Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

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‘Critically flawed’: Industry groups blast Republican ACA replacement

The initial reaction to the American Health Care Act (AHCA), the legislation to repeal and replace the Affordable Care Act (ACA) introduced by Republican leaders in Congress and supported by President Donald Trump, is negative across several major medical organizations, including the American Medical Association and the Federation of American Hospitals. 

5 things hospitals, insurers should know about Republicans' ACA replacement

House Republicans have released the full text of the long-awaited legislation to repeal and replace the Affordable Care Act (ACA). Titled the “American Health Care Act (AHCA),” the bill would eliminate the ACA’s mandate for individuals to buy insurance and roll back the expansion of Medicaid, while restoring disproportionate share hospital (DSH) payments.

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ACA replacement plan expected to be detailed this week

A legislative aide, speaking to Reuters on condition of anonymity, said there have been a series of phone calls finalizing the Affordable Care Act (ACA) replacement plan involving Speaker Paul Ryan, HHS Secretary Tom Price, White House budget chief Mick Mulvaney, President Donald Trump’s domestic policy adviser Andrew Bremberg and others.

HHS Secretary Price doesn’t rule out Medicare changes

HHS Secretary Tom Price said the Trump administration and Republicans “believe in the guarantee of Medicare for our seniors,” but he wouldn’t promise there would be no cuts to the program in an interview on CBS's “Face the Nation.”

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ACA’s future hot topic at HIMSS 2017—but HIMSS itself doesn’t take a stance

Many panels at HIMSS 2017 in Orlando included references to the ongoing policy debate over the Affordable Care Act (ACA) and how that’s affecting all corners of the industry. For HIMSS itself, however, it feels health IT is better off staying out of much of the discussion.

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No more meaningful use? MedPAC floats idea in MACRA discussion

Physicians wouldn’t be measured on meaningful use of electronic health records (EHRs) in the new Merit-based Incentive Payment System (MIPS) under a proposal floated by the Medicare Payment Advisory Commission (MedPAC).

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HIMSS 2017: Ex-HHS Secretary Mike Leavitt predicts ‘less disruptive’ ACA repeal, survival of CMMI

The era of President Donald Trump in healthcare policy may not go as predicted, either for Republicans in Congress or Democrats critical of his pick for HHS Secretary, according to the last Republican who ran the agency, Mike Leavitt.

AHIMA releases toolkit to assist in preparing for HIPAA audits

The American Health Information Management Association (AHIMA) has released its External HIPAA Audit Readiness Toolkit to assist organizations in preparing for the upcoming Health Insurance Portability and Accountability Act (HIPAA) Phase 2 audits. The toolkit includes Phase 2 aspects for covered entities, business associates and includes tips in meeting responsibilities.

Around the web

CMS finalized a significant policy change when it increased the Medicare payments hospitals receive for performing CCTA exams. What, exactly, does the update mean for cardiologists, billing specialists and other hospital employees?

Stryker, a global medtech company based out of Michigan, has kicked off 2025 with a bit of excitement. The company says Inari’s peripheral vascular portfolio is highly complementary to its own neurovascular portfolio.

RBMA President Peter Moffatt discusses declining reimbursement rates, recruiting challenges and the role of artificial intelligence in transforming the industry.