Policy & Regulation News

Practices Not Ready to Implement NSA’s Good Faith Estimates

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Physician practices are struggling to comply with the No Surprises Act’s good faith estimate requirements, which went into effect on Jan. 1, 2022. The new federal law requires all providers to...

Montana Seeks Exemptions to Vaccine Mandate for Rural Hospitals

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Montana state leaders are calling on the Biden Administration to issue exemptions to a nationwide vaccine mandate for healthcare workers. Implementing the vaccine mandate in Montana could worsen access...

$2B in Provider Relief Fund Payments Heading to Providers

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HHS, through the Health Resources and Services Administration (HRSA), is doling out another $2 billion in Provider Relief Fund payments to healthcare providers impacted by the COVID-19 pandemic. More...

AHA to Lawmakers: Add More to the COVID-19 Provider Relief Fund

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Congress should allocate another $25 billion to the COVID-19 Provider Relief Fund and relax spending rules as healthcare organizations deal with the repercussions of the Delta and Omicron variant...

DOJ, FTC Seek to Modify Merger Guidelines to Foster Competition

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The Federal Trade Commission (FTC) and the Justice Department’s Antitrust Division announced plans to modify current merger guidelines across all industries to prevent anticompetitive...

Vaccine Mandate for Healthcare Workers Enforceable in All States

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A federal judge in Texas has dismissed the state’s challenge of CMS’ vaccine mandate for healthcare workers, paving the way for the federal agency to enforce the mandate across the...

HHS Renews COVID-19 PHE, Key Flexibilities That Come With It

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As COVID-19 cases rapidly increase, HHS Secretary Xavier Becerra announced the renewal of the COVID-19 public health emergency for an additional 90 days.  The extension provides hospitals and...

CMS Updates Healthcare Worker Vaccine Mandate Guidance

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CMS has issued interpretative guidance on its healthcare worker vaccine mandate following the Supreme Court’s decision to allow the mandate to be enforced while some states challenge it in...

Physician Groups Back AMA-AHA Lawsuit Over Surprise Billing IDR Process

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A coalition of physician organizations filed an amicus curiae brief stating HHS’ surprise billing independent dispute resolution (IDR) process will result in an increase in...

AHA Shares New Concerns with Vaccine Mandate for Healthcare Workers

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A comment letter from the American Hospital Association (AHA) to CMS requested changes and increased clarity concerning the agency’s COVID-19 vaccine mandate for healthcare...

CMS Reinstates COVID-19 Vaccination Mandate in 25 States

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CMS announced it would be reinstating the COVID-19 healthcare worker vaccine mandate to facilities in 25 states and the District of Columbia that are not affected by the preliminary...

HRSA Releases $48M to Boost Rural Healthcare Workforce

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Through the Health Resources and Services Administration (HRSA), HHS is awarding $48 million in grants for community-based organizations in rural and tribal areas to bolster the healthcare workforce in...

CMS Funds 1,000 New Medicare Residency Slots to Address Labor Shortage

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CMS announced they would be funding 1,000 new Medicare residency slots to address labor shortages in rural and underserved communities as part of the Inpatient Prospective Payment System (IPPS) final...

Missoula Surgeon Pays $3.7M to Settle Healthcare Fraud Allegations

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David Bellamah, MD, a vascular surgeon in Missoula and Kalispell of Montana, reached a civil settlement and has agreed to pay the federal government $3.7 million to settle healthcare fraud...

Appeals Court Allows Healthcare Vaccine Mandate in 26 States

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The US Court of Appeals for the Fifth Circuit has allowed CMS to enforce the vaccine mandate specific to healthcare workers to resume in about half of the country. Although, the decision released on...

HHS Distributes Another $9B from Provider Relief Fund

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HHS announced the distribution of approximately $9 billion in Provider Relief Fund (PRF) Phase 4 payments to reimburse healthcare providers who experienced pandemic-related revenue losses and...

Senate Scraps Medicaid DSH Cuts in Latest Build Back Better Act

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An updated Build Back Better Act from the Senate Finance Committee does not include provisions that would reduce Medicaid Disproportionate Share Hospital (DSH) payments. A previous version of the bill...

Surprise Billing Regulation Faces Pushback from Medical Groups

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A letter from the American Medical Group Association (AMGA) called on CMS to revise the interim final rule implementing the No Surprises Act, explicitly changing legislation that favors...

CMS Suspends COVID-19 Vaccine Mandate for Healthcare Workers

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CMS has officially suspended the COVID-19 vaccine mandate for healthcare workers following two court orders to pause the interim final rule implementing the mandate from the Biden...

Courts Block COVID-19 Vaccine Mandate for Healthcare Workers

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UPDATE 12/01/2021: Louisiana District Court Judge Terry Doughty has temporarily blocked the Biden Administration's COVID-19 vaccine mandate for healthcare workers in more states. The...