Policy & Regulation News

Rural Healthcare Providers Get $7.5B in COVID-19 Relief Funds

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The Bident Administration has announced $7.5 billion in COVID-19 relief funds from the American Rescue Plan for rural healthcare providers who treat Medicaid, Children’s Health Insurance Program...

Administration Invests $1.5B to Address Healthcare Workforce Shortage

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Vice President Harris announced a $1.5 billion investment to respond to healthcare workforce shortages and improve critical clinical care in underserved communities impacted by the COVID-19...

HHS to Form Ambulance Billing Advisory Committee, Per No Surprises Act

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HHS is creating a federal advisory committee to address ground ambulance billing practices in its latest step toward No Surprises Act implementation. In an announcement on Friday, HHS said the Ground...

Bipartisan Bill Addresses Distribution Delays in Provider Relief Fund

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A group of Representatives have announced the Provider Relief Improvement Act to ensure that the remaining dollars left in the Provider Relief will be distributed to eligible healthcare providers in...

MGMA Calls on Congress to Prevent Impending Medicare Cuts

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The Medical Group Management Association (MGMA) wrote to the Ways and Means Committee and requested a hearing to prevent the imminent Medicare cuts described in the Physician Fee Schedule final rule...

CMS Sued by Ten States Over Vaccine Mandate for Healthcare Workers

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Ten states led by Missouri Attorney General Eric Schmitt and Nebraska Attorney General Doug Peterson have filed a lawsuit against CMS and the Biden Administration challenging the COVID-19 vaccine...

CMS Rescinds Rule Expediting Medicare Coverage of Breakthrough Devices

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CMS has officially rescinded a final rule published by the Trump Administration that would have expedited the Medicare coverage process for breakthrough devices. The agency said it will take a...

Lawmakers Seek Changes to No Surprises Act Implementation

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A bipartisan group of 152 House members wrote to the secretaries of Health and Human Services, Treasury and Labor and urged them to amend the interim final rule (IFR) that will implement the No...

CMS Issues COVID-19 Vaccine Mandate for Healthcare Workers

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CMS has issued the interim final rule with comment period requiring all healthcare workers to get a COVID-19 vaccine. The rule mandates vaccinations of eligible staff at healthcare facilities...

Texas Medical Association Sue Feds Over IDR for Surprise Billing

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The Texas Medical Association is taking action against a regulation slated to implement the No Surprises Act, a federal surprise billing law taking effect on January 1st. The Association recently...

CMS Releases Final Rule for CY 2022 Medicare Physician Fee Schedule

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UPDATED CMS has finalized the calendar year (CY) 2022 Medicare Physician Fee Schedule to promote greater telehealth utilization, boost reimbursement rates for vaccine administration, and improve...

Hospital Price Transparency Penalties to Increase Under OPPS Rule

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Starting January 1, CMS will increase penalties for noncompliance with hospital price transparency requirements under the newly released Calendar Year (CY) 2022 Hospital Outpatient Prospective Payment...

AHA Urges Congress to Uphold Current Merger and Acquisition Guidelines

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The American Hospital Association (AHA), the US Chamber of Commerce, and 20 other organizations have written a letter to Congress asking them to maintain the legal and regulatory structures for...

HRSA Opens Application for Provider COVID-19 Relief Funds

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The Health Resources and Service Administration (HRSA) has opened the portal for healthcare providers to apply for part of $25.5 billion in COVID-19 relief funds. The American Rescue Plan Act will...

Independent Dispute Resolution Detailed in New Surprise Billing Rule

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The Biden-Harris Administration has released a long-awaited interim final rule that will explains how payers and providers will agree on an out-of-network rate when surprise billing occurs. The rule...

AHA Pens Oppositions to 2022 Physician Fee Schedule Proposed Rule

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The American Hospital Association (AHA) has penned a letter to CMS Administrator Chiquita Brooks-LaSure detailing its concerns surrounding CMS’ proposed Physician Fee Schedule (PFS) for...

CMS to Repeal Medicare Coverage of Breakthrough Devices Rule

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CMS has proposed repealing a Trump-era rule that sought to deliver faster Medicare coverage for medical devices designated as "breakthrough" by the Food and Drug Administration (FDA). The rule also...

HHS Proposes More Surprise Billing Compliance Rules

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HHS and other federal departments have released a notice of proposed rulemaking (NPRM) that would impose civil monetary penalties of up to $10,000 on providers and facilities with surprise billing...

HHS Announces Plan to Distribute $25.5B in COVID-19 Provider Relief

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HHS will distribute $25.5 billion in COVID-19 provider funding, including $8.5 billion from the American Rescue Plan for rural providers and a fourth round of general Provider Relief Fund distribution...

CMS to Tie Vaccine Mandate to Medicaid, Medicare Participation

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A COVID-19 vaccine mandate for healthcare workers will be tied to Medicaid and Medicare Conditions of Participation (CoP), the Biden-Harris Administration recently announced. The announcement made via...