Policy

Editors Picks

CMS’s Slavitt and ONC’s DeSalvo Offer Clarity on Federal Healthcare IT Policy

Mark Hagland
In prepared remarks and responses to proffered questions at the final keynote session at HIMSS15 in Chicago, Andy Slavitt of CMS and Karen DeSalvo, M.D., of ONC, made starkly clear what they expect of providers going forward—as well as of their own federal agencies

Top Stories

CMS Announces a Third Round of Successful ICD-10 Testing, Says They Won't Deny Claims for One Year

July 6, 2015   |  Rajiv Leventhal
news
Nationally, the Centers for Medicare & Medicaid Services (CMS) accepted 90 percent of claims from the more than 1,200 submitters who participated during CMS’ third round of ICD-10 end-to-end testing.

Making Population Health Strides at Mennonite Health in Puerto Rico

July 6, 2015   |  Mark Hagland
article
Leaders at Mennonite Health System in Cayey, Puerto Rico are leveraging innovative analytics tools to maximize their population health efforts

Could the Aetna-Humana Merger Announcement Be a Game-Changer?

July 3, 2015   |  Mark Hagland
blog
What might the Aetna-Humana merger mean for current population health efforts among health plans and providers—and for the carefully laid strategic healthcare IT plans being designed to facilitate those efforts?

BREAKING NEWS: Aetna Agrees to Acquire Humana for $37 Billion in Cash and Stock

July 3, 2015   |  Mark Hagland
news
On July 3, the Hartford-based Aetna said it had agreed to acquire the Louisville-based Humana for $37 billion in cash and stock, in the largest acquisition in U.S. health insurance industry

Stop the Fight! ICD-10 is Comin’

July 2, 2015   |  Rajiv Leventhal
blog
Another month has come and gone, which means that we’re just a little bit closer to Oct. 1, 2015, the deadline to transition to the ICD-10 coding set. Still, there are many people out there who continue to push back.

Is Interoperability Standards Advisory Helpful?

July 2, 2015   |  David Raths
blog
ONC is developing an Interoperability Standards Advisory to provide the industry with a single, public list of the standards and implementation specifications. But questions remain about how the list would work and how much value it would provide.

CMS Makes Changes to ACO Investment Model to Help Rural Providers

June 30, 2015   |  Rajiv Leventhal
news
The Centers for Medicare & Medicaid Services (CMS) has announced two modifications to the design of the accountable care organization (ACO) Investment Model, with the aim to help rural areas and small group practices gain more access to ACO benefits.

Under Healthcare Reform, Where Do Practicing Physicians Go From Here?

June 30, 2015   |  Mark Hagland
blog
Physicians in all settings in U.S. healthcare—private practice, medical group management, and association leadership—are living through the inevitably messy transition to the new healthcare

HHS Recognizes Winners for Healthcare Innovation

June 29, 2015   |  Rajiv Leventhal
news
Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell has announced the seven winners of the 2015 HHS Innovates Awards, a program designed to reward creative solutions developed by HHS employees in response to some of the nation’s most...

Obstacles Ahead: One OB/Gyn’s Skeptical Views on Healthcare Reform

June 29, 2015   |  Rajiv Leventhal
article
As a result of the federal government’s push towards a value-based healthcare system, providers are being pushed to be part of alternative payment models such as ACOs. Nonetheless, research shows that physicians remain uncertain about the structure and...

Washington Debrief: ONC’s Funding Maintained at Same Level in FY2016

June 29, 2015   |  Leslie Krigstein, Interim Vice President of Public Policy
article
The House and Senate both put forth appropriations bills that maintained ONC’s current funding level through FY2016, approximately $60.4 million. The bills also maintained the prohibition of a national health identifier.

Could AHRQ Really Be Eliminated? And Why Would It Be?

June 26, 2015   |  Mark Hagland
blog
Some members of Congress have the liquidation of the Agency for Healthcare Research and Quality in their sights. The question is why.