Regs & Eggs
- The COVID-19 Public Health Emergency (PHE) will likely be extended for another 90-days once it reaches the current sunset date of July 15. The Administration promised that it would give 60-days notice before deciding to end the PHE (which would have been around May 16), and did not provide such notice. The continuation of the PHE means that the waivers and flexibilities that federal agencies have instituted to help health care practitioners and facilities respond to the pandemic will remain in place.
- On May 11, the CDC released new provisional data on Wednesday on drug overdose deaths, with an estimated 107,622 deaths caused by drug overdose in the U.S. in 2021. Of the estimated 107,622 deaths from drug overdose in 2021, over 75 percent (80,816) were caused by opioids. Overdose deaths from all drugs increased 15 percent over 2020, when an estimated 93,655 people died, as compared to a 30 percent increase in the number of drug overdose deaths from 2019 to 2020.
- There is a shortage of IV contrast media used for CT scans. The temporary closure of a facility in Shanghai, China that produces the contrast media will result in an 80 percent reduction in supply availability for six to eight weeks. ACEP has been in touch with the U.S. Food and Drug Administration (FDA) about the shortage and will work with the federal government and other association partners on potential solutions and mitigation strategies. Emergency physicians should work with their local radiologists to determine which cases require the use of IV contrast. The American College of Radiology (ACR) has also issued a statement on the shortage, advising their members to actively reduce the use of contrast.
May 19, 2022 • Geriatric Value-based Care • Alternative Payment Model
NEW BLOG SERIES: Value based Care in Emergency Medicine-- an Overview
As avid readers of Regs & Eggs, you all know that one major area I have focused on has been the movement in our health care system away from fee-for-service payment towards more value-based care. Spec...
May 12, 2022 • Advocacy Info • CMS Info • No Surprises Act
CMS Finalizes New Network Adequacy Requirements for Certain Private Health Plans
In a Regs and Eggs blog post from January, I discussed a promising proposal from the Centers for Medicare & Medicaid Services (CMS) to add emergency physicians to the network adequacy requirements for...
May 5, 2022 • Advocacy Info • Alternative Payment Model • CMS Info • Medicare Info
No Alternative Payment Model for Emergency Physicians and other Specialists…The AMA Has a Proposed Solution
This week’s Leadership and Advocacy Conference (LAC) was a great success! We had over 300 emergency physicians from across the country (including some of you!) come to DC and speak to legislators abou...
April 28, 2022 • Advocacy Info
ACEP’s Leadership and Advocacy Conference is Next Week! Find Out What’s on Tap!
It’s almost here! The annual Leadership and Advocacy Conference (LAC) in Washington, DC is next week, May 1 through May 3. For those of you who are unfamiliar with this conference, it allows you as e...
April 21, 2022 • Advocacy Info • ED Management
ACEP Responds to FTC and DOJ Request for Information on Mergers and Acquisitions in Health Care
Regs & Eggs - April 22, 2022
April 14, 2022 • No Surprises Act • Advocacy Info
No Surprises Act Updates Related to the “Disputed” Independent Dispute Resolution Process
To state the obvious, the first few months since the No Surprises Act has gone into effect have been a bit bumpy (and let’s face it, the period before that wasn’t so smooth either). As you all know fr...
April 7, 2022 • Advocacy Info • Opioids Info
Important Update on the “Three-Day” Rule for Administering Medications to Treat Opioid Use Disorder
As described in previous Regs and Eggs, there are many regulatory barriers to providing medication assisted treatment (MAT) to patients with opioid use disorder (OUD). Currently, physicians and other ...
March 31, 2022 • CMS Info • HHS • Medicare Info • Physician Fee Schedule • Telehealth
Biden Administration Releases Fiscal Year 2023 Budget: Highlights and Missed Opportunities
I guess I’m in a singing and dancing mood. Last week, I talked about the annual song and dance of dealing with Medicare physician payment reform, and this week, I want to talk about another yearly son...
March 24, 2022 • Advocacy Info • CMS Info • HHS • Medicare Info • Physician Fee Schedule
Meaningful Medicare Physician Payment Reform: Is this the year?
Many of you are all too aware of the annual song and dance the physician community has to do with Congress to avoid significant reductions to Medicare physician payments. As I noted in a previous blog...
March 17, 2022 • CMS Info • Financial Support • HHS • Medicare Info • Telehealth
Unwinding from the COVID-19 Pandemic: Implications for Emergency Physicians and Patients
Lately, we seem to be hearing loud and clear from many people (including government officials) that they are ready to move on from the COVID-19 pandemic. However, in the regulatory world, what exactly...
March 10, 2022 • Advocacy Info • Violence in the ED
OSHA is Continuing to Make COVID-19 Safety Its Top Priority: At What Cost?
Like it or not, a wave of “highly focused” inspections conducted by the Occupational Safety Health Administration (OSHA) is coming.
March 3, 2022 • Advocacy Info • CMS Info • HHS • No Surprises Act
The Flawed Independent Dispute Resolution Process Has Been Fixed… For Now
As you probably all know, there has been a significant development in the legal battle over the flawed independent dispute resolution (IDR) process to resolve payment disputes for out-of-network servi...
February 24, 2022 • Advocacy Info • CMS Info • Medicare Info • MIPS Info
ACEP Provides Feedback on New Emergency Medicine Cost Measure
As I discussed in a recent Regs & Eggs blog post, the first, and only, emergency medicine cost measure is in the process of being developed by the Centers for Medicare & Medicaid Services (CMS) and it...
February 17, 2022 • Advocacy Info • Opioids Info
CDC Releases Long-Awaited Revised Opioid Prescribing Guideline: Open for Public Comment
The infamous 2016 opioid prescribing guideline is finally getting a make-over. It has been a long time coming, but the Centers for Disease Control and Prevention (CDC) finally released a draft revised...
February 10, 2022 • Advocacy Info • CMS Info • No Surprises Act
The Flip Side of the Coin: A Look at the Increase in Health Insurer Consolidation
A couple weeks ago, Regs & Eggs took a look at the significant increase in provider consolidation and the actions (or lack thereof) the federal government has taken to address this trend. I thought it...
February 3, 2022 • Advocacy Info • CMS Info • ED Management • HHS • Violence in the ED
Update on ACEP Actions to Address Physician Mental Health Needs and Wellbeing
I’m sure many of you, like me, follow Dr. Glaucomflecken on Twitter. Dr. Glaucomflecken is an ophthalmologist and comedian who posts hilarious, but extremely poignant, short videos (featuring himself)...
January 27, 2022 • CMS Info • No Surprises Act • ED Management
Recent Federal Efforts to Address Provider Consolidation
There has been a significant amount of interest over the last couple of years from the federal government to examine the growth in “provider consolidation” and assess the impact this trend has had on ...
January 20, 2022 • No Surprises Act
ACEP Launches Website Highlighting Major No Surprises Act Requirements for Emergency Physicians
As you all know, the important consumer protections instituted by the No Surprises Act went into effect on January 1. I have written numerous blog posts about the major policy issues that have resulte...
January 13, 2022
The No Surprises Act
A summary of the major requirements and what they mean for you.
January 13, 2022 • Advocacy Info • CMS Info • Medicare Info
CMS Proposes Changes to Network Adequacy Requirements for Private Health Plans
Over the last couple of weeks, the Centers for Medicare & Medicaid Services (CMS) has released two regulations that update policies and payment parameters for private health plans: one impacting healt...
January 6, 2022 • Advocacy Info
A New Year: Looking Ahead at the Major Regulatory Issues Facing Emergency Physicians in 2022
Happy New Year! I hope you all were able to take some well-deserved time off and enjoy time with your friends and families during the holiday season. As we start another year, I wanted to set the stag...
December 23, 2021 • Advocacy Info • Alternative Payment Model • CMS Info • Medicare Info • MIPS Info • Physician Fee Schedule
A Request: Please Participate in the Development and Testing of the First Emergency Medicine-Specific Cost Measure
You as emergency physicians have a rare opportunity to provide input on a proposed emergency medicine-specific cost measure that will soon be tested out in the field. Before describing more about what...
December 14, 2021 • Advocacy Info • CMS Info • Medicare Info • Physician Fee Schedule
Special Edition: Congress Averts Majority of Medicare Payment Reductions, But We are not Out of the Woods Yet
Another year, another Congressional fix to Medicare physician reimbursement. Sadly, we are not out of the woods yet—and the annual song and dance with the Centers for Medicare & Medicaid Services (CMS...
December 9, 2021 • Advocacy Info • HHS • No Surprises Act
ACEP and EDPMA Officially Respond to the Extremely Flawed Second Interim Final Regulation Implementing the No Surprises Act
Earlier this week, ACEP and the Emergency Department Practice Management Association (EDPMA) submitted an official response to the second interim final regulation implementing the No Surprises Act. As...
December 2, 2021 • Advocacy Info • Alternative Payment Model • CMS Info • HHS • Medicare Info
CMS Innovation Center’s Vision for the Future: How Does ACEP’s Awesome “AUCM” Model Fit in?
Over the last few years, I have periodically updated you all on the status of the first, and only, emergency medicine-focused alternative payment model (APM), the Acute Unscheduled Care Model (AUCM)—f...