HHS

New Healthcare Price Transparency Rule to Unveil Negotiated Rates

by Jacqueline LaPointe

HHS dropped two healthcare price transparency rules earlier today. The first is a final rule requiring hospitals to make all standard charges, including payer-specific negotiated rates, public in a...

VA, CMS Share Provider Enrollment Data to Combat Healthcare Fraud

by Samantha McGrail

CMS and the Department of Veterans Affairs (VA) recently announced a new data sharing initiative in which the departments will share provider enrollment data to prevent healthcare fraud, waste, and...

Breaking Down Proposed Changes to Anti-Kickback, Stark Law

by Jacqueline LaPointe

HHS recently made moves to update the Stark Law and Anti-Kickback Statute, two healthcare fraud rules created decades ago that have prevented physicians, hospitals, and other healthcare providers from...

HHS Ahead of Schedule for Eliminating Medicare Appeals Backlog

by Jacqueline LaPointe

HHS reduced the Medicare appeals backlog at the administrative law judge level by 25 percent through the third quarter of fiscal year (FY) 2019, according to a recent status report obtained by the...

HHS Awards $107M to Health Centers for Low-Cost, Value-Based Care

by Jacqueline LaPointe

HHS recently awarded nearly $107 million to 1,273 health centers across the country to support quality improvement, as well as care efficiency and value-based care, according to an official...

HHS Reduced Medicare Appeals Backlog by 19% Since Fall 2018

by Jacqueline LaPointe

HHS has made significant progress with reducing the Medicare appeals backlog, decreasing the number of appeals pending at the Office of Medicare Hearings and Appeals (OMHA) by about 19 percent as of...

HHS Quality Summit to Examine Federal Value-Based Care Programs

by Jacqueline LaPointe

HHS recently announced the creation of the Quality Summit, which will bring together federal and private healthcare stakeholders to evaluate and streamline federal value-based care programs. The...

HHS Launching Direct Contracting Payment Models for Primary Care

by Jacqueline LaPointe

HHS recently announced that CMS will launch the Primary Cares Initiative in 2020, which will give about one in four primary care providers the opportunity to receive value-based reimbursement and...

Medicare Reimbursement Changes Coming for Kidney Care, Dialysis

by Jacqueline LaPointe

HHS is reexamining Medicare reimbursement structures in kidney care that encourage more dialysis center treatment, rather than home-based care or even transplants. HHS Secretary Alex Azar made the...

Data Sharing Critical to Value-Based Purchasing, HHS Leaders Say

by Jacqueline LaPointe

To move the industry to value-based purchasing, healthcare leaders are putting healthcare data sharing and interoperability high on their priority lists in 2019. “Technology, and the sharing of...

Healthcare Interoperability, Rule Reform Key to Value-Based Payment

by Jacqueline LaPointe

Healthcare interoperability is vital to the transition to value-based payments, the second in command at HHS recently stated at the Office of the National Coordinator for Health Information Technology...

AHA, AAMC Sue HHS Over Site-Neutral Payment Expansion

by Jacqueline LaPointe

The American Hospital Association (AHA), Association of American Medical Colleges (AAMC), and three healthcare organizations are suing HHS over a new site-neutral payment policy slated to take effect...

HHS Unveils Plans to Increase Healthcare Competition, Choice

by Jacqueline LaPointe

Deregulation is at the top of HHS’ mind, according to a new blueprint on increasing healthcare competition and choice from several White House agencies. HHS, along with the Departments of the...

HHS to Implement 340B Drug Price Ceiling, Penalties in Jan 2019

by Jacqueline LaPointe

After several delays, HHS will implement drug price ceilings and civil monetary penalties for manufacturers under the 340B Drug Pricing Program in 2019, according to a final rule from the HHS...

Hospitals to See More 340B Drug Pricing Program Oversight, Azar Says

by Jacqueline LaPointe

According to HHS Secretary Alex Azar, hospitals should expect greater transparency and oversight of the 340B Drug Pricing Program to track how the program’s benefits are used to improve care for...

HHS Mulls Private Sector Dialogue to Foster Healthcare Innovation

by Jacqueline LaPointe

HHS is floating the idea of creating a workgroup of private healthcare companies to advise the federal department on healthcare innovation and investment, according to a new Request for Information...

Accelerating the Value-Based Payment Transition Top HHS Priority

by Jacqueline LaPointe

Quickening the pace of the value-based payment transition is a major focus for HHS, the department’s new Secretary Alex Azar recently told attendees of the Federation of American Hospitals’...

Drug Prices, Medicaid Reform Major Themes in Trump’s HHS Budget

by Jacqueline LaPointe

President Trump plans to decrease HHS funding by about 21 percent compared to 2017, while focusing the federal department’s budget on prescription drug prices reductions and Medicaid reform,...

Senate Confirms Former Pharma Exec Alex Azar as Next HHS Secretary

by Jacqueline LaPointe

Former Eli Lilly executive Alex Azar will now head the Department of Health and Human Services (HHS) after Senators confirmed his nomination this afternoon in a 55 to 43 vote. The Trump Administration...

Voluntary Bundled Payments Launch, HHS Nominee Backs Mandatory APMs

by Jacqueline LaPointe

CMS announced a new voluntary bundled payments opportunity starting in late 2018 on the same day that HHS Secretary nominee Alex Azar seemingly backed mandatory alternative payment models during a...