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. 

Most organizations at or below their ICD-10 budget

Most healthcare organizations are at or below budget for the transition to ICD-10, according to the early results of an ICD-10 readiness survey conducted by consulting firm The Advisory Board Company.

eHealth Initiative launches 2020 Roadmap

The eHealth Initiative launched a new public-private collaboration, “2020 Roadmap,” to help guide the transformation of the U.S. healthcare system by 2020.

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House GOP seals deal on end of full SGR repeal

Without bi-partisan agreement on how to pay for a full repeal of the near universally reviled sustainable growth rate (SGR) formula that would cut Medicare physician reimbursement by about one fourth starting on April 1, House Republicans posted a one-year SGR fix to the Rules Committee website three minutes before midnight last night. The new bill also delays ICD-10 implementation until Oct. 1, 2015.

CMS Reminder: March 31 EP attestation deadline approaching

The Centers for Medicare & Medicaid Services is reminding eligible professionals that the deadline to register and attest to Meaningful Use for the Medicare EHR Incentive Program is Monday, March 31 by 11:59pm, EST.

Market failures of healthcare reform, health IT

Health IT’s role in market failures, and continued barriers caused by lack of interoperability, the “big is better phenomenon” and data lock all were discussed during a lively panel session at the Federal Trade Commission’s workshop, “Examining Health Care Competition,” on March 20.

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McDermott pushes HHS to fix RAC appeals backlog now

The backlog of appeals pending with the Office of Medicare Hearings and Appeals has grown so large that it is beginning to affect Medicare beneficiaries directly, and that has gotten the attention of Rep. Jim McDermott (D-Wash.), a ranking member of the powerful Committee on Ways and Means Subcommittee on Health.

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AAFP: Payers indicate readiness for ICD-10

The largest private payers in the U.S. reported that they will be ready for ICD-10 implementation by the Oct. 1 compliance deadline, according to the American Academy of Family Physicians.

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CMS ‘Road to 10’ guides small practice ICD-10 implementation

With the Oct. 1 ICD-10 compliance deadline fast approaching, the Centers for Medicare & Medicaid Services released its “Road to 10” online resource to help providers in small practices jumpstart their ICD-10 transition.

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.