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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Congressman introduces bill to reform Medicare auditing program

Rep. Samuel Graves (R-Mo.) introduced legislation Oct. 16 to reform the Medicare Recovery Audit Contractor (RAC) program, which the American Hospital Association (AHA) has criticized for “wasting hospital resources and contributing to growing health care costs.”

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Marquee speakers share thoughts at Chicago conferences

I was back in the office this week after a trip to Chicago for the American Health Information Management Association’s annual conference plus our Clinical Innovation + Technology's CMIO Leadership Forum: Transforming Healthcare through Evidence-Based Medicine. I hope you were able to read our coverage of both meetings as several prominent leaders in the healthcare community shared their thoughts and predictions on the current state of healthcare reform.

Covidien patient monitoring system receives clearance

AHA supports adoption of e-fund transfers, remittance operating rules

The American Hospital Association (AHA) has issued a comment to the Center for Medicare & Medicaid Services, voicing support for an interim final rule regarding Adoption of Operating Rules for Healthcare Electronic Fund Transfers (EFT) and Electronic Remittance Advice (ERA) Transactions contained in the Patient Protection and Affordable Care Act.

AHRQ to create rating system for patient-focused info

With the amount of patient-direct information growing, the Agency for Healthcare Research and Quality (AHRQ) is developing a rating system, called the Health Information Rating System. The system was discussed in a Federal Register posting and pays particular attention on patient data provided by EHRs.

CHIME announces new appointees to board of trustees

Pamela Arora, Charles E. Christian and George McCulloch have been elected to the the College of Health Information Management Executives (CHIME) Board of Trustees.

EBM12: Medical home model proactively brings care to patients, not the reverse

Evidence-based medicine has evolved very quickly in the ambulatory setting, and the transition to the patient-centered medical home model will require technological and cultural changes to proactively bring care to the patient, as opposed to patients approaching providers for care, according to Donald R. Lurye, MD, CEO of Elmhurst Clinic in Elmhurst, Ill., during his Oct. 4 presentation the CMIO Summit: Transforming Healthcare through Evidence-Based Medicine.

HIMSS buys CapSite for comparative pricing info

The Healthcare Information and Management Systems Society (HIMSS) acquired CapSite, a healthcare technology and consulting organization based in Burlington, Vt., effective Oct. 1.

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Around the web

Cardiovascular Business
FDA says years-long tirzepatide shortage is resolved, will give limited leeway to compounders

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.

AI in Healthcare
From Capitol Hill to a hospital near you? 5 federal recommendations for healthcare AI policy

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. 

Cardiovascular Business
Merck spends up to $2B to license new weight loss drug with potential heart benefits

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.