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Category: Regulatory


Regulatory

22 states petition CMS to repeal health worker vaccine mandate

November 18, 2022

Via: Healthcare Dive

The rule requires hospitals, ambulatory surgery centers, nursing homes and other healthcare facilities to ensure staff are fully vaccinated or risk losing Medicare and Medicaid funding. In January the Supreme Court upheld the mandate in a 5-4 decision, ruling the […]


Regulatory

HHS to look at MA risk adjustment as upcoding in spotlight

November 17, 2022

Via: Healthcare Dive

Despite criticisms over inaction, the HHS is aware of the flurry of fraud in the Medicare Advantage program that’s costing the government billions of dollars a year, and is thinking about how to curb it, department officials said at HLTH […]


Regulatory

Medical group asks Congress to offset Medicare payment cuts

November 15, 2022

Via: Healthcare Dive

Congress appropriated billions of dollars in additional funding over two years to avoid cuts to Medicare payments during the COVID-19 pandemic. Provider groups last year successfully lobbied lawmakers to delay a 4.5% Medicare payment reduction until 2023. The 4.5% across-the-board […]


Regulatory

Medicare Fines for High Hospital Readmissions Drop, but Nearly 2,300 Facilities Are Still Penalized

November 14, 2022

Via: Health IT Answers

The federal government has eased its annual punishments for hospitals with higher-than-expected readmission rates in an acknowledgment of the upheaval the covid-19 pandemic has caused, resulting in the lightest penalties since 2014. The Hospital Readmissions Reduction Program has been a […]


Regulatory

Abortion access, Medicaid expansion, medical debt on state ballots

November 8, 2022

Via: Healthcare Dive

Ballot measures in five states will ask voters to weigh in Tuesday on whether to protect or restrict abortion access, following the Supreme Court’s decision earlier this year to overturn Roe v. Wade and the constitutional right to an abortion. […]


Regulatory

Medicare Fines for High Hospital Readmissions Drop, but 2,300 Facilities Are Still Penalized

November 1, 2022

Via: Kaiser Health News

The federal government has eased its annual punishments for hospitals with higher-than-expected readmission rates in an acknowledgment of the upheaval the covid-19 pandemic has caused, resulting in the lightest penalties since 2014. The Hospital Readmissions Reduction Program has been a […]


Regulatory

An Abortion Rights Question on the California Ballot Revives the Debate Over ‘Viability’

October 25, 2022

Via: Kaiser Health News

As California voters decide whether to amend their state constitution to explicitly protect abortion rights, lawmakers still do not agree on whether the amendment would enshrine those rights, which by state law allow abortion up to 24 weeks, or expand […]


Regulatory

5 Things to Know About Montana’s ‘Born Alive’ Ballot Initiative

October 20, 2022

Via: Kaiser Health News

Montana voters will decide Nov. 8 whether to approve a ballot initiative declaring that an embryo or fetus is a legal person with a right to medical care if it survives an abortion or delivery. The measure would impose severe […]


Regulatory

Hospital price transparency ‘moving in the right direction’

October 18, 2022

Via: Healthcare Dive

Initial assessments of hospital efforts to meet the new regulation were critical, and the CMS increased fines for noncompliance. An analysis from PatientRightsAdvocate.org released last week suggested problems with hospitals posting incomplete price lists. The CMS rule, which took effect […]


Regulatory

States need help to enforce mental health parity laws, report finds

October 17, 2022

Via: Healthcare Dive

The United States faces a growing mental health crisis that has been exacerbated by the COVID-19 pandemic. Almost 53 million Americans in 2020 reported being affected by mental illness, according to the HHS. President Joe Biden has made tackling the […]


Regulatory

5 Things to Know About Colorado’s Psychedelics Ballot Initiative

October 14, 2022

Via: Kaiser Health News

Colorado could become the second state after Oregon to allow the use of certain psychedelic substances that are illegal under federal law. But while Oregon voters in 2020 approved the supervised use of psychedelic mushrooms, the citizen initiative on the […]


Regulatory

Lawsuit by KHN Prompts Government to Release Medicare Advantage Audits

October 14, 2022

Via: Kaiser Health News

Federal health officials have agreed to make public 90 audits of private Medicare Advantage health plans for seniors that are expected to reveal hundreds of millions of dollars in overcharges to the government. The Centers for Medicare & Medicaid Services […]


Regulatory

Abortion Bans Are Motivating Midterm Voters, Poll Shows

October 12, 2022

Via: Kaiser Health News

Half of voters say the Supreme Court’s decision overturning the constitutional right to an abortion has made them more motivated to vote in next month’s midterm elections, with enthusiasm growing especially among Democrats and those living in states with abortion […]


Regulatory

FDA approves Multi Radiance Medical’s laser therapy for fibromyalgia pain

October 5, 2022

Via: Medical Device Network

The US Food and Drug Administration (FDA) has approved Multi Radiance Medical’s (MRM) FibroLux laser therapy to treat pain related to fibromyalgia. The new patent-pending therapy uses a photoceutical approach to provide a non-pharmacological, non-invasive and side-effect-free treatment for fibromyalgia […]


Regulatory

NYT investigation finds Providence pressured poor patients to pay

September 26, 2022

Via: Healthcare Dive

A New York Times investigation found that Providence, one of the nation’s largest health systems, pressured patients into paying their medical bills — even those who were eligible for financial assistance. Instead, the system devised a business strategy to get […]


Regulatory

Texas Medical Association files another lawsuit over surprise billing ban

September 23, 2022

Via: Healthcare Dive

The NSA, which went into effect in January, aims to protect patients from unexpected and costly medical bills when they unknowingly receive care from an out-of-network provider. Instead of seeking payment from the patient, providers and payers can go through […]


Regulatory

Bipartisan Senate bill aims to boost mental health access, improve worker shortages

September 22, 2022

Via: Healthcare Dive

The Senate Finance Committee on Thursday released a bipartisan-supported discussion draft bill that aims to increase mental health access and improve mental health workforce shortages. The draft bill proposes to fill the gap in mental healthcare worker shortages by funding […]


Regulatory

Judge denies DOJ’s move to block $13B UnitedHealth, Change deal

September 20, 2022

Via: Healthcare Dive

A federal judge denied the Department of Justice’s attempt to block UnitedHealth Group’s $13 billion purchase of Change Healthcare, delivering a win on Monday to the healthcare giant as its reach continues to expand. Judge Carl Nichols’ ruling follows an […]


Regulatory

Doctors Rush to Use Supreme Court Ruling to Escape Opioid Charges

September 19, 2022

Via: Kaiser Health News

Dr. Nelson Onaro conceded last summer that he’d written illegal prescriptions, although he said he was thinking only of his patients. From a tiny, brick clinic in Oklahoma, he doled out hundreds of opioid pills and dozens of fentanyl patches […]


Regulatory

Congressman calls on HHS to investigate HCA over emergency room admissions

September 16, 2022

Via: Healthcare Dive

New Jersey Rep. Bill Pascrell wants federal health regulators to investigate the nation’s largest for-profit hospital operator. The Democrat sent a letter to HHS Secretary Xavier Becerra this week urging him to launch an inquiry into HCA Healthcare’s emergency department […]