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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ICD-10: Partner, Prepare, Prioritize

Baptist Health offers advice to get ready for the Oct. 1 implementation date.

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View, Download, Transmit; Stage 2 Requirements

Geisinger, MassHIWay and more share their efforts to get patients sharing data.

CMS urgently seeking volunteers for ICD-10 end-to-end testing

The Centers for Medicare & Medicaid Services (CMS) urgently seeks volunteers for ICD-10 end-to-end testing with Medicare in July 2014, according to a notice.

CMS to evaluate PQRS, eRx programs due to improper payments

The Centers for Medicare & Medicaid Services is looking to recoup payments after discovering that its Physician Quality Reporting System and Electronic Prescribing incentive programs are riddled with data integrity issues, such as rejected and improper payments.

FDA: Risk-based framework for health IT forthcoming

The FDASIA Work Group soon will release a proposed strategy for a risk-based regulatory framework for health IT, FDA Commissioner Margaret Hamburg, MD, told the Senate Health, Education, Labor and Pensions Committee during a hearing that examined FDA’s initiatives and priorities.

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AMA Drops Support For Permanent SGR Fix that Delays Individual Mandate

The American Medical Association (AMA) on Thursday took the unusual step of writing to Congress to express its disappointment in the current proposal to pay for a permanent repeal of the sustainable growth rate (SGR) formula by delaying the Affordable Care Act’s mandate that individuals must purchase insurance or pay a penalty.

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More Than 200 Legislators Urge CMS to Leave Medicare Advantage Rates Alone

Although the proposed cuts to the Medicare Advantage program announced last month were not as deep as some had feared, the opposition mounted by the insurance industry and legislators has been fierce.

Harvard Pilgrim shares ICD-10 prep strategy

WALTHAM, MASS.--Harvard Pilgrim Health Care completed its ICD-10 assessment in 2011 and began detailed planning in 2012, said Rita Hunt, the organization’s ICD-10 program manager, speaking at the Massachusetts Health Data Consortium’s March 10 conference on ICD-10 planning.

Around the web

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.”

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

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