goal 1 All participants
12:00 p.m. Lunch
1:00 p.m. Continuation/closure of discussion of Outcome Goal 1 All participants
2:00 p.m.


(with a break)

Discussion of Outcome Goal 2 Process Improvements – 9 recommendations & calls to action


All participants



4:45 p.m. Wrap up and plan for day two Alix Goss & Nick Coussoule
5:00 p.m. Public Comment Rebecca Hines, NCVHS Executive Secretary/DFO
5:30 p.m. Closing Remarks & Adjourn Alix Goss & Nick Coussoule


Thursday, December 13

8:30 a.m. Welcome

  • Call to Order
  • Roll Call
Alix Goss & Nick Coussoule


Rebecca Hines, NCVHS Designated Federal Official

8:40 a.m. –

10:40 a.m.

Discussion of Outcome Goal 3

Regulatory levers – 6 recommendations & calls to action (break at 10 a.m. if needed)

All participants
10:45 a.m. Prioritizing recommendations and identifying interdependencies All participants
12:00 p.m. Public Comment Rebecca Hines, NCVHS Executive Secretary/DFO
12:30 p.m. Closing remarks, Next steps & Adjourn Alix Goss, Nick Coussoule



Advance Questions for Panelist Discussion

In general,

1. How do these recommendations as a whole improve the predictability of the adoption of administrative standards and operating rules?

2. What additional recommendations are critical to achieve predictability?

And specifically,

3. What is the value proposition (expected outcome) of each recommendation and what improvements to the current state do you believe will arise from each recommendation or group of similar

4. Are there potential unintended consequences from any of the recommendations? What are those and how can they be mitigated with modifications to the recommendations?