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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Ethicists create framework to regulate brain technology

Ethicists from the University of Basel have developed a biosecurity framework specific to neurotechnology while calling for a ban on dual-use technology with the aim of regulating mental privacy and integrity of humans. Findings were published in Neuron.

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HHS creates new religious freedom division in OCR

In a significant shift for HHS’s Office of Civil Rights (OCR), a new “Conscience and Religious Freedom Division” is being created dedicated to complaints from healthcare professionals who feel they were discriminated against due to refusing to perform certain services based on religious or moral objections.

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Congressional hearing questions whether Medicaid expansion caused opioid epidemic

Sen. Ron Johnson, R-Wisconsin, led a hearing of the Senate Homeland Security and Government Affairs Committee where he explored whether Medicaid expansion is at least partially to blame for the rise in opioid addiction and overdose deaths. Federal data, however, shows those problem began more than a decade earlier.

Kentucky becomes 1st state approved for Medicaid work requirements

Days after CMS first issued policy guidance on how states could require “able-bodied” Medicaid beneficiaries to work or face losing their coverage, Kentucky has become the first with an approved waiver to test out those requirements.

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More ACOs taking on downside risk in MSSP in 2018

The Medicare Shared Savings Program (MSSP) will have 561 accountable care organizations (ACOs) participating in 2018, including 124 new entrants into the program, covering a total of 10.5 million assigned beneficiaries, according to CMS.

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MGMA: CMS late again on notifying clinicians of MIPS eligibility

Full-year quality reporting will be required in the Merit-based Incentive Payment System (MIPS) for the first time in 2018, but clinicians haven’t received word from CMS on whether they’re eligible to participate, according to the Medical Group Management Association (MGMA).

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MedPAC votes to recommend repealing MIPS

Following up on criticisms of the Merit-based Incentive Payment System (MIPS) at recent meetings, the Medicare Payment Advisory Commission (MedPAC) formally voted to recommend scrapping the payment system, arguing the program replicates flaws from those it was meant to replace.

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CMS push for Medicaid work requirements likely to be challenged in court

CMS has released guidance for how states can seek Medicaid waivers imposing requirements for beneficiaries to work in order to receive coverage, a move which some healthcare groups quickly condemned and threatened to sue in order to stop.

Around the web

Compensation for heart specialists continues to climb. What does this say about cardiology as a whole? Could private equity's rising influence bring about change? We spoke to MedAxiom CEO Jerry Blackwell, MD, MBA, a veteran cardiologist himself, to learn more.

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”