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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Obama’s FY15 budget allocates $77B for HHS

President Obama has unveiled his $3.9 trillion fiscal year 2015 budget proposal, which allocates $77.1 billion to support the Department of Health & Human Services and $1.8 billion for health IT incentive payments.

SGR Repeal Faces a New Threat: Politics

House Republicans may tie passing a permanent repeal of the sustainable growth rate (SGR) formula to delaying the Affordable Care Act (ACA) individual mandate on buying health insurance.

Doctors Seek CMS Help on ACA Insurer Rule that Puts Practices at Risk

Current requirements for when insurers must tell physician practices that a patient’s Affordable Care Act (ACA) insurance exchange purchased health plan is in danger of being cancelled could leave doctors unreimbursed for their services warned more than 80 state and national organizations in a letter to CMS.

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Senators Introduce Bill to Fix “Two Midnight Rule”

U.S. Senators Robert Menendez (D-N.J.) and Deb Fisher (R-Neb.) have introduced legislation that would require CMS to change its new guidelines around when a Medicare patient hospital stay is judged to be an inpatient stay.

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Congress questions CMS, OIG on MU incentive fraud

On the heels of an indictment that accused a former Texas healthcare executive of collecting $800,000 in EHR incentive payments under false pretenses, lawmakers from the House Committee on Energy and Commerce are looking for answers from the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) on why fraud is happening within the program.

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California Ballot Initiatives Seek to Limit Hospital Executive Salaries and Prices

Two ballot initiatives in California tap into public frustration about the high cost of medical care and confusion about the difference between hospital charge master prices and the actual price for care.

Obama Budget Reveals Concern About Physician Shortage

The mismatch between the number of patients and the number of physicians available to treat them is not just a concern of hospital and medical group leaders. The administration revealed its concern about the physician shortage in its 2015 budget.

FDA seeking contractor to monitor social media

The FDA is seeking out a contractor to provide both historical and real-time monitoring and analyses of a sample of social media websites, according to a notice issued on the Federal Business Opportunities website.

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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