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. 

MGMA: Impose moratorium on MU penalties

The Medical Group Management Association officially weighed in on the Meaningful Use (MU) program, urging the Department of Health and Human Services to institute an indefinite moratorium on penalties for physicians who successfully met MU Stage 1 requirements.

UnitedHealthcare debuts online bill-pay

UnitedHealthcare has introduced a secure, online electronic bill-payment service that enables consumers to pay their medical bills and manage their healthcare claims and related expenses.

CMS proposal requires HIXs to report breaches within one hour

The Centers for Medicare & Medicaid Services is proposing an emergency review that requires state health insurance exchanges to report suspected or confirmed incidents affecting loss or suspected loss of protected health information within one hour of discovery. The exchanges would be required to notify their Center for Consumer Information and Insurance Oversight state officer, which in turn would notify affected federal agendy data sources.

Kronick to head AHRQ

Health reform researcher Richard Kronick, PhD, will become the new director of the Agency for Healthcare Research and Quality after long-time director Carolyn Clancy, MD, leaves the post later this month.

$67M in HHS grants for HIX Navigators

With health insurance marketplace enrollment set to launch this fall, Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced $67 million in grant awards to 105 Navigator grant applicants who will assist Americans with selecting plans and joining up. The Navigators, trained to provide unbiased information about the new health insurance marketplaces in a culturally competent manner, include qualified private and public groups and the self-employed.

AAFP proposes alternative MU Stage 2 deadlines

The American Academy of Family Physicians (AAFP), which represents 110,600 U.S. physicians and medical students, officially joined the chorus of healthcare associations urging the Centers for Medicaid & Medicare Services (CMS) to push back the implementation deadlines of Meaningful Use (MU) Stage 2. Also, it proposed a revised MU Stage 2 compliance schedule that extends the timeframe for compliance by 12 months.

NJ plans for new ACO

A new accountable care organization is slated to go live on Sept. 1 in New Jersey.

WEDI, ASC issue ICD-10 prep brief

The Workgroup for Electronic Data Interchange (WEDI) released an ICD-10 issue brief co-written with ASC X12 to help the healthcare industry better undertand where to focus transaction testing to ensure that coes are correctly placed and formatted within the transactions.

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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