Policy and Legislation
Groups say policy jeopardizes continuity of care and patient access to essential services.
“Level of severity review,” which determines reimbursement, has drawn the ire of the American Hospital Association.
The inherent risks of AI necessitate ongoing oversight and governance, and physician expertise can't be substituted, AMA says.
Senate Republicans are reportedly divided over how to handle rising health insurance premiums.
The CR would extend Medicare telehealth flexibilities, including acute hospital care at home and allow for retroactive payments.
AHA has “substantial concerns” over the vendor payment structure in WISEeR that incentivizes denials at the expense of physician judgment.
The representatives want a two-year extension for APTCs and guardrails to prevent improper payments.
The National Conference of State Legislatures' Sarah Jaromin talks about how its public databases track every state's AI legislation, helping lawmakers stay informed as states debate ethical healthcare AI deployment.
The lawmakers say the tool used by CMS is riddled with errors, while beneficiaries have not been notified.
Around 800 laboratory tests will be subject to the payment cuts on Jan. 1, 2026, threatening patient access to diagnostics, letter says.