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Policy and Legislation

By Madelyn Kearns | 11:32 am | July 17, 2013
From the financial pangs at the pointy ends of the Affordable Care Act (ACA) to the frustrations and economic hardships courtesy of health information technology (HIT), a new physician outlook survey reveals the top challenges and concerns of physicians today.
By Ken Perez | 11:29 am | July 17, 2013
One would think, given the title of the CMS press release, "Pioneer Accountable Care Organizations succeed in improving care, lowering costs," that the first year of the advanced ACO program was an across-the-board roaring success. But upon closer examination, the report card would appear to be rather checkered.
By Erin McCann | 02:17 pm | July 16, 2013
A year into the Pioneer ACOs program and participating organizations are already showing reductions in costs and improvements in care, the Centers for Medicare & Medicaid Services announced Tuesday.
By Mary Mosquera | 09:35 am | July 16, 2013
More than half of private companies are finding themselves ahead of the government's employer insurance requirements now that the Treasury Department has delayed compliance until 2015.
By Mary Mosquera | 10:47 am | July 12, 2013
Insurer WellPoint will pay a $1.7 million fine to the federal government to settle potential HIPAA violations, announced the Health and Human Services Department said late Thursday.
By Kelsey Brimmer | 10:52 am | July 11, 2013
The Centers for Medicare & Medicaid Services' 2014 proposed rules for the hospital outpatient prospective system, released earlier this week, offer payment increases and "packaging" of services.
By Stephanie Bouchard | 09:20 am | July 11, 2013
A federal court judge in Chicago Tuesday dismissed a whistle-blower case against long-term care pharmacy provider, Omnicare, following the finalization of an undisclosed settlement that took nearly a year to hammer out.
By Frank Irving | 12:37 pm | July 09, 2013
Under a proposed rule issued this week, CMS would make a separate payment to physicians for managing select Medicare patients' care needs beginning in 2015. Currently, Medicare only pays for primary care management services as part of a face-to-face visit.
By Robert Laszewski | 10:20 am | July 09, 2013
The administration suddenly announced tonight that the requirement that all employers with 50 or more workers offer health insurance has been delayed until 2015.
By Debra A. McCurdy | 11:10 am | July 08, 2013
As part of the CY 2014 Medicare end stage renal disease prospective payment system proposed rule, CMS is proposing updates to three Medicare durable medical equipment, prosthetics, orthotics, and supplies policies.