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policy

The committee released a discussion draft of policies to improve youth mental health, the second of an expected five discussion drafts from the committee in advance of their full mental health legislative proposal.

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policy

The order instructs the HHS Secretary to use the agency's authorities to protect LGBTQI+ individuals' access to medically necessary care.

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policy

A new advisory from U.S. Surgeon General Vivek Murthy, MD, MBA, calls for a whole-of-society approach to protect and support health workers facing burnout.

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policy

Congress last week passed aid for the Ukraine war effort but remains stalled on a $10 billion COVID-19 funding bill. A group of three House caucuses of Black, Hispanic, and Asian Pacific American lawmakers have introduced health equity legislation.

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policy

The current National Suicide Prevention Lifeline number, 1.800.273.8255, will transition to 988 on all devices on July 16.

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policy

The association urged HHS to provide funding, educate stakeholders, and build capacity to execute the 2022 Environmental Justice Strategy and Implementation Plan.

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policy

HHS urges governors to start planning for the end of the COVID-19 public health emergency; FDA authorizes a Pfizer booster vaccine for children ages 5 to 11.

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policy

New HHS initiatives focus on climate change, health equity, and the role health care stakeholders can play in promoting climate resilience.

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policy

The final rule raises the essential community provider threshold from 20 to 35 percent and uses wait time standards to evaluate qualified health plans for network adequacy.

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policy

Hospitals and other industry stakeholders are invited to pledge by June 3 to reduce greenhouse gas emissions and increase their climate resilience.

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policy

The independent dispute resolution process can be initiated to resolve payment disputes between health care providers and issuers.

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policy

Effective April 16, Health and Human Services Secretary Xavier Becerra renewed the public health emergency determination related to the continued effects of COVID-19; the determination has been in place since Jan. 27, 2020, and has been renewed every three months.

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webinar

Learn about the new Office of Climate Change and Health Equity and its partnerships with the health sector on climate resilience and emission reduction efforts.

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policy

Congressional panels will review President Joe Biden's fiscal year 2023 budget request. Sens. Robert Casey Jr. (D-Pa.) and Ron Wyden (D-Ore.) have asked the Government Accountability Office to investigate low vaccination rates among Medicaid beneficiaries.

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policy

FDA authorizes a second vaccine booster for older and immunocompromised individuals; OSHA reopens the comment period for its emergency temporary standard.

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policy

The Transportation Security Administration extends to April 18 its public transit mask mandate; HHS shares a fact sheet on the COVID-19 Test-to-Treat initiative.

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policy

The court ruled the qualifying payment amount should not be the main factor in determining payment for out-of-network services in independent dispute resolution.

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policy

President Joe Biden unveils a new COVID-19 National Preparedness Plan; FEMA extends its 100 percent federal cost share for COVID-19 efforts.

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policy

CDC announces a new community-level framework that assesses COVID-19 risk; the Biden administration unveils a new COVID-19 mitigation plan for people with disabilities.

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policy

An estimated 5.8 million people newly gained coverage during this open enrollment period; 32 percent of consumers using the federal marketplace selected a plan that costs them $10 or less per month. Enrollment remains open through Jan. 31 in five states and the District of Columbia.

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policy

The funds will reach more than 7,600 providers across the country this week; $6 billion in pledged phase 4 funds remain undistributed.

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policy

In separate bipartisan letters, lawmakers called on the Biden administration to help mitigate dire hospital workforce shortages, particularly among nurses, and protect the 340B Drug Pricing Program from harmful drug manufacturer actions.

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policy

HHS awarded $103 million to improve health care worker retention by reducing staff burnout and promoting mental wellness. Several essential hospitals were among the awardees, including the University of New Mexico, Virginia Commonwealth University, and the University of Utah.

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policy

In response to the proposed rule for the 2023 plan year, the association urged the Department of Health and Human Services to ensure equitable access, finalize nondiscrimination policies, standardize collection of Z codes, and prorate premiums and advanced premium tax credits.

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policy

The U.S. Supreme Court upheld CMS' vaccine mandate but struck down the Occupational Safety and Health Administration's mandate; President Joe Biden announced new initiatives to expand testing access.

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policy

The nomination of Robert Califf, MD, as commissioner of the Food and Drug Administration advances to the Senate floor. The Republican-led Healthy Futures Task Force issues several requests for information on telehealth policies and health care affordability.

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policy

Effective Jan. 14, Health and Human Services Secretary Xavier Becerra renewed the public health emergency determination related to the continued effects of COVID-19; the determination has been in place since Jan. 27, 2020, and has been renewed every three months.

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policy

CDC shortens the time between primary vaccine series and booster shot and recommends a Pfizer booster for adolescents; the Supreme Court hears oral arguments on two vaccine mandates; HHS requires coverage of at-home COVID-19 tests, effective Jan. 15.

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policy

The new document explains various provisions under part II surprise billing regulations, including that all financial assistance should be reflected in the good faith estimate regardless of the amount or type of discount. The new regulations take effect Jan. 1, 2022.

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policy

The legislation delays looming Medicare payment cuts and creates an expedited pathway for debt limit relief; Senate Democrats this week are expected to release legislative text for a $2 trillion debt limit increase — sufficient to last through the 2022 midterm election.

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policy

America’s Essential Hospitals commented on the second interim final rule implementing the No Surprises Act. The association urged HHS to revise good faith estimate requirements and create an IDR process that does not favor payers over providers.

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policy

A new Department of Health and Human Services report finds the share of Medicare visits conducted via telehealth increased from about 840,000 in 2019 to 52.7 million in 2020. In particular, telehealth was helpful in offsetting potential foregone behavioral health care during the COVID-19 pandemic.

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policy

The Department of Health and Human Services announced a $1.5 billion investment to help grow and diversify the nation's health care workforce through loan repayment and scholarship programs.

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policy

The new strategy from the Department of Health and Human Services expands the scope of crisis response beyond opioids to include other substances often involved in overdoses. It focuses on four priority areas: primary prevention, harm reduction, evidence-based treatment, and recovery support.

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policy

The plan — required by the Coronavirus Aid, Relief, and Economic Security Act — focuses on increasing the health workforce in rural and underserved areas and better preparing for the health care needs of the future. HHS will issue a report to Congress on implementation.

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policy

America’s Essential Hospitals and members of Congress agree: the interim rule does not accurately reflect congressional intent. Instead, it includes a lopsided IDR method that favors insurers.

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policy

FDA and CDC recommend Moderna and Janssen booster vaccines, along with heterologous booster doses; the Biden administration releases a plan to vaccinate children.

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policy

Released on Oct. 7, part II of the No Surprises Act interim final rule outlines the independent dispute resolution process for out-of-network services and protections for uninsured and self-pay patients.

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policy

Money from the American Rescue Plan will fund up to 50 awards through the Health Resources and Services Administration's State Loan Repayment Program for state-run programs that support, recruit, and retain primary care clinicians who work in underserved communities.

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policy

HHS released a Spanish version of QuestionBuilder, an app that helps patients and caregivers prepare for their in-person or telehealth appointments, along with a report on Latino patients' access to care.

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policy

An HHS report shows the COVID-19 vaccine prevented hospitalization and death in Medicare beneficiaries; Pfizer applies for emergency use authorization for its vaccine in children age 5 to 11.

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policy

HHS guidance clarifies how HIPAA applies to COVID-19 vaccination status requests; CDC urges pregnant people to get vaccinated amid a surge in hospitalizations.

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policy

The departments of Health and Human Services (HHS), Treasury, and Labor and the Office of Personnel Management issued Part II of the No Surprises Act interim final rule with comment period.

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policy

In a Sept. 20 letter, America's Essential Hospitals welcomes the announcement of additional COVID-19 relief funding but notes the methodology falls short of adequate support for safety net providers. The association urges HHS to issue another targeted safety net distribution, among other requests.

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policy

The rule, released by the Department of Health and Human Service and the Department of Treasury, extends open enrollment, adds a new special enrollment period, expands navigator responsibilities, and modifies Section 1332 innovation waivers.

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aca, hhs
policy

The comprehensive plan includes potential legislative and administrative actions that could be used to lower drug prices. The plan also notes the importance of the 340B Drug Pricing Program and its role in supporting the health care safety net.

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policy

A total of $25.5 billion will be available, including $17 billion through the Provider Relief Fund and $8.5 billion in American Rescue Plan funding for providers serving rural patients. Providers can apply for the new funding Sept. 29.

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policy

The House passed a procedural rule setting the stage for the chamber's development of a "human infrastructure" package under budget reconciliation. In a concession to moderate Democrats, the rule calls for the House to vote by Sept. 27 on the bipartisan physical infrastructure legislation.

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policy

In a letter to HHS Secretary Xavier Becerra, America's Essential Hospitals urges the agency to swiftly allocate and target remaining PRF funds, take steps to ensure adequate hospital staffing, expedite full approval of COVID-19 vaccines, and protect the nation's supply chain.

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policy

Negotiations continue on a bipartisan physical infrastructure plan after Senate Republicans blocked a procedural vote to begin formal deliberations on the framework. Republican senators opposed the legislative text because it is not final and has no Congressional Budget Office score.

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policy

As a bipartisan group of senators crafts infrastructure legislation, Senate Democrats work to develop a human infrastructure package.

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policy

The rule, released by the departments of Health and Human Services, the Treasury, and Labor and the Office of Personnel Management, bars health care insurers, carriers, and providers from billing patients more than in-network cost sharing amounts in certain circumstances.

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policy

Notable to essential hospitals, the Biden administration's July 9 executive order includes health care items related to prescription drugs, price transparency, hospital consolidation, and health insurance.

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policy

Senate Majority Leader Chuck Schumer (D-N.Y.) aims to vote on a bipartisan physical infrastructure bill, as well as a budget resolution to begin the process of advancing a "human infrastructure" package, before the chamber adjourns for its August recess.

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policy

The Department of Health and Human Services announced $250 million in grant awards to 73 local governments as part of a new initiative to identify and implement best practices for improving health literacy to enhance COVID-19 vaccination among underserved populations.

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policy

A bipartisan group of senators reached an agreement with the White House on a $1.2 trillion physical infrastructure framework that lists extending the 2 percent Medicare sequester cut as a potential method of funding the package. Lawmakers now must turn the framework into legislation.

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policy

The Biden administration proposes to rescind a Trump-era final rule requiring federally qualified health centers to charge certain low-income patients no more than the 340B Drug Pricing Program price for insulin and injectable epinephrine. Comments on the proposed rule are due July 16.

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policy

The Department of Health and Human Services revises reporting requirements and extends the deadlines for providers to use and report on the use of Provider Relief Fund payments.

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policy

The new infrastructure deal comes after months-long negotiations between the Biden administration and Senate Republicans fell apart. It includes roughly $579 billion in new spending. However, lawmakers in both parties expressed skepticism that the plan could secure enough votes to pass the Senate.

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policy

A bipartisan infrastructure plan is unlikely to pass the Senate by July. Democrats are likely to explore using budget reconciliation, but a recent parliamentarian ruling indicates they might be unable to attempt the process using the FY 2021 budget resolution.

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policy

The Centers for Medicare & Medicaid Services is issuing $80 million in grant funding for navigators in states using the federal insurance marketplace for the 2022 plan year.

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policy

FDA lengthens the refrigerator storage time for the Pfizer COVID-19 vaccine. A new CDC site aggregates state and local COVID-19 funding opportunities. The Department of Health and Human Services allocates $4.8 billion to the HRSA COVID-19 Uninsured Program.

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policy

The Senate voted to advance the nomination of Chiquita Brooks-LaSure as Centers for Medicare & Medicaid Services administrator; a full Senate vote could take place this week. America's Essential Hospitals hosted a virtual Capitol Hill briefing in recognition of the association's 40th anniversary.

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In letters to manufacturers, HHS makes a clear and forceful statement about the manufacturers’ illegal limits on access to 340B Drug Pricing Program discounts.

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policy

HHS will interpret and enforce the Affordable Care Act's prohibition on discrimination "on the basis of sex" to include sexual orientation and gender identity. The change comes in response to a Trump administration rule in June 2020 that removed protections for transgender and LGBTQ individuals.

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policy

In a letter to the HHS Office of Civil Rights (OCR), America's Essential Hospitals responds to proposed changes to privacy rules under the Health Insurance Portability and Accountability Act. OCR outlined the changes in a Jan. 21 proposed rule aiming to improve the transition to value-based care.

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policy

President Joe Biden is scheduled to meet with House and Senate lawmakers this week to discuss a bipartisan path forward on infrastructure legislation ahead of his fiscal year 2022 budget proposal. The Senate is expected to confirm Andrea Joan Palm as deputy secretary of health and human services.

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policy

The Office of Minority Health page includes tools for data collection and analysis, developing language access plans, and strategic plan creation.

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policy

Effective April 28, HHS expanded the group of providers eligible to prescribe buprenorphine, a drug used to treat opioid use disorder, and removed some barriers to its use.

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policy

The Department of Health and Human Services announced $80 million in grants to increase access to marketplace enrollment assistance for consumers. The agency's 2021 open enrollment report shows more than 12 million consumers selected a marketplace plan during the 2021 open enrollment period.

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policy

Senate Republicans release a $568 billion infrastructure framework to kickstart negotiations. House Democrats and Republicans reintroduce opposing prescription drug pricing bills. A CMS decision delays advancement of Chiquita Brooks-LaSure's nomination for CMS administrator.

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policy

The president met with a group of bipartisan lawmakers to discuss his $2 trillion American Jobs Plan infrastructure proposal; other lawmakers have expressed interest in a less costly, more targeted package. The Senate Committee on Finance is expected to advance two Biden administration nominees.

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policy

The waiver makes Illinois the first state to provide continuity of full Medicaid benefit coverage for mothers by extending eligibility during the entire first year after delivery.

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policy

CDC and FDA recommend pausing Janssen COVID-19 vaccine administration after six U.S. reports of blood clots; HHS expands the Health Center Vaccine Program.

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policy

The House will vote as early as tonight to extend the moratorium on the 2 percent Medicare sequester cut; CMS has held provider claims in anticipation of this bill passing. Meanwhile, lawmakers continue conversations on infrastructure funding and workplace violence prevention.

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policy

HHS and CDC launch a nationwide grassroots vaccine promotion network; CDC issues new guidance on travel, cleaning, and disinfection.

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President Joe Biden announced initiatives to expand COVID-19 vaccine access; a CDC study shows mRNA vaccines are highly effective in preventing SARS-CoV-2 infection.

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policy

In a new HHS Office of Inspector General report, hospitals highlight challenges associated with the public health emergency — including barriers to care delivery and vaccination, staff burnout, supply shortages, and declining revenue — that have strained the nation's health care delivery system.

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policy

The House voted to extend the moratorium on a 2 percent Medicare sequester cut, but the bill lacks support from Senate Republicans. The Senate confirms Xavier Becerra. A reintroduced bipartisan bill would ensure 340B hospitals can maintain program eligibility while responding to COVID-19.

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Xavier Becerra brings to the Department of Health and Human Services a strong record of accomplishments as a champion for health care coverage and equity. We welcome his experience and commitment to health care access as we continue the fight against COVID-19.

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hhs
policy

The House this week will vote on legislation to extend the moratorium on a 2 percent Medicare sequester cut. House Democrats unveil an infrastructure package that prioritizes funding for construction and modernization activities to bolster public health preparedness and cyberattack prevention.

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policy

In accordance with the presidential regulatory freeze, HHS proposes to further delay until July 20 a final rule requiring federally qualified health centers to charge certain low-income patients no more than the 340B Drug Pricing Program price for insulin and injectable epinephrine. 

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policy

A federal court vacated several policies in the Trump Administration’s 2019 health insurance marketplace rule for violating federal law, including provisions related to review of network adequacy, standardized options, income verification requirements, and reducing medical loss ratio rebates.

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policy

The guidance clarifies how hospitals receiving Medicaid disproportionate share hospital payments can use Provider Relief Fund general and targeted distribution payments.

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policy

In a letter, America's Essential Hospitals urges swift allocation of the remaining funds in the $178 billion Provider Relief Fund and calls for another targeted distribution to hospitals omitted from the first two safety-net distributions, among other requests.

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policy

The $1.9 trillion COVID-19 relief bill would ensure essential hospitals receive the same level of Medicaid DSH payments as they would have absent the pandemic. Xavier Becerra's nomination as secretary of health and human services is expected to reach the Senate floor as early as next week.

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policy

FDA granted an emergency use authorization for the one-dose Janssen COVID-19 vaccine and an at-home COVID test; a multi-agency FAQ document addresses COVID-19 health coverage.

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policy

A CDC report shows promising COVID-19 vaccine safety profiles; the federal COVID-19 task force expands support for vaccination and testing.

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policy

Congress races to pass COVID-19 relief through the budget reconciliation process before enhanced unemployment benefits expire March 14. Senate committees hold confirmation hearings for Xavier Becerra as secretary of health and human services.

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policy

A new CDC order requires mask use on public transportation; a PREP Act amendment expands the provider groups authorized to administer vaccines.

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policy

President Biden released an executive order to strengthen Medicaid and the Affordable Care Act. The order calls for a special enrollment period on the federally facilitated exchange for uninsured or underinsured individuals — particularly those hardest hit by the COVID-19 pandemic.

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policy

The regulatory freeze could affect rules directing health clinics to pass certain drug discounts on to patients, establishing minimum standards in Medicaid state drug utilization review, and modifying Health Insurance Portability and Accountability Act privacy arrangements.

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policy

The new guidance and deadline apply to all provider relief fund allocations to date except the Health Resources and Services Administration uninsured program, nursing home infection control distribution, and rural health clinic testing distribution.

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policy

As a highly transmissible SARS-CoV-2 variant spreads across the country, CDC issues two new vaccination toolkits; HHS alters its Provider Relief Fund reporting timeline.

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policy

Health and Human Services Secretary Alex Azar extended, effective Jan. 21, the COVID-19 public health emergency (PHE) determination. The PHE determination has been in place since Jan. 31, 2020; it was set to expire Jan. 20, 2021.

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policy

On Dec. 16, the Health Resources and Services Administration completed its review of Phase 3 applications for Provider Relief Fund money and will distribute $24.5 billion to more than 70,000 providers.

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policy

FDA authorizes the Pfizer COVID-19 vaccine for emergency use; HHS expands hospital COVID-19 data reporting requirements to include therapeutic data.

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policy

The Department of Health and Human Services’ Office of Civil Rights proposed modifications to the Health Insurance Portability and Accountability Act privacy rule as part of the agency's regulatory sprint to coordinated care.

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policy

The Department of Health and Human Services released a detailed action plan on maternal health and announced a public-private partnership to reduce maternal mortality and morbidity. The surgeon general simultaneously announced a call to action to improve maternal health, complementing HHS' plan.

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America’s Essential Hospitals supports the nomination of Xavier Becerra as the next secretary of health and human services, and we applaud the incoming Biden administration for its other choices to lead key federal health care agencies and initiatives.

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The two rules, finalized Nov. 20, aim to eliminate barriers to care coordination and undue burden under current fraud and abuse laws. One provides exceptions to the physician anti-referral law, and one modifies existing safe harbor protections under the anti-kickback statute.

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policy

The Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) finalized rules in conjunction with HHS' regulatory sprint to coordinated care. The OIG rule modifies safe harbor protections; CMS’ rule targets undue burden of the physician self-referral law, or Stark law.

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policy

FDA grants emergency use authorization for an Eli Lilly antibody treatment; a Pfizer vaccine has promising early results; President-elect Biden names a COVID-19 advisory board.

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policy

Operation Warp Speed (OWS), a joint effort by the departments of Defense and Health and Human Services, on a stakeholder call discussed principles for allocation and distribution of therapeutics, specifically monoclonal antibodies. OWS also released a draft pre-emergency use authorization playbook.

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policy

The rule sets content elements a plan or issuer must disclose for a covered item or service. The rule also finalizes changes to the medical loss ratio program to allow issuers offering group or individual health coverage to receive credit for certain savings they share with enrollees.

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policy

The new FAQs specify that a provider may use PRF payments to cover the distribution of a COVID-19 vaccine licensed by the Food and Drug Administration. Providers also may use PRF funds to prepare for the distribution of a vaccine before it becomes available.

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policy

New email inboxes set up by the Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) will take questions about the updated guidance for hospital COVID-19 data reporting requirements as part of Medicare conditions of participation.

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policy

In response to stakeholder and congressional feedback, the Department of Health and Human Services revised reporting requirements for health care providers who receive more than $10,000 total in Provider Relief Fund payments.

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policy

Hospital COVID-19 data is public on HHS Protect; FDA approves first treatment for hospitalized COVID-19 patients; CDC redefines "close contact."

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state-action

The Department of Health and Human Services distributed a lateral flow COVID-19 diagnostic test to states and territories across the country. Several states — including Arkansas, Kentucky, Nevada, New York, Oregon, and Utah—are using the tests to target vulnerable populations.

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policy

The webinar series for hospitals and other stakeholders will review new requirements for reporting COVID-19 data as a Medicare condition of participation and feature administration subject matter experts.

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policy

A bipartisan letter circulating in the House urges HHS Secretary Alex Azar to rescind a harmful Sept. 19 notice that changed Provider Relief Fund (PRF) reporting requirements, potentially forcing essential hospitals and other providers to return portions of previously dispersed funds.

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policy

An upcoming webinar and stakeholder toolkit support the new $20 billion general distribution of the Provider Relief Fund; the application period runs through Nov. 6.

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policy

America’s Essential Hospitals requested that HHS withdraw its recent Provider Relief Fund post-payment reporting guidance, as the agency's new definitions of the terms "lost revenue" and "expense" contradict its previous definitions and could have adverse consequences for essential hospitals.

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policy

CDC reports that airborne transmission is rare but possible; a framework includes recommendations for equitable vaccine allocation.

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policy

HHS has issued a notice on data reporting requirements for providers who receive funding through the Coronavirus Aid, Relief, and Economic Security Act Provider Relief Fund.

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policy

A new $20 billion distribution of the Provider Relief Fund is open to eligible providers on the front lines of the pandemic, including those who already received PRF payments and need additional support, certain previously ineligible providers, and an expanded group of behavioral health providers.

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policy

An Operation Warp Speed strategy summarizes the federal government's plan for distributing and administering a COVID-19 vaccine.

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policy

HHS announced that assisted living facilities can now apply for a relief fund payment from the second-phase general allocation. The agency also released information on how it will determine incentive payments under the nursing home allocation.

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policy

In a Sept. 1 letter, America's Essential Hospitals urged HHS to prioritize remaining Provider Relief Fund dollars for hospitals still in need, especially those that have yet to receive a payment from any targeted allocation, such as the safety-net and high-impact distributions.

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policy

In the interim final rule, the Centers for Medicare & Medicaid Services establishes that hospitals and critical access hospitals must report certain information, at a frequency and in a standardized format, as specified by the Department of Health and Human Services during the COVID-19 public health emergency.

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policy

Providers now have until Sept. 13 to apply for additional payment from the general allocation of the Provider Relief Fund. The initial deadline was Aug. 28.

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Recent actions by pharmaceutical manufacturers hinder access to affordable medications for millions of people who face financial hardships and defy clear statutory requirements that they provide drugs to 340B Drug Pricing Program covered entities.

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policy

HHS announces $6.5 million in testing investments; CDC issues antigen testing guidance; HHS partners with Moderna to manufacture and deliver its vaccine.

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policy

The Department of Health and Human Services will distribute $1.4 billion in Provider Relief Fund payments to nearly 80 free-standing children's hospitals.

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policy

Medicare providers that did not receive payment from the $20 billion distribution from the general allocation can apply for additional funding through the portal; applications are due Aug. 28. HHS also announced a $5 billion allocation for nursing homes and long term–care facilities.

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policy

CDC onboards health departments to conduct electronic data reporting; HHS awards funding to Johnson & Johnson for vaccine manufacturing and delivery.

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policy

Health systems can add CDC's Coronavirus Self-Checker to their own website; HHS updates COVID-19 data reporting FAQs; CDC shares guidance on pooling tests.

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policy

The Department of Health and Human Services will extend the application deadline for Provider Relief Fund payments for eligible Medicaid and Children's Health Insurance Program providers, and will reopen the portal for Medicare providers to apply for additional payments from the general allocation.

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policy

The executive orders aim to end retrospective rebates to Medicare Part D pharmacy benefit managers; allow patients of federally qualified health centers to purchase certain drugs at 340B discounted prices; and tie Medicare Part B payment to international drug prices, among other provisions.

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policy

The COVID-19 pandemic has demonstrated the efficacy of telehealth. America's Essential Hospitals asked the administration to permanently expand the list of Medicare reimbursable telehealth services and allow reimbursement of certain services using audio-only technology.

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policy

Effective July 25, Health and Human Services Secretary Alex Azar issued a renewal of determination that a public health emergency exists due to COVID-19.

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policy

HHS will pay $50,000 per eligible admission to hospitals with more than 161 COVID-19 admissions from Jan. 1 to June 10. The agency will account for funding received by hospitals in a May disbursement of high-impact funds in determining the amount facilities receive in this round.

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policy

HHS issues updated guidance on COVID-19 data reporting; an updated toolkit provides new guidance for alternate care sites to manage patient surge.

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policy

A new members-only resource tracks relevant expiration dates for additional authority and flexibility options provided during the COVID-19 pandemic.

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policy

The Department of Health and Human Services July 10 announced additional, targeted allotments from the Provider Relief Fund for hospitals filling a safety-net role, specific rural hospitals, and other serving small metropolitan areas.

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policy

In a July 6 letter, the association urged HHS to use a refined methodology that directs a portion of the remaining dollars in the Provider Relief Fund to hospitals filling a safety-net role that did not receive payment in the initial safety-net allocation.

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policy

HHS finalized a rule overhauling the ACA to remove some nondiscrimination protections for transgender individuals and requirements for treating people with limited English proficiency. In a statement, the association said the decision puts the health and safety of vulnerable populations at risk.

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quality

HHS released the second edition of the Million Hearts Hypertension Control Change Package, a compilation of concepts, ideas, and evidence- and practice-based tools and resources used by health centers and clinics to improve hypertension control.

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policy

HHS has acquired additional remdesivir to be sold at wholesale allocation price; CDC reports declining emergency department use during the pandemic and updates its list of conditions that increase risk of serious illness from COVID-19.

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policy

A report highlights hospitalization risk factors for COVID-19, and GAO evaluates the National Disaster Medical System. FDA revokes emergency use authorizations for chloroquine phosphate and hydroxychloroquine sulfate.

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policy

HHS made public the 2018 Medicare cost report data sources used to determine eligibility for the $10 billion targeted safety-net allocation from the Provider Relief Fund. Hospitals had to meet three metrics to be eligible; 761 hospitals received payment.

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policy

The Department of Health and Human Services finalized a rule overhauling parts of the Affordable Care Act to remove nondiscrimination protections for transgender individuals and certain language access requirements for providing health care services to people with limited English proficiency.

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policy

HHS identified hospitals eligible for part of a $10 billion Provider Relief Fund allocation to aid safety-net providers. The agency also made public a list of total payments by state, including the number of hospitals in each state receiving a payment in this distribution.

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policy

The Department of Health and Human Services June 9 announced additional, targeted allocations from the Provider Relief Fund for hospitals filling a safety-net role and sole Medicaid and Children’s Health Insurance Program providers.

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Today’s announcement of $10 billion in additional funding for hospitals that provide safety-net care, as well as a future allocation of $10 billion for providers in COVID-19 hot spots, will help ease the financial pain this public health emergency has inflicted on these caregivers.

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policy

New guidance provides details on COVID-19 lab test data reporting and flexible options for states implementing a Medicaid group for testing the uninsured.

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policy

The Department of Health and Human Services announced two distributions from the Public Health and Social Services Emergency Fund, known as the Provider Relief Fund: $4.9 billion for skilled nursing facilities and $500 million for Indian Health Service providers.

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policy

Providers have until June 3 to accept terms and conditions and submit necessary documentation to receive additional payments from the Provider Relief Fund to support providers incurring health care–​related expenses and lost revenue from response to the COVID-19 pandemic.

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state-action

HHS has left it up to the states' discretion on how to distribute the investigational antiviral drug. Several states — including Georgia, Illinois, Pennsylvania, and Texas — are beginning to release plans on the distribution of the drug.

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policy

Hospitals interested in administering the donated experimental drug should contact their state health department.

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policy

Providers now have 45 days, increased from 30 days, to attest and accept the terms and conditions for payments from the Provider Relief Fund to support providers incurring health care–​related expenses and lost revenue from response to the COVID-19 pandemic.

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policy

America's Essential Hospitals in a May 5 letter urged the Department of Health and Human Services to allocate $20 billion specifically to essential hospitals that serve large Medicaid and low-income patient populations, to ensure the stability of the nation’s health care safety net.

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state-action

Many states are beginning to lift restrictions put in place to reduce the spread of COVID-19, including resuming elective surgeries in hospitals. Meanwhile, the National Association of Medicaid Directors urges the administration work with Medicaid directors to distribute needed funds to providers.

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policy

This targeted allocation distributes $12 billion to 395 hospitals that provided inpatient care for 100 or more COVID-19 patients through April 10. Of that total, $2 billion is allocated to hospitals based on Medicare and Medicaid disproportionate share hospital (DSH) and uncompensated care payments.

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policy

Hospitals can now register as participating providers to receive reimbursement for COVID-19 testing and treatment services furnished to uninsured patients on or after Feb. 4. Participating providers can begin submitting claims May 6.

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policy

HHS opened the verification portal for providers to submit patient revenue data for payments from the general allocation of the COVID-19 provider relief fund. The agency also answered frequently asked questions and posted a fact sheet to aid providers requesting and attesting to receipt of payments.

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policy

The bipartisan legislation provides $484 billion in resources across the Department of Health and Human Services and the Small Business Administration, including an additional $75 billion for the Public Health and Social Services Emergency Fund for providers.

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policy

The Department of Health and Human Services announced April 22 how it will allocate more than $70 billion in COVID-19 provider relief under the CARES Act, including targeted aid for hospitals and other providers on the front lines of the pandemic.

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policy

Hospitals now have until April 25 at 3 pm ET to submit data to HHS that will inform how the agency will allocate $10 billion in COVID-19 provider relief funds in areas most impacted by the pandemic.

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policy

HHS announced additional detail on how the agency intends to distribute the COVID-19 relief fund to hospitals and other providers. HHS will allocate funds through a general approach and use a targeted approach for certain hospitals, rural providers, and Indian Health Services.

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We thank the administration for hearing our concerns about how it targets Public Health and Social Services Fund funding and for directing additional dollars to hospitals bearing the heaviest burden of COVID-19 care and costs.

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policy

Congress should increase emergency funding for hospitals on the front lines of the COVID-19 epidemic, target hospitals in greatest need, adjust Medicaid to help essential hospitals, and provide other financial and regulatory relief.

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policy

HHS has distributed $30 billion of the COVID-19 provider relief fund. Providers have 30 days from receipt of their payment to complete attestation and agree to terms and services or return the payment.

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policy

New CDC guidance requires face coverings for all who enter a health care facility. HHS Secretary Azar issues FAQs on testing and reporting requirements. Federal agencies warn about scams related to COVID-19.

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policy

In an April 10 letter, America's Essential Hospitals urged the agency to target critical relief to essential hospitals, expressed concern about disbursements based on Medicare payments, and offered general metrics to identify and support providers serving Medicaid and low-income patients.

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policy

The fund, authorized by the CARES Act, intends to support providers incurring health care–related expenses and lost revenue from COVID-19 pandemic response.

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The department must ensure the next round of CARES Act funding targets hospitals disadvantaged by the formula used to allocate the initial $30 billion distribution.

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policy

Providers will receive direct deposits of their share of the $30 billion based on 2019 Medicare fee-for-service payments.

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policy

HHS sends rapid tests to public health labs and issues a HIPAA enforcement notice; CDC recommends cloth masks; a new OIG report details hospital challenges amid the pandemic.

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policy

The association calls on HHS to design a mechanism to distribute funds made available by the Coronavirus Aid, Relief, and Economic Security Act to hospitals serving vulnerable communities and complex patients and facing other challenges during this public health emergency.

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policy

The March 20 letter details additional action needed to support essential hospitals as they respond to the pandemic. The letter also explains how essential hospitals face significant financial challenges as they work on the front lines of public health threats.

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policy

HHS announced new flexibility to increase coverage of Medicare telehealth services during the COVID-19 crisis. In separate guidance, HHS’ Office of Inspector General will allow providers to use a variety of audio and video communication platforms without incurring penalties under HIPAA.

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state-action

Washington state received approval for a Section 1135 waiver, targeted at removing additional Medicare and Medicaid regulatory barriers for providers to respond to the COVID-19 outbreak.

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policy

The law increases the Federal Medical Assistance Percentage to states, allows states to extend Medicaid eligibility, and requires diagnostic test coverage.

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policy

This decision is the latest of several court cases invalidating work requirements policies in Medicaid; Utah now is the only state with these requirements in effect. It is unknown at this time if Michigan or the Department of Health and Human Services will appeal the decision.

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policy

The report, mandated by the 21st Century Cures Act, highlights issues and challenges pertaining to the use of health information technology and electronic health records (EHRs) in four categories: clinical documentation; usability and the user experience; EHR reporting; and public health reporting.

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policy

In the unanimous decision, the United States Court of Appeals for the District of Columbia Circuit found that the Department of Health and Human Services failed to adequately assess the potential impact of work requirements on coverage under Arkansas' Section 1115 demonstration waiver.

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policy

The proposal calls for $920 billion in cuts to Medicaid funding, including a call to finalize the Medicaid Fiscal Accountability Regulation.

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policy

A new rule allows CDC to require that airlines collect and provide data on passengers and crew arriving from foreign countries for health education, treatment, prophylaxis, or other public health interventions.

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policy

The agency reports that cybercriminals could send "phishing" emails purporting to include infection prevention information related to the new coronavirus (2019-nCOV) outbreak.

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policy

In response to a joint proposal, America’s Essential Hospitals expressed concern about mandating the public posting of payer-specific negotiated rates and urged the departments of Labor, Treasury, and Health and Human Services to seek alternatives that better serve consumers.

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policy

In a letter to the Department of State, America’s Essential Hospitals expressed concern that broadening the definition of public charge would harm the nation’s health care system, vulnerable patients, and state and local economies.

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policy

Twelve spending bills must advance through Congress and be signed by the president by Nov. 21 to fully fund the federal government for fiscal year 2020.

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policy

The guidance seeks to reduce the risk of substance use disorder while providing effective pain management for chronic pain patients.

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policy

The proposed rules seek to eliminate barriers to promoting care coordination under current fraud and abuse laws; comments are due to the agencies Dec. 31.

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policy

The order directs the Department of Health and Human Services to alter the Medicare Advantage program, increase cost and quality transparency, and continue site-neutral payment policies.

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The U.S. District Court’s ruling that the government overstepped its authority by cutting payments to hospital outpatient clinics is a victory for vulnerable patients and an important step toward protecting access to care in underserved communities.

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cms, hhs
policy

Funding will support the State Opioid Response Grant Program and a cooperative agreement to help state and local governments track overdose data.

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policy

America’s Essential Hospitals urged the Centers for Medicare & Medicaid Services to reduce administrative burden regarding clinical documentation, health information technology, and public health reporting.

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quality

The Office of the Assistant Secretary for Preparedness and Response initiative seeks to harness cutting-edge technologies to support emergency response and recovery. It will kick off with an innovation day event, Aug. 7–8, to engage with stakeholders.

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policy

The final judgement, in favor of America's Essential Hospitals, does not indicate how the Department of Health and Human Services should remedy unlawful payment reductions to hospitals in the 340B Drug Pricing Program in 2018 and 2019.

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policy

A proposed rule from the Department of Health and Human Services would overhaul parts of Section 1557 of the Affordable Care Act, removing some nondiscrimination protections for transgender individuals and requirements for covered entities treating people with limited English proficiency.

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aca, cms, hhs
policy

The rule would eliminate protection from discrimination in health care settings based on gender identity and roll back requirements to notify individuals with limited English proficiency of antidiscrimination policies and access to translation services.

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policy

Under current law, most individuals applying to enter the country on a visa or applying for a green card must submit an affidavit of support from a sponsor residing in the United States who meets certain criteria. The memo claims these requirements are not adequately enforced.

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policy

America's Essential Hospitals and its association partners have created a detailed update on recent court activity in their lawsuit to reverse Medicare outpatient payment cuts to hospitals in the 340B Drug Pricing Program.

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policy

The House this week will take up legislation to protect people with pre-existing conditions and help generic drug and biosimilar manufacturers bring their products to market. A House letter calling for a delay of Medicaid DSH payment cuts has 286 bipartisan signatures; the deadline to sign is May 8.

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policy

America’s Essential Hospitals and industry partners have officially closed the book on their successful lawsuit to force the Department of Health and Human Services to implement long-delayed rules on pharmaceutical manufacturer accountability in the 340B Drug Pricing Program.

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policy

The Office for Civil Rights updated its website with new guidance related to health information technology access rights under the Health Insurance Portability and Accountability Act. The guidance is particularly relevant given the push for increased patient access through third-party applications.

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policy

The agency in April will randomly select nine Health Insurance Portability and Accountability Act–covered entities, including health plans and clearinghouses, for compliance reviews.

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policy

The court ruled that the Department of Health and Human Services overstepped its authority and failed to show that work requirements would help promote the purpose of the Medicaid program

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policy

The report proposes three recommendations responding to Medicaid disproportionate share hospital allotment reductions and responds to concerns about the accuracy and completeness of available upper payment limit data.

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policy

The budget plan proposes to overhaul the Medicaid program, as well as significantly change the 340B Drug Pricing Program and expand site-neutral payment policies in hospital outpatient departments.

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policy

In response to a request for information, America's Essential Hospitals urges the Department of Health and Human Services to ensure enforcement of the Health Insurance Portability and Accountability Act encourages care coordination and reduces regulatory burden on essential hospitals.

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policy

America’s Essential Hospitals and other plaintiffs have asked the U.S. District Court for the District of Columbia to order the federal government to restore losses caused by Medicare outpatient payment cuts to 340B hospitals.

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policy

The new report, released by a public-private task force led by the Department of Health and Human Services, outlines common cybersecurity threats to health care organizations and best practices to counter such risks.

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policy

The new guidance recommends that clinicians consider prescribing or coprescribing naloxone to individuals with a high risk of opioid overdose.

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policy

The Department of Health and Human Services released a request for information on ways to modify the Health Insurance Portability and Accountability Act to improve care coordination, promote value-based care, and reduce regulatory burden on providers.

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policy

The U.S. District Court for the District of Columbia vacated the previous approval, saying the administration failed to adequately assess the waiver's impact on Medicaid’s core objective: to provide health care coverage for beneficiaries.

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We welcome today’s decision by the Department of Health and Human Services to respond to our lawsuit by issuing a final rule for enforcing 340B Drug Pricing Program ceiling price transparency and civil monetary penalties starting Jan. 1, 2019.

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policy

America’s Essential Hospitals highlighted the unique role essential hospitals play in treating individuals with social risk factors.

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policy

The long-delayed final rule on the calculation of ceiling prices in the 340B Drug Pricing Program, as well as civil monetary penalties on manufactures who knowingly overcharge, will go into effect Jan. 1, 2019.

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policy

President Trump signed long-awaited bipartisan legislation to combat the opioid epidemic; the law does not align confidentiality regulations for substance use disorder treatment records with HIPAA privacy standards.

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policy

The new law, which represents the federal government’s first comprehensive policy response to the nation’s opioid crisis, aims to advance treatment and recovery initiatives, improve prevention, protect communities, and bolster efforts to fight deadly illicit synthetic drugs.

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policy

America’s Essential Hospitals and six other hospital groups urged Health and Human Services Secretary Alex Azar to refrain from adding health information exchange requirements to the Medicare and Medicaid Conditions of Participation.

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policy

The association strongly encourages essential hospitals to submit individual comments with specific examples of how your institution addresses social risk factors among Medicare beneficiaries; comments are due Nov. 16.

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quality

This yearlong global initiative challenges governments, private industries, and nongovernmental organizations to commit to reducing antibiotic and antimicrobial resistance.

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policy

This funding supports initiatives under the agency's Five-Point Opioid Strategy and was distributed in conjunction with Prescription Opioid and Heroin Epidemic Awareness Week.

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policy

The Centers for Medicare & Medicaid Services waived program requirements in Virginia, North Carolina, and South Carolina; the Centers for Disease Control & Prevention issued guidance for treating carbon monoxide poisoning in hurricane victims.

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policy

Two senators lead a letter-signing campaign to stop the expansion of hospital outpatient department cuts; in a 99-1 vote, the Senate approves legislation to combat the opioid crisis and is poised to vote on a spending bill for fiscal year 2019.

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America’s Essential Hospitals, the American Hospital Association, the Association of American Medical Colleges, and 340B Health filed their lawsuit against the U.S. Department of Health and Human Services in the U.S. District Court for the District of Columbia.

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policy

New resources from the Department of Health and Human Services’ Healthcare Cybersecurity and Communications Integration Center outline new hacking and malware threats and prevention techniques.

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policy

Before starting the final campaign stretch, Congress returns to Washington to consider Brett Kavanaugh's Supreme Court nomination and to fund the federal government for the fiscal year that starts Oct. 1.

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policy

Senate leaders hope to pass by Labor Day legislation to appropriate funds for the Defense, Labor, Health and Human Services, and Education departments; a Senate committee will examine Medicaid fraud.

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policy

Congress is expected to consider legislation to combat the opioid epidemic, fund the Department of Health and Human Services, and enable federal response to pandemic threats.

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policy

Under the final rule , short-term, limited-duration insurance plans can be issued for up to 12 months, with a maximum duration of 36 months after renewals and extensions.

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policy

The special open-door forum aims to educate prescribers on federal resources and strategies to combat the opioid epidemic.

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policy

What comes next after the June 29 court ruling that vacated the U.S. Department of Health and Human Services approval of a Section 1115 waiver that allowed Kentucky to impose community engagement and work requirements on Medicaid beneficiaries.

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policy

The decision strikes down the state's overall Section 1115 waiver, which included community engagement and work requirements, but it upholds as a separate waiver a portion allowing Medicaid reimbursement for substance use disorder treatment in institutions for mental disease.

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quality

The Partnership For Disaster Health Response grant offers $6 million for two partnerships to improve disaster readiness and response across the delivery system.

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policy

Lawmakers previously aimed to pass an opioid package by Memorial Day; Committee hearings focus on the Pandemic and All-Hazards Preparedness Act, the Department of Health and Human Services, and the president's blueprint to lower drug prices.

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policy

The plan cites and builds on proposed changes to the 340B Drug Pricing Program in the president’s fiscal year 2019 budget, as well as damaging cuts implemented through the calendar year 2018 Outpatient Prospective Payment System final rule.

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policy

The interagency effort targets obstacles to health care, including a fragmented delivery system and lack of specialty service access, faced by many rural communities.

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policy

Two new fact sheets clarify the application of privacy regulations under 42 CFR Part 2, a longstanding rule dictating how to share patient data related to substance use disorder.

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policy

The plan is required by the 21st Century Cures Act and is meant to improve federal and state coordination around the enforcement of parity laws.

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policy

The Senate Committee on Health, Education, Labor, and Pensions and the House Committee on Energy and Commerce will hold hearings this week on measures to combat the opioid epidemic.

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policy

The final package, passed last week, included $4 billion for combating the opioid crisis and a $10 billion increase in HHS funding, but left out measures to stabilize the insurance marketplace.

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policy

The Measure Applications Partnership Hospital Workgroup recommended greater alignment of measures across programs and proposed criteria for measure removal.

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policy

Republicans from both chambers work on a marketplace stabilization package; Senate Finance Committee Republicans plan to review the Internal Revenue Service's process for designating nonprofit hospitals.

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policy

The budget plan for fiscal years 2018 and 2019 proposes changes to the distribution of 340B Drug Pricing Program savings and increased funding to fight the opioid crisis.

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policy

The Measure Applications Partnership submitted recommendations to the Department of Health and Human Services on 35 performance measures under consideration for use in federal health care programs.

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policy

The association continues to work with congressional leadership and staff to ensure a delay of Medicaid disproportionate share hospital cuts is included in the next funding measure; Senate confirms new Health and Human Services Secretary.

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quality

The agency is combatting an intravenous fluid (IV) shortage as Puerto Rico, where many IV solutions are produced, recovers from Hurricane Maria.

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policy

The designation allows federal health agencies to allocate resources and hire specialists to combat the opioid crisis. The original declaration was set to expire on Jan. 23.

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quality

The shortage is due to the effects of Hurricane Maria on Puerto Rico, where much IV fluid is produced, and has been exacerbated by the severity of this year’s flu season.

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policy

The association launched an advocacy and media campaign calling on Congress to delay Medicaid disproportionate share hospital payment cuts as part of a long-term government funding measure.

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policy

Researchers discovered two techniques, known as Meltdown and Spectre, that can circumvent data protections and potentially expose data on many computers purchased over the past decade.

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quality

The commission supports a national curriculum for opioid prescribers and state waivers to eliminate the Medicaid institutions for mental disease exclusion, among other recommendations.

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policy

The Centers for Medicare & Medicaid Services, the Centers for Disease Control and Prevention, and other federal agencies have released several resources to help health care providers prepare for and respond to disasters.

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quality

The new webpage was launched by HHS' Assistant Secretary for Preparedness and Response; a webinar highlighting the resources will be held Sept. 14.

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policy

The decision extends by five years the state's demonstration of a capitated Medicaid managed care program and a low-income pool to provide support for the safety net.

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policy

A new strain of ransomware, known as Petya, could affect the health care sector and is unique because the virus is capable of self-replication.

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policy

Two new reports warn about the same vulnerabilities that allowed the WannaCry virus to spread worldwide earlier this year.

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policy

The resources, designed for Health Insurance Portability and Accountability Act-covered entities or their associates, include a checklist and infographic.

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policy

The Health Care Industry Cybersecurity Task Force outlines resources and the importance of cybersecurity to patient safety and continuity of operations.

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policy

Senate Republican leadership recently indicated the possibility of a vote by the end of July, before the month-long August recess.

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policy

The funds aim to increase the use of medication-assisted treatment, train first responders, and increase access to overdose reversal medications.

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policy

The updates include guidance on reporting ransomware and note how Health Insurance Portability and Accountability Act compliance can protect from an attack.

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policy

Ransomware, a type of malware that infects computers and restricts access to files until a ransom is paid, has hit health care organizations in the United Kingdom.

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policy

The test detects antibodies produced as part of the body's immune response to the Zika virus and is expected to produce initial results within 58 minutes.

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webinar

The policy team at America's Essential Hospitals discussed the regulatory outlook for the next year, including key policy issues on the horizon.

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quality

Of particular note, NQF's Measure Applications Partnership acknowledged the need for more research to understand the role of socioeconomic status in health.

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policy

The letter affirms their desire to improve the Medicaid program and the vulnerable people it serves and to ensure the program provides value to taxpayers.

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policy

The blueprint also shifts CDC funding to a $500 million block grant and creates a Federal Emergency Response Fund for public health outbreaks, like Zika.

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America's Essential Hospitals says the cumulative effect of the proposal and the American Health Care Act could be to undermine the ability of essential hospitals to meet their commitment to patients and communities.

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aca, hhs
policy

The letter encourages states to pursue Section 1332 State Innovation Waivers, especially those including high-risk pool/state-operated reinsurance programs.

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policy

A leaked House GOP plan to repeal & replace the ACA raises concerns for essential hospitals. A Senate committee considered nominee Seema Verma to lead CMS.

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policy

Former Rep. Tom Price was confirmed as secretary of HHS; the Senate Committee on Finance will consider the nomination of Seema Verma as CMS administrator.

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America's Essential Hospitals tells the newly confirmed Secretary Price that it looks forward to working with him to ensure essential hospitals can sustain their commitment to vulnerable patients and underserved communities.

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quality

NQF's Measure Applications Partnership submitted recommendations to HHS on 74 performance measures under consideration for 16 federal health care programs.

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policy

No agreements have been reached about a repeal/replacement plan for the ACA and it appears Republicans in both chambers are far from making final decisions.

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policy

The second confirmation hearing was held for Rep. Price as HHS secretary and a House subcommittee held a hearing on the individual mandate's effectiveness.

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policy

A memo instructs all executive departments and agencies to temporarily halt pending regulations until incoming department or agency heads can review them.

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policy

With House and Senate passage of budget resolutions, efforts to repeal the Affordable Care Act now move to committees and toward a Jan. 27 deadline for repeal legislation.

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policy

The regulation makes "penny pricing" final and sets fines of up to $5,000 per instance of a manufacturer overcharging providers for covered medications in the 340B Drug Pricing Program.

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policy

OIG found that the federal portion of spending on catastrophic coverage reached $33.2 billion in 2015, compared with $10.8 billion in 2010.

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quality

The data show about 125,000 fewer patients died because of hospital-acquired conditions from 2010 to 2015, resulting in a savings of $28 billion.

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policy

Under the rule, OIG provides safe harbor protections for hospital agreements that provide no-cost or discounted local transportation to established patients

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policy

The bill is a step toward expanding Project ECHO, an innovative “hub and spoke” education model created at association member University of New Mexico Health Sciences Center.

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policy

Rep. Tom Price has been nominated to head HHS and Seema Verma, who graduated from the association's Fellows Program in 2001, has been nominated to lead CMS.

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cms, hhs

America’s Essential Hospitals is pleased President-Elect Trump has made health care experience a priority in his choices for Secretary of Health and Human Services and administrator of the Centers for Medicare & Medicaid Services.

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cms, hhs
policy

Starting in 2017, nurse practitioners and physician assistants can train to prescribe buprenorphine for the treatment of opioid use disorder.

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policy

The open enrollment period runs from Nov. 1 through Jan. 31, 2017. Consumers must enroll by Dec. 15 for coverage that begins Jan. 1, 2017.

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quality

The targets aim to significantly reduce central line-associated bloodstream infections, MRSA, Clostridium difficile cases, and other infections by 2020.

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policy

The National Health Information Sharing and Analysis Center received the funding to educate health care sector stakeholders, partners on cybersecurity.

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policy

Providers approved for a patient limit increase must report on caseload, patients referred to behavioral health care, and their diversion control plan.

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policy

ONC has released a web-based resource that gives providers comprehensive, easy-to-understand information about applying health information technology.

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policy

While details are still being finalized, a continuing resolution to fund the government through early December likely will include funding to combat Zika.

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policy

The funding is being administered by SAMHSA and CDC as part of HHS' Opioid Initiative, which aims to combat opioid misuse, dependence, and overdose.

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policy

The new guidance reinforces the importance of compliance with HIPAA to prevent and recover from cyber threats.

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policy

The actions build on the National Pain Strategy, a federally coordinated plan for reducing and better treating chronic pain.

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policy

Several health care organizations have been affected by ransomware, a cybersecurity threat in which an attacker holds a network hostage for payment.

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hhs
policy

Individuals must prove they are eligible to sign up for coverage outside of open enrollment. HHS also proposes amending risk adjustment for insurers.

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quality

The guidance recommends that hospitals prepare for increased demand for certain types of providers and inform patients about sexual transmission of Zika.

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quality

Two association members are among six sites nationally that will test or implement winning solutions in the HHS “A Bill You Can Understand" challenge.

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quality

As part of LGBT Awareness Week, March 28 to April 1, department seeks a public conversation on health issues facing lesbian, gay, bisexual, and transgender (LGBT) communities.

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policy

Updated guidance clarifies that covered entities may use and disclose protected health information for treatment or for quality and other health care operations.

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quality

Department calls for interagency approach that employs alternative payment models and better communication between patients and providers.

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policy

Fact sheet and updated frequently asked questions document detail responsibilities of covered entities and the rights of individuals under HIPAA.

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ehr, hhs
policy

House, Senate panels to examine rising cost of drugs, lack of transparency in the drug price negotiation process, and barriers to generic drug applications.

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quality

New ACOs are eligible for risk-bearing tracks with increased savings for positive patient outcomes and penalties for negative outcomes. A total of 477 ACOs will care for almost 8.9 million beneficiaries in 2016.

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policy

Agency seeks comment on its proposal to collect information on the burden associated with guidelines for manufacturer audits of covered entities; comments are due to HRSA by Feb. 22.

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policy

Out-of-pocket expenses higher in ACA marketplaces and coverage worse for children, especially those with special needs, HHS reports.

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policy

Obama administration proposal would add drug utilization review and restriction program to Medicare to fight opioid overuse.

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policy

Report on National Strategy for Quality Improvement in Health Care details progress made toward better care, lower costs, and improved health.

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policy

Tool gives physicians, nurses, and other health care professionals access to geographic comparisons of opioid prescribing habits and use.

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policy

Adolescent Health: Think, Act, Grow campaign targets health promotion for young adults, including access to high-quality, teen-friendly health care.

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Association supports roadmap's three core commitments, will review draft standards closely in context of vulnerable patients

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ehr, hhs
policy

The Federal Health IT Strategic Plan: 2015–2020, aims to improve health IT infrastructure, transform health care delivery, and improve individual and community health.

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webinar

Participants learned about HRSA's guidance on the 340B Drug Pricing Program and how it will affect their hospital.

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policy

America's Essential Hospitals joins other associations in calling for final action on a 90-day reporting period for 2015, but warns that the delay in a final rule has made other requirements impossible to achieve.

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policy

States may apply for a Section 1115 Medicaid waiver to support innovative care delivery for substance abuse disorder. SAMHSA, HRSA to also offer funding opportunities.

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America's Essential Hospitals applauds choice, calls on Senate to confirm her.

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policy

A total of $3.3 billion is marked for CMS, which is about $344 million below current funding. The subcommittee will consider the bill tomorrow.

view more »
webinar
policy

The Supreme Court released its 5-4 decision in Armstrong v. Exceptional Child.

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Essential Insights

Today, the U.S. Supreme Court released its opinion on Armstrong v. Exceptional Child. The court ruled that Medicaid providers cannot sue states for low payment rates and advised on alternative actions.

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policy

Slow week for health care work as Department of Homeland Security funding demands lawmakers' attention

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policy

HHS notes that HIPAA patient privacy provisions still apply during public health emergencies, though HHS secretary can waive specified provisions in certain circumstances.

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policy

Multiple exceptions are proposed to the fraud and abuse regulations that govern Medicare and Medicaid, including changes to the definition of "remuneration" in the CMP regulations and codification of the gainsharing CMP.

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policy

MAP released a draft report reviewing the core set of health care quality measures for adults enrolled in Medicaid and is accepting comments until July 30.

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policy

House GOP will move forward with a lawsuit against President Obama on the delay of the employer mandate without congressional approval. Energy and Commerce is marking up a variety of bills and holding hearings on the health insurance marketplaces and anthrax.

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policy

Congress continues to address delays in care at VA medical centers. The Ways and Means Committee explores income verification for tax credit eligibility under the ACA, and the Energy and Commerce Health Subcommittee looks at incentives to develop new drugs and devices as well as health care access under the ACA.

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policy

The Senate will vote on HHS secretary nominee Sylvia Mathews Burwell and the Senate Veterans' Affairs Committee begins to work on legislation regarding the VA health care system.

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America’s Essential Hospitals urges the Senate to swiftly confirm Sylvia Mathews Burwell as secretary of the U.S. Department of Health and Human Services. Burwell’s confirmation is critical to providing a steady hand to lead the department through the rapid changes occurring in health care coverage and delivery.

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policy

The House and Senate vary recesses. Finance Committee approves HHS secretary nominee Sylvia Matthews Burwell. The Senate is expected to vote on her nomination in early June. Congress continues to scrutinize the scandal around several Department of Veterans Affairs hospitals.

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policy

The Senate will consider tax extenders legislation. The Senate Finance Committee will hold the current Director of OMB Sylvia Matthews Burwell's confirmation hearing to be the next HHS secretary on Thursday, and the Senate Veterans Affairs Committee will investigate the recent allegations of delayed care at VA hospitals.

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policy

The expat bill was previously considered but didn't pass due to Democrats fighting against it. The Energy and Commerce Oversight Subcommittee will look at insurance enrollment and the marketplaces from the perspective of insurers. OMB Director Sylvia Burwell will testify before the HELP Committee as she begins her confirmation process to become the next HHS secretary.

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policy

Congress will begin the appropriations process, but not much is expected to be accomplished since it is an election year. Senate Democrats will bring up a bill to increase the minimum wage but expect Republican resistance. The House will reconsider a bill regarding exemption of expatriate health plans under the ACA.

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policy

Sebelius announced her resignation April 11, closely following the close of the first open enrollment period for the ACA's health insurance marketplaces. She served as secretary of HHS for five years, leading the agency's efforts to implement the ACA.

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hhs
policy

The OIG and HHS FY 2014 work plan includes several Medicare and Medicaid projects. These projects cover the following topics including inpatient admission criteria, E&M payments, IME, and provider taxes.

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policy

Sen. Jeanne Shaheen (D-NH) urged the U.S. Department of Health and Human Services Secretary Kathleen Sebelius in a Jan 29 letter to “closely examine the provider network adequacy standards” for qualified health plans sold through health insurance marketplaces (exchanges).

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policy

President Obama highlighted early ACA successes, CBO said SGR bills would cost $150.4 billion over 10 years

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aca, hhs

Argues in brief that HRSA interpretation consistent with the language of the ACA

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policy

Sixteen association members were among the institutions that received funding.

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policy

Measures are intended for voluntary use by state Medicaid agencies

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policy

Decision suggests hospitals may help patients with financial assistance for plan premiums

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aca, hhs
policy

846,184 people completed applications through the marketplaces, 106,185 people selected marketplace plans.

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aca, hhs
policy

Coverage renewed for between Jan. 1 and Oct. 1, 2014 will not be considered out of compliance

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aca, hhs
policy

Congress holds healthcare.gov hearings, planned vote on "Keep Your Health Plan" Act

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policy

HHS encouraged issuers to reject premium payments from third parties

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policy

Federal anti-kickback statute, which only applies to federal health care programs, will not apply to QHPs.

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aca, hhs
policy

Senate Democrats pressured Obama administration to fix healthcare.gov, SGR agreement gained support

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policy

Congress holds healthcare.gov hearings, committee met on budget agreement

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policy

The rule finalizes a number of provisions regarding health insurance marketplaces

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policy

Congress narrowly avoids reaching the debt ceiling, gears up for healthcare.gov hearings

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policy

Analysis evaluated individual plan premiums in the 36 states with a federally facilitated marketplace

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aca, hhs
policy

Talk focused on insurance coverage expansion activities and impact on essential hospitals

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cms, dsh, hhs
policy

Report evaluates differences among four types of postpayment review contractors CMS uses

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policy

Grants go to 105 organizations that will serve as navigators in states with federally facilitated exchanges

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policy

Letter urges HHS to place a special emphasis on robust essential community provider participation

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policy

Information gathered will inform rulemaking for civil rights provision of the Affordable Care Act

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policy

Groups say small and rural providers might not have enough time to implement changes

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policy

Regulation establishes standards for training and certification, conflict-of-interest, other aspects of program

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policy

Grants to more than 1,000 community health centers support ACA health plan enrollment efforts

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policy

Money distributed among six states: Colorado, Nevada, New Mexico, Vermont, Virginia, and West Virginia

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policy

Found that HHS awarded about $3.8 billion in exchange and rate review grants to states by late March 2013

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aca, hhs
policy

Health IT Policy Committee will use panel's input for national HIT framework

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policy

Rule finalizes HHS proposal to make advance payments that total the value of cost-sharing reductions

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aca, hhs
policy

Also releases report that details how rule affects mental health, substance abuse disorder benefits

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policy

Iowa, New Hampshire, Illinois, Arkansas among states pursing partnerships with federal government

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policy

President and CEO Bruce Siegel moderated sessions on Medicaid, delivery innovations

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policy

$1.5 billion in grants to 11 states aim to support affordable health insurance marketplaces

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