Regulations and Regulatory Advocacy
The Centers for Medicare & Medicaid Services (CMS) April 7 issued its fiscal year (FY) 2022 proposed rule for the inpatient psychiatric facility (IPF) prospective payment system (PPS). CMS will accept comments on this rule through June 7.
The Department of Health and Human Services through March 26 has reduced by more than 69% its backlog of Medicare appeals at the Administrative Law Judge level, according to a status report the agency provided Friday to a federal court.
The Federal Emergency Management Agency (FEMA) recently updated its policy on “Coronavirus (COVID-19) Pandemic: Medical Care Eligible for Public Assistance
The Department of Health and Human Services postponed for one year, pending judicial review, a final rule that would require the agency to assess periodically each regulation to determine whether it has a significant economic impact on a substantial number of small entities and, if so, determine…
A California state judge granted preliminary approval to a settlement agreement in antitrust litigation alleging Sutter Health used anticompetitive practices in its contracts with a union’s health plans.
The Food and Drug Administration announced an import alert on all alcohol-based hand sanitizers from Mexico, noting that 84% of those it analyzed from April through December 2020 did not comply with FDA regulations and more than half contained toxic ingredients at dangerous levels, including…
Health and Human Services Secretary Alex Azar directed the department’s operating divisions and offices to review and revise their procedures related to civil enforcement actions and adjudications “to ensure that they promote fairness and transparency.”
The AHA provided comments to the Centers for Medicare & Medicaid Services’ proposed changes to the hospital and hospital health care complex cost report.
UnitedHealthcare has suspended through the end of this month certain prior authorization requirements for in-network hospitals and skilled nursing facilities in its Medicare Advantage, Medicaid, individual and group health plans.
At A Glance
Health plans often inappropriately delay or decline coverage for medically necessary care. This can undermine the quality of care that is provided, strain the provider/patient relationship, result in bad debt for providers and unexpected bills for patients, and increase the burden on…