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. 

Harvard Pilgrim shares ICD-10 prep strategy

WALTHAM, MASS.--Harvard Pilgrim Health Care completed its ICD-10 assessment in 2011 and began detailed planning in 2012, said Rita Hunt, the organization’s ICD-10 program manager, speaking at the Massachusetts Health Data Consortium’s March 10 conference on ICD-10 planning.

HITPC: Workgroup explores certification program for LTPAC and behavioral health entities

Long-term post-acute care (LTPAC) and behavioral health (BH) entities remain ineligible for Meaningful Use incentives, yet one-third of patients discharged from hospitals end up in these facilities.

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Legislators Seek to Reduce Readmission Penalties on Hospitals Treating Poor

The bill H.R. 4188, the Establishing Beneficiary Equity in the Hospital Readmission Program Act, would require the Secretary of the Department of Health and Human Services (HHS) to adjust the readmission penalty based on a hospital’s share of dual eligible patients.

Assn. supports remote monitoring as mandatory supplement benefit

The Telecommunications Industry Association offered up its support for a Centers for Medicare & Medicaid Services proposal that would require Medicare Advantage organizations to provide remote monitoring technologies as part of mandatory supplement benefits.

OIG to investigate Maryland’s state-run HIX

The Office of the Inspector General of the Department of Health and Human Services is launching an investigation into Maryland’s health insurance exchange, which has been marred by computer glitches that have made it difficult for people to enroll.

Challenges, variability abound as Mass. launches ICD-10 collaborative testing program

The Massachusetts Health Data Consortium has launched its collaborative testing program for ICD-10 to learn “where there are big differences, where there are disruptions and where coding could be improved,” said Denny Brennan, executive director of the organization, during its March 10 conference on ICD-10 implementation.

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Halamka focusing on meaningful data in ICD-10 effort

WALTHAM, MASS.--It’s not the new codeset of ICD-10, it’s getting meaningful data into the new codes that concerns John Halamka, MD, CIO of Beth Israel Deaconess Medical Center in Boston, speaking at the Massachusetts Health Data Consortium’s March 10 conference on ICD-10 implementation.

Hospital CEO turnover rate peaks

Hospital CEO turnover is at the highest rate reported since the American College of Healthcare Executives began tracking the rate in 1981.

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.