Policy and Legislation

Premier and the American Hospital Association laud a recent Supreme Court decision but say HHS is still acting unlawfully.

Alisa Chestler, chair of the data protection, privacy and cybersecurity team at Baker Donelson, questions whether $20 million in annual funding from a new Behavioral Health Information Technology Coordination bill is enough to move the needle.  

Stop APM bonus cut and MIPS penalties in MACRA and Medicare physician payment decreases, AMA says.

Final rule increases payment for certain new renal dialysis drugs and biological products.

CMS is expected to issue a final rule after the comment period ends on November 6.

Benefits will now be distributed to the subscribers who sued Blue Cross more than a decade ago.

Groups with the highest gains in coverage because of Medicaid expansion include non-Hispanic Blacks, young adults and women.

A deal between Express Scripts and Prime Therapeutics served solely as a price-fixing mechanism, the suit alleges.

The U.S. Department of Health and Human Services Office of the Inspector General recommends Medicare develop its own source for race and ethnicity data collection in the Medicare population, says Ann Maxwell, HHS-OIG deputy inspector general for evaluations.  

The associations' primary recommendation is to retire CMS' Severe Sepsis/Septic Shock Management Bundle.