Policy

CMS has proposed a new rule that aims to improve transparency around accrediting organizations (AOs) that certify healthcare facilities in the Medicare program. Specifically, the rule creates a new process for AOs to follow if there is a sale, transfer or purchase of assets in the ownership of the organization.

HHS has changed its regulations for civil monetary penalties (CMP) under the Health Insurance Portability and Accountability Act (HIPAA), effectively lowering penalties across four categories of violations.

Healthcare is a major voter issue, but many Americans tend to trust Democrats more than Republicans in this area heading into the 2020 election, according to a new poll from the Associated Press-NORC Center for Public Affairs Research.

HHS and CMS have launched a set of new payment models, dubbed the Primary Cares Initiative, that aim to transform primary care through value-based options. The new models will also test financial risk and performance-based payments for primary care practitioners and clinicians.

Medicare’s site-neutral policy, which pays outpatient hospital sites like they’re independent doctors’ offices, is turning out to be as unpopular in practice as it was in theory—as least among hospitals.

A study backing a bill that would greatly increase nurse staffing in Illinois hospitals by mandating certain nurse-to-patient ratios has drawn heat from the Illinois Health and Hospital Association (IHA).

Hospitals in the sixth most populous state stand to save $1.4 billion by collectively adding about 20,000 nurses.

CMS proposed to expand reimbursement for ambulatory blood pressure monitoring (ABPM) to patients with suspected masked hypertension while continuing to cover it for those with white coat hypertension.

The American College of Physicians (ACP) published a position paper April 16 in the Annals of Internal Medicine, voicing their discontent with recent federal actions to weaken the Affordable Care Act and offering seven recommendations on how to improve it.

Too often in the national opioid epidemic, the resources have seemed ample where the need is slim—and vice versa. The hunch has been confirmed by a study conducted at the University of Texas Health Science Center in Houston and published in the Journal of Addiction Medicine.

A final rule issued by CMS on April 5 cemented policies to increase plan choices and benefits for enrollees in the Medicare Advantage (MA) and Medicare Prescription Drug Benefit (Part D) programs, opening those beneficiaries to supplemental services like telehealth and streamlining the appeals process for those unsatisfied with their healthcare.

Amid a national debate over whether or not to dissolve the Affordable Care Act entirely or keep parts of the law intact, research presented at the American Heart Association’s QCOR Scientific Sessions on April 5 suggests Medicaid expansion contributed to a significant decline in cardiovascular-related deaths in recent years.