Regulatory

Blues to Press Congress to Expand Site-Neutral Payment Reforms to More Outpatient Clinics

A top insurance lobbying group plans to press Congress this session to adopt legislation that expands the footprint of site-neutral payment reform, setting up a likely clash with hospital groups. The Blue Cross Blue Shield Association (BCBSA), which represents 38 Blues plans, released several policy priorities for the current Congress as part of a new […]

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With the X-Waiver Repealed, Officials Urge Providers to Begin Prescribing Buprenorphine for Opioid Addiction

The White House, federal agencies and lawmakers today marked the elimination of the DATA-Waiver Program, better known as the X-Waiver requirement, with calls for providers to begin incorporating opioid use disorder treatment buprenorphine in everyday patient care. The X-Waiver requirement only permitted doctors who had received specialized training and federal permissions to prescribe the opioid

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The December Omnibus Bill’s Little Secret: It Was Also a Giant Health Bill

Congress passed legislation on mental health, drugs, pandemic preparedness, new Medicare benefits and Medicaid expansion — all before the arrival of the new House. Read the full article: The December Omnibus Bill’s Little Secret: It Was Also a Giant Health Bill // Source: https://www.nytimes.com/2023/01/22/upshot/new-health-policies-budget.html

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Doctors in Congress Look for Permanent Fix to Medicare Pay Woes

The doctors in the House want to revamp how Medicare pays physicians, potentially giving health-care providers a boost in pay in coming years. Lawmakers with medical backgrounds say the time is right and they’re in key positions this Congress to end what’s become an annual frustration of averting billions of dollars in cuts to Medicare

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Congress Should Give a Raise to Hospitals and Docs, MedPAC Says

Congress should raise Medicare payment rates for hospitals and physicians next year while cutting fees to skilled nursing facilities and home care providers, MedPAC recommended on Thursday. The adjustments from the board, which advises Congress on Medicare policy, reflect inflationary pressures facing providers and concerns about maintaining Medicare beneficiaries’ access to care, committee members say.

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New Jersey Healthcare Transactions Now Face Onerous Employment Requirements

On November 16, 2022, New Jersey Senate Bill No. 315 (S-315) went into effect, providing new employment protections to eligible employees of certain private healthcare entities that undergo a “change in control.” The law imposes various requirements, including advance notice, offers of continued employment to eligible employees and enhanced protection against termination for at least

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