- On November 23, HHS announced that it began distributing $7.5 billion in American Rescue Plan Act (ARP) “rural payments” to providers who serve rural Medicaid, Children's Health Insurance Program (CHIP), and Medicare beneficiaries.
- On November 22, HHS’ Office of the Assistant Secretary for Planning and Evaluation (ASPE—HHS’ internal research shop) issued a troubling report about surprise medical billing. The report is being used by HHS Secretary Xavier Becerra as a justification for why HHS, Treasury, and Labor decided to weigh the qualifying payment amount (QPA) higher during the independent dispute resolution (IDR) process. Most notably, the report claims that the IDR processes in New York and New Jersey have actually led to higher costs. To come up with this conclusion, ASPE solely relies on flawed studies and reports from Brookings.
- On November 17, HHS, Labor, and the Treasury, and the Office of Personnel Management (OPM) released an interim final rule with request for comments (IFC), entitled “Prescription Drug and Health Care Spending.” The IFC—which implements a provision of the Consolidated Appropriations Act, 2021—requires certain health plans to report information about prescription drugs and health care spending.
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...
September 23, 2021 • Advocacy Info • Alternative Payment Model • CMS Info • Medicare Info • Telehealth
ACEP Responds to Request for Information on Rural Emergency Hospitals
Last Friday, ACEP formally responded to a major regulation issued by the Centers for Medicare & Medicaid Services (CMS) impacting Medicare outpatient hospital payments in 2022. As you may recall, the ...
August 19, 2021 • Advocacy Info • CMS Info • Medicare Info • Alternative Payment Model
CMS Outlines its Vision for Innovation: How Does Emergency Medicine Fit in?
After a three-week summer vacation, Regs & Eggs is back in full swing! There is much to catch you all up on in the regulatory world, so grab your eggs and let’s dig right into some of the recent news....
June 24, 2021 • Advocacy Info • Alternative Payment Model • CMS Info • Medicare Info
MedPAC Issues Another Annual Report to Congress: Includes Insights on Private Equity, Alternative Payment Models, and Rural Health
Last Tuesday, the Medicare Payment Advisory Commission (MedPAC) issued another annual report to Congress. As you may recall, MedPAC issued a report to Congress in March highlighting its recommendation...
June 10, 2021 • Advocacy Info • Alternative Payment Model • HHS • Medicare Info • CMS Info
Recent Opportunities to Highlight ACEP’s “Awesome” AUCM Model
It’s been awhile since I last updated you all on the status of the first, and only, emergency medicine-focused alternative payment model (APM), the Acute Unscheduled Care Model (AUCM)—fondly pronounce...
February 25, 2021 • Advocacy Info • Alternative Payment Model • CMS Info • Medicare Info • MIPS Info • Physician Fee Schedule
Paving the Way toward Value-Based Care: ACEP Submits an MIPS Value Pathway (MVP) Proposal to CMS
This week, ACEP will be submitting a proposal to the Centers for Medicare & Medicaid Services (CMS) for an emergency medicine-focused Merit-based Incentive Payment System (MIPS) Value Pathway (MVP). T...
June 25, 2020 • Alternative Payment Model
ACEP’s Alternative Payment Model Strategic Initiative: An Update and Next Steps
While we are still actively working on COVID-19-related issues, including pushing HHS to provide emergency physicians with more funding through the Provider Relief Fund, I want to update you on ACEP’s...
February 20, 2020 • Alternative Payment Model
An Awesome Update on the AUCM Model
Those of you who enjoy a regular helping of Regs & Eggs will know that a couple years ago, ACEP created the Acute Unscheduled Care Model (AUCM), a Medicare alternative payment model (APM) specifically...
December 5, 2019 • Alternative Payment Model
Two PTAC Members Resign: What does this mean for the AUCM?
The week before Thanksgiving there were rumblings in DC, and it wasn’t just people’s hungry stomachs. Right before the holiday, two members of the Physician-Focused Payment Model Technical Advisory Co...