Policy and Regulation

House Votes to Declassify COVID-19 Origins, EPA Proposes PFAS Limits

by Hayden Schmidt

In policy news this week, Congress is demanding to reveal the origins of COVID-19 after conflicting reports of the virus’s origins arose. Meanwhile, the EPA plans to set strict limits on certain...

VA EHR May Gain Biden Budget Boost as Congress Threatens Cuts

by Hayden Schmidt

In the news this week, continued turmoil for the Department of Veterans Affairs (VA) EHR project, and the FDA released several changes to its mammography regulations that hope to improve the breast...

VA Deputy Secretary Gone Amid EHRM Row, DEA Proposes New Telemedicine Rule

by Hayden Schmidt

In the news this week, the Department of Veterans Affairs (VA) took another blow to its EHR modernization (EHRM) project after the man in charge of running the campaign stepped down. Meanwhile, the DEA...

Humana’s Shift to Public Insurance, CMS Proposes Changes to DSH Program

by Hayden Schmidt

This week, CMS proposed a rule that would update requirements for the Disproportionate Share Hospital (DSH) program following the Consolidated Appropriations Act of 2021. And insurance giant Humana...

CMS Pauses Payment Determinations, Senators Introduce SAFER Health Act

by Hayden Schmidt

This week CMS decided to pause all payment determinations from certified independent dispute resolution (IDR) entities following a Texas district court decision. Meanwhile, a bill recently debuted in...

VA EHR Project to Resume in 2023 Following Setbacks and Staff Layoffs

by Hayden Schmidt

Policy news this week includes updates on the Oracle Cerner Electronic Health Record Modernization (EHRM) project and news about an emerging pro-Russian hacktivist group threatening the US healthcare...

CDC Finds 3,500 Long COVID Deaths, Healthcare Spending Reaches $4.3T

by Hayden Schmidt

In this week’s policy roundup, the annual CMS accounting report found that healthcare expenditures slowed compared to 2020 but still reached $4.3 trillion in 2021. And a CDC study looking at...

Public Health Officials Mull Mask Mandates, CDC Renews Palantir Contract

by Hayden Schmidt

State health officials are publicly considering the benefits of another mask mandate as hospitals and health infrastructure struggle to bear the pressure of rising RSV, influenza, and COVID-19 cases....

States Look to Repeal Vaccine Mandate and Ask Apple to Improve Data Privacy

by Hayden Schmidt

A group of 10 state attorneys general wrote a letter to Apple’s Tim Cook asking the CEO to improve health data privacy in its app store in the wake of Roe v. Wade’s undoing. Meanwhile,...

Preparing For Growing Telehealth Fraud Enforcement

by Anuja Vaidya

As federal authorities increasingly crack down on instances of fraud and abuse within the telehealth arena, providers need to remain vigilant about their use of the care modality as regulations...

How Telehealth Legislation Will Evolve During the Pandemic & Beyond

by Anuja Vaidya

The significant spike in the use of telehealth during the COVID-19 pandemic was made possible by numerous legislative waivers that were quickly enacted as in-person care stalled. Two years later, many...

How 3 Policies are Changing the Healthcare Payer Landscape

by Hayden Schmidt

In a new report from Insights by Xtelligent Healthcare Media, three recent healthcare rules are examined and their effects on payers are measured. The first of the three regulations examined, the No Surprises Act, aims to protect...

States Expand CMS Operations, NIH Director Resigns

by Hayden Schmidt

Funds from the American Rescue Plan were used in several states to initiate healthcare marketplaces. Kentucky, Maine, and New Mexico joined 14 other states that had already established their...

Administration Tackles Access to Care, FTC Expands Breach Rule

by Hayden Schmidt

The Biden-Harris administration continues its focus on expanding healthcare access as CMS and HHS announce three new initiatives that increase access to Medicare, Medicaid, and maternal care across the...

How Does the Healthcare Industry Lower Prescription Drug Spending?

by Emily Sokol, MPH

The exponential cost of prescription drugs has long been a debate in the United States. While many solutions have been proposed, few have been successful. From rate negotiations to pricing cap limits, no strategy to cut prescription drug...

Policymaking May Play A Bigger Role in Health Equity Post-COVID

by Kelsey Waddill

Health equity was a key subject in healthcare prior to the coronavirus pandemic, but the events and the toll of 2020 took the conversation around improving health equity to a new level. Listen to the...

Post-Pandemic Telehealth Optimization Needs Regulatory Support

by Emily Sokol, MPH

Live video conferencing is the most common telehealth technology employed by provider organizations, so post-pandemic telehealth growth is expected for other telehealth modalities like remote patient...

How Payers Can Keep the Big Vision of Interoperability in Sight

by Kelsey Waddill

As payers prepare to comply with specific CMS interoperability deadlines, it is critical that they keep in mind the overarching goals of interoperability, not just the compliance details. Listen to...

COVID-19 Vaccine Access Expands; Proposed Bills Push to Increase Telehealth Availability

by Emily Sokol, MPH

President Biden exceeded his goal to deliver 100 million COVID-19 vaccines during his first 100 days in office, delivering 100 million vaccines in 58 days. Now, his administration is pushing to further...

Preparing Healthcare CFOs for Business During a Biden Presidency

by Jacqueline LaPointe

For many voters, the 2020 presidential election was less about red and blue and more about white, as in the white coat. Healthcare was a dominant issue in the race between the incumbent President Donald J. Trump and Democratic runner Vice...

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