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. 

Proposed ACO benchmarks may penalize the orgs serving the sickest patients

An analysis from Harvard’s department of healthcare policy shows such wide variation in baseline spending levels from one ACO to the next that any future benchmarking efforts, including those performed within single given regions, must roll out parity measures only gradually—or pay the price in the form of participation falloffs.  

March 10, 2016

vRad Shares Success from Complex ICD-10 Transition of 2,100+ Client Healthcare Facilities

MINNEAPOLIS, MN — (March 7, 2016) vRad (Virtual Radiologic), an affiliate of MEDNAX, Inc. (NYSE: MD) and the leading national teleradiology services and telemedicine company, today announced that it will showcase insights and best practices learned from a successful ICD-10 transition of 2,100+ client facilities during a live webinar on March 9, 2016 at 12:00 pm CT. 

March 7, 2016

White House-backed bill to help states track banned providers passes House

The Ensuring Removal of Terminated Providers from Medicaid and CHIP Act (HR 3716), which helps states identify healthcare providers who have been banned from Medicare, a Medicaid program, or the Children’s Health Insurance Program, has been unanimously approved by the U.S. House.

March 3, 2016

CMS issues ICD-10 maintenance toolkit

The healthcare industry transitioned to ICD-10 back on Oct. 1 with few problems. Despite the success, the Centers for Medicare & Medicaid Services has released a new toolkit designed to help providers track and improve their ICD-10 performance.

March 2, 2016

N.J. state senator calls out organizations opposed to Hepatitis C screening legislation

New Jersey’s Senate Health, Human Services, and Senior Citizens Committee has approved legislation requiring hospitals and physicians to screen patients born between 1945 and 1965 for Hepatitis C. It was a bill both the New Jersey Hospital Association and the Medical Society of New Jersey opposed, and committee chairman State Sen. Joseph Vitale said the organizations “ought to be ashamed of themselves,” according to a report from NJ.com. 

March 2, 2016

More patients going to the doctor in wake of Medicaid expansion

A new analysis from the ACAView project, the joint effort between the Robert Wood Johnson Foundation and athenahealth to track the impact of the Affordable Care Act, has found a big bounce in primary-care visits in states that expanded Medicaid.

March 1, 2016

Federal appeals court: Hospitals can be both ‘urban’ and ‘rural’

Earlier this month, the 2nd U.S. Circuit Court of Appeals declared that the HHS “reclassification rule” was invalid and hospitals could be considered “rural” in some circumstances and “urban” in others. 

February 25, 2016

Patients receiving big discounts for paying in cash

A recent story in the Wall Street Journal examined this trend, providing numerous examples of patients saving more than $500 on procedures by simply paying in cash up front instead of going through insurance. 

February 24, 2016

Around the web

Cardiovascular Associates of America, backed by Webster Equity Partners, currently includes practices in eight different states. Its partner cardiologists now have preferred access to multiple cloud-based services provided by Athenahealth. 

The American Society of Nuclear Cardiology (ASNC) supports an AMA policy that condemns the use AI to make prior authorization decisions rather than a doctor or clinician.

The past five years have been boom times for AI startups courting venture investors in healthcare, and the good times just keep rolling.

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