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. 

U.S. gov't collected $4.2 billion in healthcare-related fraud charges in 2012

For every dollar spent on healthcare-related fraud and abuse investigations in the last three years, the government recovered $7.90, according to a new report released by U.S. Attorney General Eric Holder and U.S. Department of Health and Human Services’ (HHS) Secretary Kathleen Sebelius. This is the highest three-year average return on investment in the 16-year history of the Health Care Fraud and Abuse (HCFAC) Program.

Tavenner renominated to head CMS

President Barack Obama re-nominated Marilyn Tavenner to be permanent administrator for the Centers for Medicare & Medicaid Services. She has been serving as acting administrator since December 2011, when Donald Berwick, MD, stepped down.

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Weekly roundup: CMS has been busy

Among other efforts and on the heels of the release of the final privacy rule, the Centers for Medicare & Medicaid Services (CMS) has released its final rule seeking to increase public awareness of financial relationships between drug and device manufacturers and certain healthcare providers.

HIMSS offers suggestions to improve ONC IT safety plan

The Healthcare Information and Management Systems Society (HIMSS) is supporting much of the Office of the National Coordinator for Health IT’s proposed HIT safety plan, but its comment letter offers additional ideas to enhance or clarify some of the provisions.

Round 2 of presidential innovation fellows program opens

Applications are now being accepted for round two of the Presidential Innovation Fellows program. Launched last year, the program recruits top innovators and entrepreneurs from the private sector for 6-12 month “tours of duty” in government to help develop innovative solutions in areas of national significance.

ONC puts forth patient engagement action plan

With the number of Medicare beneficiaries rapidly growing and more Americans qualifying for Medicaid and private insurance under healthcare reform, the Office of the National Coordinator for Health IT (ONC) is trying to align efforts in patient engagement with consumer e-health.

Medical home is rolling out with great variability, no proven cost savings

The patient-centered medical home (PCMH) holds promise for improving the experiences of patients and staff and potentially for improving care processes, but current evidence is insufficient to determine the effects on clinical and most economic outcomes, based on a systematic review published Feb. 5 in the Annals of Internal Medicine.

Proposed rule to streamline, save money

A new proposed rule calls for reforms to Medicare regulations identified as unnecessary, obsolete or excessively burdensome on hospitals and healthcare providers that would save nearly $676 million annually, and $3.4 billion over five years. The Centers for Medicare & Medicaid Services' (CMS) proposed rule supports President Barack Obama’s call on federal agencies to modify and streamline regulations on business.

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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