Policy and Regulation

Healthcare Providers Receive Most Paycheck Protection Program Loans

by Jacqueline LaPointe

So far, healthcare providers and social assistance businesses have received the largest percentage of Paycheck Protection Program loans, according to new federal data. Healthcare and social assistance...

CMS Proposes Medicare Payment for Use of Home Dialysis Machines

by Jacqueline LaPointe

CMS is proposing to expand eligibility for an add-on Medicare payment to include certain home dialysis machines. The End-State Renal Disease (ESRD) Prospective Payment System (PPS) rule proposed on...

President Signs Off on Paycheck Protection Program Extension

by Jacqueline LaPointe

Small healthcare providers can still apply for a Paycheck Protection Program loan, according to a new law signed by the president over the holiday weekend. On July 4, 2020, the White House announced...

AHA’s List of COVID-19 Flexibilities That Should Stay and Go

by Jacqueline LaPointe

As the country entered both a national emergency and public health emergency, CMS implemented a range of COVID-19 flexibilities, including waivers that enabled hospitals and health systems to increase...

Hospitals Call for Delay of Price Transparency Rule Due to COVID-19

by Jacqueline LaPointe

Hospital groups are urging HHS to delay requirements mandating the public disclosure of privately negotiated rates about a week after a federal judge dismissed their case challenging the upcoming price...

Beyond the Pandemic: Telemedicine Reimbursement and Health Policy

by Jacqueline LaPointe

In the wake of the first confirmed cases of COVID-19 in the US, policymakers quickly relaxed long-standing healthcare regulations, including telemedicine reimbursement and healthcare fraud prevention...

AHA Wants Extension of Emergency Declaration, COVID-19 Flexibilities

by Jacqueline LaPointe

Healthcare providers will still need key COVID-19 flexibilities beyond the end of HHS’ public health emergency declaration on July 25, 2020, the American Hospital Association (AHA) recently told...

New Paycheck Protection Program Rules to Aid Small Providers

by Jacqueline LaPointe

Healthcare providers and other small business owners participating in the Paycheck Protection Program will have more flexibility to use the funds on non-payroll expenses. For more coronavirus updates,...

CMS Extends Next Generation ACO Model, Offers APM Flexibilities

by Jacqueline LaPointe

As healthcare providers continue to respond to the COVID-19 crisis, CMS is granting key flexibilities to participants in alternative payment models (APMs) managed by the agency’s Innovation...

Providers Must Act Today to Receive Additional Coronavirus Relief

by Jacqueline LaPointe

Providers need to take action by today to be eligible for additional coronavirus relief payments, HHS warned on its website. For more coronavirus updates, visit our resource page, updated twice...

OIG to Audit $50B in Coronavirus Relief Funds Given to Providers

by Jacqueline LaPointe

The Office of the Inspector General (OIG) at HHS recently announced that it will audit the distribution of $50 billion in coronavirus relief funds to hospitals and other eligible healthcare...

ACOs Want Later Dropout Date for Medicare Shared Savings Program

by Jacqueline LaPointe

Accountable care organizations (ACOs) are calling for more support during the coronavirus pandemic, including more time to decide whether to continue participation in the Medicare Shared Savings...

Latest Coronavirus Relief Bill Seeks Another $100B for Providers

by Jacqueline LaPointe

A new coronavirus relief bill is looking to give providers another $100 billion in grants for healthcare-related expenses and lost revenue directly attributable to the public health emergency resulting...

Healthcare Organizations Unsure of Stimulus Relief Package Impact

by Emily Sokol, MPH

Stakeholders are unsure how the recent stimulus aid package will impact their healthcare organization while battling the coronavirus, largely because many of the details regarding the aid are still...

Hospital Payer Mix Influenced Size of Coronavirus Relief Funding

by Jacqueline LaPointe

Hospital payer mix played a large role in how much hospitals received from the recent $50 billion in federal coronavirus relief funding, Kaiser Family Foundation revealed in a new analysis. For more...

AHA Slams CMS for Advancing Hospital Price Transparency Rule

by Jacqueline LaPointe

A leading hospital group criticized CMS for its latest efforts to move forward with hospital price transparency requirements that will require hospitals to disclose their privately negotiated rates to...

CMS Proposes to Increase Inpatient Medicare Reimbursement by 1.6%

by Jacqueline LaPointe

Inpatient Medicare reimbursement could increase by 1.6 percent in the fall, according to a newly proposed rule from CMS. Announced earlier today, the proposed rule would update the Inpatient...

Few States Have Robust Healthcare Price Transparency Laws

by Jacqueline LaPointe

Massachusetts, Alaska, and Minnesota are among the states with the most comprehensive healthcare price transparency laws, which require providers, payers, or both to disclose costs to consumers, a new...

How COVID-19 Imperiled Physician Practices, And How to Save Them

by Jacqueline LaPointe

Some have heard the ringing of the death knell for physician practices for years now. Mergers and acquisitions, industry consolidation, value-based care, and the growing presence of private equity firms in healthcare have all threatened...

Hospitals Ask for Relief from Healthcare Fraud Laws During COVID-19

by Jacqueline LaPointe

Leading hospital groups are urging the Department of Justice to ease penalties from the Anti-Kickback Statute and other federal healthcare fraud laws during the COVID-19 public health emergency. For...