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. 

Proposed inpatient payment rule focuses on cost, quality

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would update FY 2014 Medicare payment policies and rates for inpatient stays at general acute care and long-term care hospitals (LTCHs). Released on April 26, the proposed rule is designed to reduce the growth in healthcare costs while improving the quality of patient care, according to the agency.

AHA to ONC/CMS: Implement current programs, avoid new regulations

Instead of layering on additional regulations for exchanges, the American Hospital Association (AHA) urged the Centers for Medicaid & Medicare Services (CMS) and the Office of the National Commissioner for Health IT (ONC) to focus on facilitating the implementation of payment and delivery programs already underway in Stage 1 and Stage 2 of Meaningful Use EHR incentive programs.

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Four things to know about health IT this week

Another study indicates a disturbing lack of preparation for the transition to ICD-10, Marilyn Tavenner’s bid to be confirmed as head of the Centers for Medicare & Medicaid Services hits a roadblock and telemedicine is making great strides across the country. Those are a few things to know about health IT this week.

20% of smaller hospitals have not started ICD-10 training

Yet another survey indicates that healthcare providers are not progressing toward ICD-10 implementation at the recommended rate. One in five small- and mid-sized hospitals have not begun any education or training for the transition to ICD-10.

Senate panel approves Tavenner as CMS head but final vote is on hold

The Senate Finance Committee unanimously approved Marilyn Tavenner to head the Centers for Medicare & Medicaid Services (CMS) on April 23, but a vote by the full Senate has been blocked.

South Carolina senate committee endorses telemedicine reimbursement

The South Carolina Senate is one step closer to requiring state employee insurance plans to reimburse physicians for telemedicine diagnoses and treatments.The Senate Medical Affairs Committee approved on April 18 a bill, the South Carolina Telemedicine Act (S. 290), which requires such coverage of telemedicine services by the state public employee benefit program, and the establishment of a Telemedicine Advisory Council.

CMS to use health data in emergencies

The Centers for Medicare & Medicaid Services (CMS) is adding a new routine for use of health information to eight “systems of records” or databases, to ease in identifying vulnerable individuals who may need health assistance during an emergency.

ICD-10, data analytics will improve care

Effective use of data analytics with the new codes will lead to better patient care and outcomes, according to Sam Ho, MD, executive vice president and chief clinical officer at UnitedHealthcare, who delivered a keynote address at the American Health Information Management Association's summit on the topic in Baltimore.

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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