Regs & Eggs
- On July 26, CMS released its Maternity Care Action Plan to support the implementation of the Biden-Harris Administration’s Blueprint for Addressing the Maternal Health Crisis. The goal of the action plan is to create a wholistic approach across CMS to improve health outcomes and reduce inequities for people during pregnancy, childbirth, and the postpartum period.
- On July 11, CMS issued additional EMTALA guidance, following up on the previous guidance from September 2021. In this updated guidance, CMS reiterates that EMTALA pre-empts any directly contradicting state laws around the medical screening examination, stabilizing treatment, and transfer requirements. In addition to the guidance, HHS Secretary Xavier Becerra, in a letter to clinicians and facilities, further made clear that this federal law preempts state law restricting access to abortion in emergency situations. ACEP has created a new resource page to help emergency physicians stay updated on emergency care in the post-Roe era.
- On July 15, CMS issued the calendar year (CY) 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed regulation. Among other policies, the reg proposes a new payment structure and quality reporting program for Rural Emergency Hospitals (REH) and provides for payment for certain behavioral health services furnished via communications technology. This is the second reg that includes policies related to REHs. CMS released another proposed reg at the end of June that includes proposed conditions of participation for this new facility type.
- The Medicare Payment Advisory Commission (MedPAC) has released its 2022 data book on health care spending and the Medicare program, with data on Medicare spending, Medicare population demographics, beneficiary access to care, quality of care, specific provider settings, provider profit margins, and the Medicare Advantage and Medicare Part D programs. MedPAC also highlighted research on the impact of health care consolidation on health care prices.
July 2, 2020 • Medicare Info
Medicare Payment Waivers: How Long will They Last?
ACEP continues to work to ensure that you have the resources and regulatory flexibility you need to effectively and safely treat your patients during the COVID-19 pandemic. As discussed in a previous ...
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...
June 18, 2020 • Violence in the ED
Addressing Violence in the Emergency Department—Yes, It’s Still a Priority
Although most of ACEP’s federal advocacy efforts in recent months have focused on our response to the COVID-19 pandemic, we’ve still been advancing efforts on other critical issues for emergency physi...
June 11, 2020 • HHS
HHS Announces Additional Distributions of Provider Relief Funding…But None for Emergency Physicians
Over the last two months or so, I’ve described here in Regs & Eggs how the Department of Health and Human Services (HHS) has been distributing the Provider Relief Fund—the $175 billion pot of funding ...
June 4, 2020 • Advocacy Info
Advocating for You and Your Health
Happy Anniversary, Regs & Eggs! This week marks one year since the first Regs & Eggs blog post was published. Over the past year I have tried to lay out how federal regulations impact you and the pati...
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...