Regulations and Regulatory Advocacy
In the Centers for Medicare & Medicaid Services’ 2019 physician fee schedule final rule, the agency made an important change to the Clinical Laboratory Fee Schedule that will require many hospitals to report private payer rates for clinical laboratory services covered under the CLFS.
The AHA released new tools to help the field prepare for appropriate use criteria reporting requirements that will start to go into effect on a voluntary basis this year and become mandatory in 2021.
The Protecting Access to Medicare Act (PAMA) requires the Centers for Medicare & Medicaid Services (CMS) to establish a program that promotes AUC for advanced diagnostic imaging. AUC are evidence-based criteria that assist professionals who order and furnish certain imaging services to make the…
The Protecting Access to Medicare Act (PAMA) requires the Centers for Medicare & Medicaid Services (CMS) to establish a program that promotes AUC for advanced diagnostic imaging.
The Department of Veterans Affairs (VA) Feb. 22 published a proposed rule that would establish the criteria for determining when covered veterans may receive necessary hospital, medical and extended care services from non-VA entities or providers under the Veterans Community Care Program. Comments…
The Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology and Centers for Medicare & Medicaid Services today proposed new rules to promote electronic health information exchange.
The Centers for Medicare & Medicaid Services and Centers for Disease Control and Prevention today published a proposed rule that would update 1992 proficiency testing and referral requirements.
As part of the February refresh of Hospital Compare, the Centers for Medicare & Medicaid Services (CMS) plans to update its hospital overall star ratings. In addition, we expect CMS will release the performance results from the fiscal year (FY) 2019 Hospital-acquired Condition (HAC) Reduction…
The Centers for Medicare & Medicaid Services (CMS) Jan. 17 issued a proposed rule, which would implement the standards governing health insurance issuers and the Health Insurance Marketplaces for 2020. In the rule, CMS proposes the benefit and payment parameters for qualified health plan (QHP)…
On Dec. 21, the Centers for Medicare & Medicaid Services issued its final rule on the Medicare Shared Savings program (MSSP). The rule, called “Pathways to Success,” finalizes changes to the MSSP, including to the structure of payments made to accountable care organizations (ACOs) and other…