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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CMS drops two-midnight rule's inpatient payment cuts

Following industry criticism and legal challenges, the Centers for Medicare & Medicaid Services (CMS) will no longer enforce an inpatient payment cut to hospitals under the two-midnight rule. Instead it will provide a onetime bump to hospitals to offset the cuts.

Medical Administrative Professionals, LLC Engages Zotec Partners in Exclusive New Revenue Cycle Management Agreement

INDIANAPOLIS--(BUSINESS WIRE)--Zotec Partners (Zotec), the industry leader in radiology revenue cycle and practice management services, announces an exclusive revenue cycle management (RCM) agreement with Medical Administrative Professionals, LLC (MAP), the management services organization of Denver-based Diversified Radiology of Colorado, PC (DRC). DRC is a 55-radiologist practice that has undertaken billing in-house for several decades. In the new arrangement, MAP will employ Zotec’s RCM expertise, services and analytical tools to monitor data and contribute to the growth of the radiology practice.

South Dakota researchers aim to improve tobacco-free policies in healthcare facilities

Research from South Dakota State University has shown that healthcare facilities vary wildly in their efforts to maintain a tobacco-free environment.

60 senators urge CMS to delay overall hospital quality star ratings

In wake of the April 21 release of the overall hospital quality star ratings system developed by the Centers for Medicare & Medicaid Services (CMS), sixty senators have advised a delay “to provide the necessary time to more closely examine the star rating methodology, analyze its impact on different types of hospitals, and provide more transparent information regarding the calculation of the ratings to determine accuracy.”

Oklahoma hospital administrators push for raise in tobacco tax

Administrators from hospitals and nursing homes in Oklahoma have shared their support for increasing the state’s tobacco tax by $1.50 per pack of cigarettes to help. 

The Society of Actuaries Partners with the CDC to Improve Public Health and Reduce Healthcare Costs

SCHAUMBURG, Ill., April 12, 2016 -- The Society of Actuaries (SOA) today announced a new relationship with the Centers for Disease Control and Prevention (CDC) that brings actuarial science to public health practice as part of the CDC's 6|18 initiative. Insights from actuarial science will help further understanding of healthcare cost savings that can be achieved through evidence-based prevention. 

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Study shows 37% of outpatient healthcare staff fail to follow hand hygiene recommendations

Staff at outpatient care facilities may need to brush up on hygiene basics, as a new study found a failure to follow recommendations for hand hygiene in 37 percent of observations.

New CMS multi-payer initiative to impact 20K doctors

CMS has unveiled a far-reaching multi-payer initiative that could have major implications for how primary care is delivered and reimbursed, affecting as many as 5,000 practices, 20,000 doctors and clinicians and 25 million patients.

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.