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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Insurance Industry Pushes Back Against Cuts to Medicare Advantage

America's Health Insurance Plans (AHIP) is pushing for CMS to use every ounce of flexibility it has to eliminate cuts to Medicare Advantage before it annouces the final 2015 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies.

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GOP Doctors Caucus Officialy Endorses SGR Repeal

Efforts to pass a permanent repeal of the Medicare sustainable growth rate (SGR) formula got a boost as the House GOP Doctors Caucus went on record with its support.

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ICD-10 Will Not Be Delayed, Now What?

The week of March 3 is CMS's national testing week for ICD-10 implementation, and it promises to be busy as CMS Administrator Marilyn Tavenner announced at HIMSS that there will be no change in the October 1 deadline for the switch.

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SGR Repeal Has a New Price, Here’s How it May Be Paid For

The Congressional Budget Office has finished crunching the numbers for the permanent repeal of SGR formula negotiated and predicts that passing the bill will increase direct Federal spending by about $138 billion over the next 10 years.

HIMSS14, Friday: Five things to know today

It’s over. Another whirlwind of exhibits, announcements, experiences, expertise and so much more. Here’s what you need to know.

HIMSS14: Tavenner offers no delays

ORLANDO--During her keynote address at the Health Information and Management Systems Society annual conference, Centers for Medicare & Medicaid Services Administrator Marilynn Tavenner offered the healthcare community no relief for looming compliance dates.

CMS's Griner Defends Open Payments Regulations

Dislike the Open Payments regulations (also known as the Physician Payments Sunshine Act) that are part of the Affordable Care Act? In a blog post for Health Affairs, Anita Griner, deputy director of the Data Sharing and Partnership Group at the Centers for Medicare and Medicaid Services' Center for Program Integrity, explains why the regulations are a good idea and the burden they may create on physicians and manufacturers is likely overstated.

HIMSS14, Thursday: Five things to know today

So much information. At this point in the conference, the sheer amount of information shared is overwhelming. Here are a few highlights.

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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