Regs & Eggs
- On September 15, CMS released data that highlights trends in the use of telehealth services between January 1, 2020 and March 31, 2022. The data allows for analysis of telehealth utilization by quarter, state, and various demographic characteristics.
- On September 14, CMS published “Request for Information: Advanced Explanation of Benefits and Good Faith Estimate for Covered Individuals.” This document is a request for information (RFI) to inform DOL, HHS, the Treasury, and OPM’s rulemaking for advanced explanation of benefits (AEOB) and good faith estimate (GFE) requirements of the No Surprises Act.
- On September 12, CMS announced that people with Medicare, Medicaid, Children’s Health Insurance Program (CHIP) coverage, private insurance coverage, or no health coverage can get COVID-19 vaccines, including the updated Moderna and Pfizer-BioNTech COVID-19 vaccines, at no cost, for as long as the federal government continues purchasing and distributing these COVID-19 vaccines.
- On September 6, CMS released a request for information on called “Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs.” CMS is seeking public input on accessing healthcare and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency.
September 22, 2022 • Advocacy Info • HHS • Opioids Info
HHS Releases Mental Health Roadmap; ACEP is Working on Our Own
Last Friday, the U.S. Department of Health and Human Services (HHS or the Department) released a roadmap for addressing the mental health crisis facing this country. Many of you are acutely aware of t...
September 15, 2022 • Advocacy Info • CMS Info • Medicare Info
Another Week, Another ACEP Response: ACEP Responds to Medicare Outpatient Hospital Regulation
In back-to-back weeks, ACEP has submitted responses to major annual Medicare proposed regulations: last week it was the Physician Fee Schedule (PFS), and this week, it’s the Medicare Outpatient Prospe...
September 8, 2022 • Advocacy Info • Medicare Info • MIPS Info • Physician Fee Schedule
ACEP Responds to Major Annual Medicare Proposed Regulation Impacting Physician Payments
On Tuesday, ACEP submitted a comprehensive response to the Centers for Medicare & Medicaid Services’ (CMS’) Calendar Year (CY) 2023 Physician Fee Schedule (PFS) and Quality Payment Program (QPP) propo...
September 1, 2022 • Advocacy Info • CMS Info • Medicare Info
ACEP Responds to Proposed Reg on Rural Emergency Hospital Conditions of Participation
A few weeks ago, ACEP submitted a comprehensive response to a proposed regulation issued by the Centers for Medicare & Medicaid Services (CMS) that establishes conditions of participation (CoPs) for R...
August 24, 2022 • Advocacy Info • No Surprises Act
Special Edition: The Wait is Over—The No Surprises Act Final Reg is Out!
At long last, the No Surprises Act final regulation has been released! ACEP’s comprehensive summary of the reg can be found here, but I want to highlight some of the major policies and their implicati...
August 18, 2022 • Advocacy Info • HHS
ACEP Helps Lead the Way on Response to Monkeypox
As you all know, our country is now experiencing two public health emergencies (PHEs): COVID-19 and Monkeypox. The COVID-19 PHE, which is currently set to expire this October, will likely be extended ...
July 28, 2022 • Advocacy Info • HHS
HHS Issues Regulation Regarding Non-Discrimination in Health Care
This week, the U.S. Department of Health and Human Services (HHS) issued a proposed regulation that reverses a Trump Administration policy regarding discrimination in health care. Specifically, the re...
July 21, 2022 • Alternative Payment Model • Geriatric Value-based Care
SPECIAL BLOG SERIES: Advancing Value-based Care in Emergency Medicine
A few months ago, I announced that I was teaming up with the Geriatric Emergency Department Collaborative (GEDC), as well as West Health and The John A Hartford Foundation, to work on a series of blog...
July 14, 2022 • Advocacy Info
The 411 on 988: The New Crisis Hotline Becomes Available this Saturday!
This week, I’ve called in a reliever—a 6’ 3” right-hander with a nasty changeup and, better yet, someone who has a solid grasp of state issues and regulatory policy. I can think of no one better than ...
July 8, 2022 • Advocacy Info • Medicare Info • MIPS Info • Physician Fee Schedule
Special Edition: CMS Issues the 2023 Physician Fee Schedule Proposed Reg
Another day, another regulation. The second major summer reg was just released yesterday! The Centers for Medicare & Medicaid Services (CMS) has issued the Calendar Year (CY) 2023 Physician Fee Schedu...
July 7, 2022 • Advocacy Info • CMS Info • Medicare Info • Telehealth
CMS Releases First Summer Reg: Rural Emergency Hospital Conditions of Participation
A few weeks ago, I provided a preview of the three major regulations that we were expecting to see this summer—and at the end of last week, the Centers for Medicare & Medicaid Services (CMS) released ...
June 28, 2022 • CMS Info • ED Management • HHS
Special Edition: EMTALA Requirements Remain Fully in Effect in the Post Roe v. Wade World
The whole country is still digesting the monumental Dobbs v. Jackson Women’s Health Organization Supreme Court decision that overturned Roe v. Wade last week and trying to grasp the plethora of legal ...
June 23, 2022 • Advocacy Info • No Surprises Act
ACEP and EDPMA Request Additional Guidance from Federal Agencies on No Surprises Act Implementation
Earlier this week, ACEP and the Emergency Department Practice Management Association (EDPMA) sent another letter related to the implementation of the No Surprises Act to federal agencies, following up...
June 16, 2022 • Medicare Info • MIPS Info • Physician Fee Schedule • Telehealth
Preview of Major Medicare Regs Coming this Summer
During the hot and humid summer in Washington, D.C., many in the health policy community (including me!) take shelter at their desks waiting for major Medicare proposed regulations to appear in the Fe...
June 9, 2022 • CMS Info • Medicare Info • Physician Fee Schedule
Medicare Trustees Express Concern about Insufficient Physician Payments… Again
As I have written about in the past, the Medicare “Trustees” issue a comprehensive report annually that outlines the financial outlook for the Medicare program in both the short-term and the long-term...
June 2, 2022 • Advocacy Info • No Surprises Act
Ongoing Issues and Advocacy around the No Surprises Act IDR Process
As many of you know, there have been a lot of issues with the implementation of the No Surprises Act. Most of my previous blog posts have focused on the major policy disagreements that ACEP has had wi...
May 26, 2022 • Advocacy Info • Violence in the ED
Surgeon General Issues Advisory Addressing Health Worker Burnout: Gamechanger?
Regs & Eggs - May 26, 2022
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...