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. 

CMS requires new disaster preparedness standards for healthcare providers

CMS is planning to publish a new set of regulations Sept. 16 that require healthcare providers to comply with new disaster preparedness guidelines. 

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Industry groups applaud MACRA ‘pick your pace’ options

CMS is drawing near unanimous praise from medical associations for allowing greater flexibility for providers to comply with the payment reforms in the Medicare Access and CHIP Reauthorization Act (MACRA).

CMS rejects Ohio’s Medicaid waiver request

Ohio’s proposal to charge Medicaid beneficiaries premiums—and end coverage if enrollees fall behind on payments—has been rejected by CMS.

Quality Payment Program introduces choices for physicians in 2017

A blog post by Andy Slavitt, Acting Administrator of CMS, highlights the choices eligible physicians will have for the Quality Payment Program starting on Jan. 1, 2017.

CMS finalizes emergency preparedness rule

Medicare and Medicaid providers will have to comply with CMS’ four new standards on emergency preparedness for natural and man-made disasters.

CMS won’t require full-year MACRA reporting in 2017

Responding to concerns from the healthcare industry, CMS announced it will provide several “pick your pace” options for providers to comply with the payment reforms in the Medicare Access and CHIP Reauthorization Act (MACRA).

New bills would offer exemptions to ACA’s individual mandate

Two pieces of legislation sponsored by Republicans would waive penalties for people who don’t have health insurance if their options are limited on the Affordable Care Act’s health insurance marketplace.

More Medicare Advantage enrollees may decrease fee-for-service spending

In counties with the largest growth in Medicare Advantage (MA) enrollment, there was “a significant decrease” in spending growth for fee-for-service (FFS) Medicare, according to a new study published in the journal Health Affairs.

Around the web

Cardiovascular devices are more likely to be in a Class I recall than any other device type. The FDA's approval process appears to be at least partially responsible, though the agency is working to make some serious changes. We spoke to a researcher who has been tracking these data for years to learn more. 

Updated compensation data includes good news for multiple subspecialties. The new report also examines private equity's impact on employment models and how much male cardiologists earn compared to females.

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

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