The Centers for Medicare & Medicaid Services (CMS) is introducing a new way to pay for specific surgical procedures: Transforming Episode Accountability Model (TEAM). This mandatory model, starting January 1, 2026, will hold hospitals accountable for the cost and quality of care for 30 days after five types of surgeries: Lower extremity joint replacement Surgical […]
The organ transplant industry, like every other sector (kidney transplants IOTA model), is not free from racial disparities,” remarked U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra. “Black Americans face a disproportionate burden of life-threatening kidney disease, yet they receive a smaller share of kidney transplants. The Biden-Harris Administration is implementing concrete […]
The US Department of Health and Human Services (HHS) has issued three final regulations: 42 CFR Part 2 Final Rule, HIPAA Privacy Policy in Support of Reproductive HHS final Rules, and Preventing Discrimination and Promoting Civil Rights in Health Care Final Rule. General provisions – privacy and civil rights. Each of the HHS final rules […]
The US health care system, one of the best in the world, with qualified doctors trained in world medical schools, faces a major flaw: reduce medical errors, which cause about 1 in 1 10 Americans died and cost the country $20 billion age. Almost 2 out of 3 of these errors are based on poor […]
Streamlining Specialty Care: CMS’s Innovation Center prioritizes strategies that improve personalized healthcare information, implement financial services, and support segment-based classifications. A value-based approach to care must address underlying issues and individualized care to reduce patient outcomes. CMS’s innovation strategy describes ongoing efforts to integrate personalized care into the healthcare system. Previous studies have shown that […]
NSA Implementation Shortly before Congress adjourns for 2023; lawmakers sent another in a series of letters to the Centers for Medicare and Medicaid Services (CMS) expressing “serious concerns” about the implementation of the No Surprises Act (NSA). The letter accused CMS of failing to properly implement key portions of the law and suggested that the […]
The healthcare landscape in the United States is poised for a significant transformation with the implementation of the Interoperability and Prior Authorization Final Rule (CMS-0057-F). This landmark rule, finalized by the Centers for Medicare & Medicaid Services (CMS) on January 17, 2024, directly tackles the often-cumbersome prior authorization process, aiming to alleviate administrative complexities for […]
The CY 24 MPFS final rule last run the show was disseminated inside the November 16, 2023 Government Select. The run they appear addresses updated installment for specialist and other specialist administrations conjointly sets out unused rulemaking concerning certain other providers and things, such as ambulances, inquiries about offices and other demonstrative offices, and pharmaceutical […]
The HIPAA Security Rule Checklist helps covered entities, business associates, and other organizations subject to HIPAA meet the requirements of the Security Standard for the Protection of Electronic Health Information (preferably known as the HIPAA Security Act). Compliance with regulatory security standards will reduce the risk of HIPAA violations and data breaches due to human […]
In an effort to streamline prior authorization processes, provider bunches, including the American Medical Association (AMA) and the Medical Group Management Association (MGMA), have asserted that the ultimate goal of the new regulations will assist in facilitating a more efficient and effective prior authorization workflow. Provider bunches are commending CMS for finalizing understanding data-sharing approaches […]