Regulations and Regulatory Advocacy

We鈥檙e 11 days into 2019 鈥 we鈥檝e returned to a divided government 鈥nd the partial government shutdown continues.
The Centers for Medicare & Medicaid Services today issued a rule finalizing changes to the Medicare Shared Savings Program, including to the structure of payments made to accountable care organizations and other aspects of participation in the MSSP.
The Centers for Medicare & Medicaid Services yesterday released answers to additional frequently asked questions on a fiscal year 2019 inpatient prospective payment system final rule provision requiring hospitals to publicly post their charges in a machine-readable format at least annually.
AHA today urged the United States Pharmacopeial Convention to delay by at least 18 months the effective dates for its general chapter <797> pharmaceutical compounding and general chapter <800> hazardous drug handling in health care settings, as well as proposed revisions to general鈥
The final rule updates physician fee schedule payments for CY 2019 and finalizes several policies to implement year three of the Quality Payment Program created by the Medicare Access and CHIP Reauthorization Act of 2015. See the AHA Regulatory Advisory for a detailed summary, key takeaways and AHA鈥
Download the full Regulatory Advisory (PDF) below The payment update for CY 2019 is relatively straight forward; however, the substantial re-design for CY 2020 brings a complex transformation to the field. Overall, we support the design of the new model, which shifts resources to the medically-鈥
Download the Advisory as a PDF below. The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2019. The rule also finalizes several policies to implement year three of the Quality Payment Program (鈥
Health and Human Services Secretary Alex Azar yesterday declared a public health emergency in California due to the wildfires, and waived or modified certain Medicare, Medicaid and Children鈥檚 Health Insurance Program requirements to help health care providers meet patients鈥 needs.
Voters in Palo Alto and Livermore, Calif., Tuesday rejected union-backed municipal ballot measures that would have imposed an 鈥渁cceptable payment amount鈥 on the compensation hospitals and other medical providers can receive from insurers and certain other payers for the care provided to patients.
The Centers for Medicare & Medicaid Services yesterday extended the timeline for publishing a final rule revising discharge planning requirements for hospitals, critical access hospitals and home health agencies to Nov. 3, 2019.