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. 

Milliman offers ACO cheat sheet

Actuarial firm Milliman has released an accountable care organization (ACO) cheat sheet to guide stakeholders through the ins and outs of Medicare Shared Savings Program and the Pioneer ACOs.

Health Affairs: EHR adoption programs should look beyond PCPs

To achieve EHR adoption nationwide, federal policies also may have to focus on encouraging adoption among non-primary care specialists, as well as addressing persistent gaps in the use of EHR systems by practice size, physician age and ownership status, according to an article published in the April edition of Health Affairs.

Data breach in S.C. affects 228K Medicaid beneficiaries

The South Carolina Department of Health and Human Services discovered this month that a Medicaid employee inappropriately transferred personal information for 228,435 Medicaid beneficiaries to their personal email account, constituting a violation of agency policy.

Humana Cares goes online with chronic care workshops

The National Council on Aging and Humanas Humana Cares complex and chronic care management division are partnering to pilot Stanford Universitys online Chronic Disease Self-Management Program.

Grassley stirs up CMS pot, presses for Sunshine Act

Sens. Charles Grassley, R-Iowa, and Herb Kohl, D-Wis., authors of the Physician Payments Sunshine Act, have outlined substantive points to guide federal implementation of the act. Grassley and Kohl wrote to the Acting Centers for Medicare & Medicaid Services' (CMS) Administrator Marilyn Tavenner with their points and also asked questions about when CMS will begin data collection.

Study: Online team management could be effective in ambulatory settings

Web-based team resource management (TRM) demonstrates potential for effectiveness in various ambulatory settings, according to research published in the March edition of The American Journal of Managed Care.

ACC: Cost-benefit of remote monitoring depends on players

CHICAGOCalculating the cost-benefit ratio of remote monitoring patients who have implantable cardioverter-defibrillators depends on many variables, and the answer hinges on who pays and who benefits, said Mark H. Schoenfeld, MD, of Yale University School of Medicine in New Haven, Conn., in a March 24 presentation at the 61st annual American College of Cardiology (ACC) scientific session.

N.Y. groups kickstart ACO initiative

WestMed Medical Group is collaborating with UnitedHealthcare and Optum businesses to launch an accountable care organization (ACO) for its more than 220 physicians in Westchester County, N.Y.

Around the web

The American College of Cardiology has sent a letter to HHS Secretary Robert F. Kennedy Jr. that outlines some of the organization’s central priorities and concerns. 

One product is being pulled from the market, and the other is receiving updated instructions for use.

If the Trump administration continues taking a laissez-faire stance toward AI—including AI used in healthcare—why not let the states go it alone on regulating the technology?