Health Policy

HHS Relaxes Electronic Health Record Certification Criteria

Rosemary Frei, MSc

October 2014, Vol 5 , No 8 - Health Policy

The US Department of Health and Human Services (HHS) has responded to the chorus of voices calling for less complex rules governing electronic health records (EHRs) by not adopting the Voluntary 2015 Edition Electronic Health Record Certification Criteria. In its final rule, released in September 2014, the Office of the National Coordinator for Health Information Technology has instead included 10 optional and 2 revised certification criteria. [ Read More ]

Up Next for the Center for Medicare and Medicaid Innovation: Cancer

Ross D. Margulies, JD, MPH; Jayson Slotnik, JD, MPH

May 2014, Vol 5, No 4 - Health Policy

In passing the Affordable Care Act (ACA) in 2010, Congress had as one of its central goals the creation of new, innovative ways of paying for and delivering healthcare services. With this goal in mind, the ACA established the Center for Medicare and Medicaid Innovation (CMMI), which is tasked with developing new payment and service delivery models to “demo” and, if successful, to eventually roll out nationwide. [ Read More ]

Yet Another Blow to the Medicaid Expansion

Ross D. Margulies, JD, MPH; Igor Gorlach, JD, MPH

September 2013, Vol 4, No 7 - Health Policy

The Affordable Care Act extends and simplifies Medicaid eligi­bility beginning January 1, 2014, by replacing Medicaid’s previous multiple categorical groupings and limitations with one simplified overarching rule: all individuals aged <65 years with incomes less than 138% of the federal poverty level ($15,415 for an individual or $26,344 for a family of 3 in 2012) who meet citizenship/lawful US status and state residency requirements are entitled to Medicaid benefits.

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CMS’s Proposal to Severely Limit FDG-PET Use for Patients with Cancer Elicits Concern

Rosemary Frei, MSc

May 2013, Vol 4, No 4 - Health Policy

US oncologists and radiologists are waiting to see whether the Centers for Medicare & Medicaid Services (CMS) will reconsider its proposal to limit the use of and reimbursement for fluorodeoxy­glucose-positron emission tomography (FDG-PET) scan after initial anti­cancer therapy to 1 scan in patients with solid tumors (with the exception of patients with prostate cancer, who will not be reimbursed for any FDG-PET scans).

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What Does the Deficit Reduction Debate Mean for the Oncology Team?

Ross D. Margulies, JD, MPH; Jayson Slotnik, JD, MPH

March 2013, Vol 4, No 3 - Health Policy

First it was the debt ceiling, then it was the fiscal cliff, and now we have sequestration. It seems that as the weeks go by, Washington is faced with one fiscal crisis after another, with little to no progress in making a meaningful dent in the ballooning deficit. No matter what your political leanings, this has been a frustrating process to watch unfold. [ Read More ]