Orlando Regulatory

CMS Final Rule Addresses the Prior Authorization Process

Jan 15, 2021 at 09:51 pm by pj

Final rule gives providers access to patient treatment histories, and streamlines prior authorization to improve patient experience and alleviate burden for health car.... Read More

Even With Senate Control, Democrats Will Need Buy-In From GOP on Key Health Priorities

Jan 12, 2021 at 04:10 pm by pj

By Emmarie Huetteman, Kaiser Health News Democrats have argued for more generous pandemic relief, more pressure on drugmakers to lower prices and.... Read More

Biden’s First Order of Business May Be to Undo Trump’s Policies, but It Won’t Be Easy

Jan 12, 2021 at 04:02 pm by pj

By Julie Rovner, Kaiser Health News The party split in Congress is so slim that, even with Democrats technically in the majority, passing major health.... Read More

CMS Issues Final Rule to Create New Payment Methods for Innovative New Therapies Based on Outcomes

Dec 22, 2020 at 11:34 am by pj

The Final Rule updates provisions to promote value-based payment for prescription drugs. As part of a longstanding commitment to lowering drug price.... Read More

Farmworkers, Firefighters and Flight Attendants Jockey for Vaccine Priority

Dec 15, 2020 at 03:55 pm by pj

By Rachel Bluth and Phil Galewitz, Kaiser Health News Governor DeSantis Weighs In With front-line health worker.... Read More

Trump Plan May Set Clock Ticking on Many Health Rules

Dec 15, 2020 at 03:49 pm by pj

By Phil Galewitz, Kaiser Health News The Trump administration wants to require the Department of Health and Human Services to review most of its regulation.... Read More

CMS Proposes New Rules to Address Prior Authorization and Reduce Burden on Patients and Providers

Dec 10, 2020 at 04:53 pm by pj

Improving patient and provider access to medical records and reforming prior authorization processes critical in a public health emergency The Centers for Medicare &a.... Read More

In Becerra, an HHS Nominee With Political Skill But No Front-Line Health Experience

Dec 08, 2020 at 04:55 pm by pj

By Rachana Pradhan and Angela Hart and Julie Rovner and Jenny Gold Xavier Becerra, President-elect Joe Biden’s choice.... Read More

Administration Finalizes Policies to Give Medicare Beneficiaries More Outpatient Surgery Options

Dec 02, 2020 at 05:06 pm by pj

Outpatient Prospective Payment System and Ambulatory Surgical Center final rule empowers beneficiary choices and unleashes competition to lower costs and improve innov.... Read More

CMS Updates Coverage Policies for Artificial Hearts and Ventricular Assist Devices (VADs)

Dec 01, 2020 at 09:05 pm by pj

Updated policy provides enhanced patient-centered access to Artificial Hearts and Ventricular Assist Devices for Medicare beneficiaries The Centers for Medicare & Medicai.... Read More

Administration Finalizes Permanent Expansion of Medicare Telehealth Services and Improved Payment for Time Doctors Spend with Patients

Dec 01, 2020 at 06:21 pm by pj

The Centers for Medicare & Medicaid Services (CMS) released the annual Physician Fee Schedule (PFS) final rule, prioritizing CMS’ investment in primary care.... Read More

Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription Drugs

Nov 22, 2020 at 09:45 pm by pj

By Harris Meyer, Kaiser Health News Health insurance companies will have to give their customers estimated out-of-pocket costs for prescription drugs and disclos.... Read More

CMS Takes Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment

Nov 10, 2020 at 08:03 pm by pj

Coverage Available at No Cost to Beneficiaries Across Variety of Settings in Health Care System The Centers for Medicare & Medicaid Services announced that starti.... Read More

What to Know with ACA in the Supreme Court - Again

Nov 10, 2020 at 11:42 am by pj

By Julie Rovner, Kaiser Health News The Supreme Court on Tuesday will hear oral arguments in a case that, for the third time in eight years, could result i.... Read More

Administration Announces Medicaid and CHIP Managed Care Final Rule, Continues Commitment for Greater Flexibility to States

Nov 09, 2020 at 02:09 pm by pj

Final rule improves balance of federal oversight and state flexibility while maintaining critical beneficiary and quality of care protections The Centers for Medicare.... Read More