Regs & Eggs
- On June 17, CMS published a blog entitled “Pathways for Specialty Care Coordination and Integration in Population-based Models” that includes insights on increasing access to coordinated and integrated specialty care. The blog describes four major findings: 1) Providing data on specialist performance and enhancing data sharing across practices would facilitate integration with primary care; 2) Episode-based payment models can be designed to align incentives between specialists and ACO initiatives; 3) Many ACOs and primary care practices recognize value in specialty care assuming primary responsibility for special populations and beneficiaries with specific conditions; and 4) Beneficiaries with complex conditions may benefit from specialists integrated into primary care delivery pathways.
- On June 15, ACEP responded to the Fiscal Year (FY) 2023 Inpatient Prospective Payment System (IPPS) proposed rule—the major rule impacting Medicare payments for inpatient hospital services.
- On June 15, the Medicaid and CHIP Payment and Access Commission (MACPAC) released its June 2022 Report to Congress on Medicaid and CHIP, and the Medicare Payment Advisory Commission (MedPAC) released its June 2022 Report to the Congress: Medicare and the Health Care Delivery System.
- On June 8, CMS released an agency-wide Strategic Plan White Paper and Agency Accomplishments fact sheet highlighting the key impacts and accomplishments over the past year.
May 28, 2020
Summertime is Approaching…Which Means Reg Season is Coming Soon!
Memorial Day marks the unofficial start to summer, and for those of us in the health policy community, summertime is the busiest time of the year: Reg Season! Every year, the Centers for Medicare & Me...
May 21, 2020 • Opioids Info
Ongoing Efforts to Reduce Barriers to Opioid Use Disorder Treatment
This week is EMS week, which gives all of us an opportunity to thank our frontline providers for their hard work and sacrifice as they have answered the call of duty during the COVID-19 pandemic.
May 14, 2020 • Medicare Info
Medicare Telehealth Flexibilities…Are They Here to Stay?
On Monday, I had the opportunity to participate in a webinar sponsored by the Geriatric Emergency Department Collaborative on emergency department (ED)-based telehealth models.
May 7, 2020
Another Week… Which Means More COVID-19 Reg Changes
In my blog last week, I mentioned that the Centers for Medicare & Medicaid Services (CMS) was planning on releasing a COVID-19 regulation any day—and in fact the reg came out later that same day, Thur...
April 30, 2020 • Financial Support
Don’t Blink! Changes to Financial Support Options Happening Non-stop!
I’ll be frank: I’m finding these blogs harder and harder to write as the COVID-19 pandemic continues. It seems that as soon as I write a blog, it becomes outdated.
April 23, 2020 • Financial Support
You Received Financial Relief. Should You Keep it?
For the last couple weeks, I have discussed issues related to the distribution of the $100 billion pot of funding that was included in the stimulus bill (the CARES Act). As I mentioned last week, you ...
April 16, 2020 • Financial Support
Health Care Providers Receive Financial Relief…with Strings Attached
Last Friday, you or your emergency medicine group should have received a payment that was automatically deposited in the bank account that you have on file with Medicare. This payment was part of an o...
April 9, 2020 • Financial Support
ACEP Pushes for More Financial Support for Emergency Physicians
As many of you know, the recently-passed federal COVID-19 stimulus bill (CARES Act) included a number of financial support options that could help you during this extremely difficult time. I would lik...
April 2, 2020 • CMS Info
ACEP Regulatory Victories
We could all use a little bit of good news right now, and this week, the Centers for Medicare & Medicaid Services (CMS) delivered some—by issuing a plethora of policies and waivers aimed at providing ...
March 26, 2020 • Advocacy Info
ACEP’s Telehealth Advocacy During COVID-19 Pandemic
Last week, the Centers for Medicare & Medicaid Services (CMS) announced major temporary expansions to existing telehealth policies under Medicare in an effort to enable patients to communicate with th...
March 19, 2020 • Advocacy Info
Proud to Represent You
As we deal with this crisis, I wanted to take a moment to say how proud I am to advocate on your behalf. Thank you, thank you for everything that you do! I also want you to know that ACEP is doing eve...
March 12, 2020 • HHS
HHS Releases Long-Awaited HIT Regs
The health policy and health information technology (HIT) communities have long been anticipating the release of major, game changing regulations from the Department of Health and Human Services (HHS)...
March 5, 2020 • ED Management
ACEP Releases its National Strategic Plan for ED Management of COVID-19 Outbreaks
As the novel coronavirus (COVID-19) continues to spread across the country, emergency physician-led care teams are on the frontlines helping to respond to confirmed or suspected cases. That is why ACE...
February 27, 2020 • EHR Info
Reducing your EHR Burden
I’m sure when you decided to become a doctor you didn’t envision spending hours each day in front of a computer entering information into electronic health records (EHRs). Unfortunately, it’s become a...
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...
February 13, 2020
More Thorns than Petals in the President’s FY 2021 Budget
Earlier this week, the Trump Administration released its budget request for fiscal year (FY) 2021. Each year, the president issues the President’s Budget, which lays out his administration’s vision an...
February 6, 2020 • Medicare Info
Big Changes are Coming to Medicaid: What these "Block Grants" Could Mean for You
Last week, the Trump Administration announced a significant policy that may affect many of the patients you serve—the Healthy Adult Opportunity (HAO). This new voluntary Medicaid initiative would prov...
January 30, 2020 • Opioids Info
Addressing Opioid Stigma in the Emergency Department
As emergency physicians, you have undoubtedly treated patients suffering from opioid use disorder (OUD) in the emergency department (ED). Do you view a patient with OUD differently from your patient i...
January 23, 2020 • Medicare Info
Potential Changes to Non-Physician Supervision and Reimbursement Policies Coming to Medicare
You may have heard that the Centers for Medicare & Medicaid Services (CMS) is considering changing existing Medicare regs around non-physician supervision requirements and reimbursement—in other words...
January 16, 2020 • Advocacy Info
Advocating for Emergency Telehealth Reimbursement
Innovations around telehealth are a critical way to give patients greater access to an emergency physician in an inner-city or rural emergency department (ED). Telehealth access from the ED setting to...
January 9, 2020 • MIPS Info
MIPS Updates for the New Year
Although I recently wrote about the upcoming policy changes to the Merit-based Incentive Payment System (MIPS), the major quality reporting program for physicians under Medicare, the Centers for Medic...
January 2, 2020
Reflections on 2019: A year full of regulatory victories
Happy New Year! 2019 has come to a close, and it's time to reflect on an exciting and productive year in the regulatory world. Here are ACEP’s top 10 advocacy achievements of the past year (in no part...
December 19, 2019 • Opioids Info
New Guidelines Coming for Prescribing Opioids to Treat Acute Pain
The Centers for Disease Control and Prevention (CDC) guideline for prescribing opioids to treat chronic pain has become a hot topic as the nation continues combating the opioid epidemic.
December 12, 2019 • MIPS Info
MIPS: Upcoming Changes You Should Know About
Many of you are all too familiar with the Merit-based Incentive Payment System (MIPS), the major quality reporting program for physicians under Medicare. MIPS measures performance in four categories —...
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...