Regulations and Regulatory Advocacy
AHA letter requesting the Biden Administration exercise enforcement discretion with respect to compliance with the Centers for Medicare & Medicaid Services’ hospital price transparency final rule requiring hospitals to make public, effective Jan. 1, 2021, all of the rates they negotiate with…
The Centers for Medicare & Medicaid Services (CMS) Dec. 1 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2021. The rule also adopts several policies to implement year five of the quality payment program (QPP) created by the Medicare Access and CHIP…
The Centers for Medicare & Medicaid Services Dec. 2 issued its calendar year (CY) 2021 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) final rule. In addition to standard updates, the rule maintains previous payment cuts for certain drugs purchased under the 340B…
Summary of two final rules from the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (OIG) that will modernize and make important changes to physician self-referral (Stark law) and federal Anti-kickback statute (AKS)…
The Department of Health and Human Services should withdraw a proposed rule that would require it to assess a regulation periodically to determine whether it has a significant economic impact on small entities and, if so, review the regulation to determine whether to retain, modify or eliminate it…
AHA comments on the Department of Health and Human Services’ proposed rule to set expiration dates for its regulations (subject to certain exceptions), unless the department periodically assesses the regulations to determine if they are subject to review, and if they are, performs a review. Subject…
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CMS Announces Geographic Direct Contracting Model
The Centers for Medicare & Medicaid Services (CMS) Nov. 25 announced several flexibilities aimed at allowing health care services to be provided outside of a hospital setting in response to the surging COVID-19 pandemic.
The Department of Health and Human Services seeks comments for 30 days from health care providers and other stakeholders on the need to make permanent any regulatory flexibilities the agency has implemented in response to the COVID-19 public health emergency.
The Centers for Medicare & Medicaid Services (CMS) Nov. 20 released an interim final rule implementing the Most Favored Nation (MFN) Model, a new payment model through the Center for Medicare and Medicaid Innovation (CMMI) that will cut Medicare Part B payments for certain drugs to the lowest…