Health Care Policy

  • AI Regulations Coming: 5 Things To Know

    Artificial intelligence is everywhere, including throughout health care and life sciences. Like most innovations though, AI is well ahead of the regulations and laws that might be needed to govern it. This week the President tasked the federal government to establish guidance and regulations around AI. Read on for how this could impact you and your organization.

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  • Making Care Primary Model Details

    The federal Making Care Primary model is now accepting applications but only through November 30. Interested in learning more or applying? You’ll want to read on for details.

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  • Emerging Options for Health Care in Rural and Underserved Communities

    Access to care can be difficult in some rural and underserved communities. We highlight some opportunities to consider to help bridge these gaps. From mobile health units and telehealth to Rural Emergency Hospitals and innovative partnerships, make sure to read on for more insights.

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  • 5 Questions on a Government Shut-Down

    The clock is ticking for Congress to pass a budget or face a government shutdown. What does a shutdown mean? Will Medicare payments still be made? What about the economy? Where do things stand? We answer your top five questions. Read on.

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  • Dementia Care Model Announced

    Better care for those with dementia and their caregivers is the goal of the new Medicare GUIDE model. The newly released model is an opportunity for physicians, home health, assisted living facilities, ACO REACH, shared savings ACOs and more. Read on for details.

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  • New Opportunities For FQHCs, Rural Health Clinics

    From behavioral health policies to telehealth and care management codes, there are new opportunities emerging for federally qualified health centers and rural health clinics. You’ll want to read on for details.

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  • CMS Releases Proposed Nursing Home Minimum Staffing Rule

    The much-anticipated proposed rule creating minimum staffing levels in nursing homes has been released by CMS. This was right on the heels of an inadvertent posting of CMS’s new staffing study. We have your high-level overview of both the staffing requirements and recent report.
    Read on for details.

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  • Making Care Primary: A Run-Down on CMMI’s Newest Value Model

    Primary care is a lynchpin to patient wellness as well as a foundational element to value-based payment approaches. The newest primary care model — Making Care Primary — was recently announced by the CMS Innovation Center. It offers three different tracks, six different payments and an opportunity for primary care practices, including FQHCs, to start or continue their value-based journey.

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  • CMS Returning $9 Billion to 340B Hospitals; All OPPS Hospitals Face 16 years of Cuts

    After the U.S. Supreme Court ruled in their favor, 340B hospitals will be pleased to see $9 billion in lump sum payments returned to them under CMS’s proposed remedy. However, all hospitals paid under the outpatient prospective payment system will see reimbursement reductions. Read on to learn why.

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  • Congress Turning Attention on Hospitals

    Even though hospitals and health systems may still be recovering from various pandemic-related impacts, that is not stopping Congress from looking into key issues. We provide our outlook on four of those focus areas — site neutral payments, price transparency, 340B and consolidation — and then what you can do about them.

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