Policy & Regulation

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

by Sarai Rodriguez

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

by Jacqueline LaPointe

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

by Sarai Rodriguez

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...

Providers Dodged Major Medicare Payment Cuts But More Work To Be Done

by Jacqueline LaPointe

Healthcare providers have evaded a nearly 10 percent reduction to their Medicare payments in 2022 thanks to swift Congressional action. However, more work still needs to be done to support physicians and hospitals as they navigate a...

Appeals Court Allows Healthcare Vaccine Mandate in 26 States

by Jacqueline LaPointe

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...

Senate Scraps Medicaid DSH Cuts in Latest Build Back Better Act

by Jacqueline LaPointe

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...

Some Hospitals, Health Systems Go Back on Vaccine Mandates

by Jacqueline LaPointe

Major hospitals and health systems that previously implemented COVID-19 vaccine mandates have lifted requirements their staff get the jabs in order to work. Some of the organizations include HCA...

Legislation Stopping Medicare Payment Cuts Clears Congress

by Jacqueline LaPointe

UPDATE 12/10/2021: In a 59 to 35 vote on Thursday, the Senate passed legislation that will prevent statutory Medicare payment cuts from taking effect next year. The bill cleared the House earlier this...

House Dems Look to Prevent Medicare Payment Cuts

by Jacqueline LaPointe

UPDATE 12/08/2021: A deal has been reached to avert some of the pending Medicare payment cuts. Congressman Steven Horsford (D-NV) and Congresswoman Kim Schrier (D-WA) introduced the...

Surprise Billing Regulation Faces Pushback from Medical Groups

by Sarai Rodriguez

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

by Jacqueline LaPointe

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...

Hospital Groups Want Congress to Delay 2% Medicare Sequester Cuts

by Sarai Rodriguez

UPDATE 12/03/2021: Congress passed a continuing resolution Thursday night, averting a government shutdown. However, it did not address pending cuts to Medicare reimbursement for hospitals and...

Courts Block COVID-19 Vaccine Mandate for Healthcare Workers

by Jacqueline LaPointe

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...

HHS Report: State Surprise Billing Laws Offer Limited Protection

by Jacqueline LaPointe

A new report from researchers in HHS' Office of the Assistant Secretary for Planning and Evaluation (ASPE) shows that most states have enacted laws to protect consumers from surprise billing,...

Administration Invests $1.5B to Address Healthcare Workforce Shortage

by Sarai Rodriguez

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...

Bipartisan Bill Addresses Distribution Delays in Provider Relief Fund

by Sarai Rodriguez

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

by Sarai Rodriguez

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

by Sarai Rodriguez

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

by Jacqueline LaPointe

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

by Sarai Rodriguez

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...