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. 

Six-month insurance lockout penalty added to Senate ACA repeal bill

Four days after they first released it publicly, Senate Republicans have made a change to their version on Affordable Care Act repeal-and-replace legislation, adding a “continuous coverage” provision to try and discourage people from canceling their insurance plans.

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HFMA 2017: ACA repeal bills pose credit risk to hospitals

Whether Republicans’ version of an Affordable Care Act repeal-and-replace bill looks like the House-passed American Health Care Act (AHCA) or the Senate’s Better Care Reconciliation Act (BCRA), it would have a negative impact on the credit ratings of nonprofit hospitals, according to Fitch Ratings.

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HFMA 2017: Provider-payor collaboration limited by phone calls, administrative waste

Providers and payors want to work together on transitioning to value-based care. What gets in the way is poor communication and time wasted on redundant administrative tasks, according to a Availity survey released at the Healthcare Financial Management Association (HFMA) conference in Orlando.

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Industry groups oppose Senate ACA repeal: ‘We cannot let this happen’

Reaction to the Senate’s version of an Affordable Care Act repeal-and-replace plan, titled the Better Care Reconciliation Act (BCRA) ranged from strong opposition from physician and hospital groups to outrage from Democrats, while one insurance organization saw some positives in the legislation.

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Q+A: AMGA says MACRA proposed rule sends wrong message on value-based care

Groups representing physicians, hospitals, internists and health IT were quick to praise the proposed rule for the second year of the new payment tracks under the Medicare Access and CHIP Reauthorization Act (MACRA). The American Medical Group Association, however, has a decidedly different take.

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Senate’s version of ACA repeal released

The legislation takes many provisions from the House-passed American Health Care Act (AHCA) under a new name: the Better Care Reconciliation Act (BCRA).

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Proposed MACRA changes praised in initial industry reaction

The American Medical Association (AMA) and the American Hospital Association (AHA) appear pleased with the proposed rule for the second year of the Quality Payment Program (QPP), with some groups reserving judgment until they have time to review the 1,058-page regulation.

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CMS proposes raising low-volume exemption, adding virtual groups in MACRA’s second year

The proposed rule for the second year of the Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program (QPP) has been released by CMS, with its stated goal to “simplify the program, especially for small, independent, and rural practices, while ensuring fiscal sustainability and high-quality care.”

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.”