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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Final MACRA rule too strict for some, too loose for others: ‘Do we need MIPS at all?’

While the proposed rule for the second year of the Medicare Access and CHIP Reauthorization Act (MACRA)’s Quality Payment Program (QPP) earned mostly praise from the healthcare industry, the finalized rule earned a mixed reaction from groups alternating saying it’ll burden providers and it’s allowing too many physicians to avoid the program altogether.

Privatizing veterans’ care may be next big health policy battle

Conservative donors who backed efforts to repeal the Affordable Care Act (ACA) may have found a new health policy cause: making it easier for veterans to see private hospitals and physicians instead of going to Department of Veterans Affairs (VA) facilities.

White House health program selects Fitbit as wearable device in data collection

The All of Us Research Program, established by the White House in 2015, has selected Fitbit as the wearable that will be used to collect data that will be used in subsequent research on preventing diseases based on individual characteristics.  

Healthcare policy put to voters in Maine, Ohio on Election Day 2017

Two state ballot referendums on Nov. 7 dealt with healthcare issues, with voters in Maine approving an expansion of Medicaid eligibility while Ohio voters soundly rejected a measure to tie pharmaceutical prices paid by the state to rates paid by the U.S. Department of Veteran Affairs (VA).

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CMS administrator signals big changes to Medicaid

States will have more flexibility to change their Medicaid programs, CMS Administrator Seema Verma said in a speech that criticized the Affordable Care Act (ACA)’s expansion of eligibility and called opposition to work requirements for able-bodied beneficiaries “soft bigotry” from the last administration.

Initial ACA exchange signups set new record

The first few days of open enrollment on the Affordable Care Act (ACA) exchanges saw a record number of people signing up for coverage, according to The Hill.

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More clinicians will be exempt from MIPS in 2018, won’t be able to opt in

CMS has finalized the rule for the second year of Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program (QPP), raising the low-volume threshold for the Merit-based Incentive Payment System (MIPS) but not allowing clinicians the option to participate if they don’t meet the minimum requirements.

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5 things about the final OPPS rule and hospitals’ lawsuit over 340B change

CMS released its final hospital outpatient prospective payment system (OPPS) rule for 2018, which included a significant cut to drug payments to hospitals which use the 340B drug discount program. The result was the quick threat of a lawsuit from three major medical groups.

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.”