Policy and Regulation

CMS Reveals More Flexibility with Medicare Payment, MSSP Changes

by Jacqueline LaPointe

In an effort to bolster the healthcare system’s response to COVID-19, CMS recently unveiled additional Medicare payment flexibilities for providing telehealth, value-based care, and care outside...

Medical Groups Slam CMS For Suspending Advance Payment Program

by Jacqueline LaPointe

The American Medical Group Association (AMGA) is calling on CMS to reverse its decision to end the Advance Payment Program (APP) for the remainder of the COVID-19 crisis. For more coronavirus...

HHS Unveils Plan to Divvy Up Rest of $100B Provider Relief Fund

by Jacqueline LaPointe

HHS recently announced its plans for distributing the rest of the $100 billion provider relief fund from the Coronavirus Aid, Relief and Economic Security (CARES) Act, including $10 billion to...

Hospitals Slated to Get $75B from New Coronavirus Relief Bill

by Jacqueline LaPointe

UPDATED 04/24/2020: The House passed the coronavirus relief bill on April 23. The bill is on the president's desk. Hospitals are to get another $75 billion in emergency funding for combatting...

CMS Issues Guidance on Resuming Elective Services in Certain Areas

by Jacqueline LaPointe

As COVID-19 outbreaks start to wane in certain areas, CMS is releasing guidance on resuming non-emergent, elective services to non-coronavirus patients without symptoms. For more coronavirus updates,...

AMA Shares Wishlist for Physician Practice Relief During COVID-19

by Jacqueline LaPointe

The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) was a meaningful step in helping the healthcare system manage the COVID-19 crisis, but more needs to be done in “phase...

Senate Dems Want $100B Distributed Based on COVID-19 Hotspots

by Jacqueline LaPointe

Healthcare providers in COVID-19 hotspots should get the rest of the $100 billion in emergency funds from the Coronavirus Aid, Relief and Economic Security (CARES) Act, Democratic Senators recently...

CMS Unveils More Flexibilities to Maximize Healthcare Workforce

by Jacqueline LaPointe

In an effort to maximize the healthcare workforce during the COVID-19 pandemic, CMS is now allowing physicians to virtually treat patients at rural hospitals and nurse practitioners to perform more...

2.3% Medicare Payment Hike Planned for Skilled Nursing Facilities

by Jacqueline LaPointe

Skilled nursing facilities are slated to see a 2.3 percent, or $784 million, increase in Medicare payments in the 2021 fiscal year (FY), according to a rule proposed by CMS late on Friday. CMS also...

HHS Pays Out First Round of CARES Act Funding to Hospitals

by Jacqueline LaPointe

HHS is starting to distribute the more than $100 billion in emergency funding from the Coronavirus Aid, Relief and Economic Security (CARES) Act, according to a recent announcement. The announcement...

AHA Asks for an Immediate $25K Per Hospital Bed to Combat COVID-19

by Jacqueline LaPointe

COVID-19 is having a significant impact on hospital operations and ultimately bottom lines, but groups like the American Hospital Association (AHA) are trying to get financial support to hospitals as...

CMS to Pay For Hospital COVID-19 Care Furnished in Other Settings

by Jacqueline LaPointe

CMS recently announced new, temporary regulatory flexibilities for hospitals battling the COVID-19 pandemic. For more coronavirus updates, visit our resource page, updated twice daily by...

CMS Offers Upfront Medicare Reimbursement During COVID-19 Pandemic

by Jacqueline LaPointe

More healthcare providers will be able to access advanced Medicare reimbursement during the COVID-19 pandemic as CMS expands the Accelerated and Advanced Payment Program. For more coronavirus updates,...

Congress Passes CARES Act Giving $100B in Hospital Funds for COVID-19

by Jacqueline LaPointe

Updated 03/27/2020: The House of Representatives has passed the Coronavirus Aid, Relief and Economic Security (CARES) Act, sending the bill to President Trump's desk awaiting signature. The bill...

Providers Ask Congress for Financial Assistance to Combat COVID-19

by Jacqueline LaPointe

Leading provider groups are calling on the federal government to protect them from financial losses stemming from the COVID-19 outbreak to ensure frontline providers have the supplies, infrastructure,...

AMA Unveils New CPT Code for Coronavirus Test

by Jacqueline LaPointe

The American Medical Association (AMA) recently announced that the CPT Editorial Panel approved a new Current Procedural Terminology (CPT) code for a novel coronavirus test. “In the face of the...

Key Waivers, Regulatory Flexibility for Providers During COVID-19

by Jacqueline LaPointe

President Trump declared the COVID-19 outbreak a national emergency last week in a move that will allow HHS to enact 1135 waivers and regulatory flexibilities to help hospitals activate emergency...

MedPAC Suggests No Medicare Payment Increase for Physicians

by Jacqueline LaPointe

The Medicare Payment Advisory Commission (MedPAC) is recommending no fee-for-service Medicare payment update for physicians and other healthcare professionals in 2021, citing good access to care for...

Out-of-Network Payment Cap Would Cut Hospital Spending by $124B

by Jacqueline LaPointe

Capping out-of-network payments to hospitals at 125 percent of Medicare rates could yield up to $124 billion in savings nationwide, making this a viable policy alternative to Medicare-for-All,...

ACOs Back Hospitalization Alerts in Final Interoperability Rule

by Jacqueline LaPointe

Accountable care organizations (ACOs) are calling a new Medicare requirement on hospitalization alerts “a win for better population health management,” the National Association of ACOs...