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2 months ago | 
jdsupra.com | Jeffrey Davis |Kristen O'Brien
One of the Biden Administration’s last healthcare regs was a proposed rule that, if finalized, would make significant changes to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule to strengthen cybersecurity protections for electronic protected health information (ePHI).
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Jan 23, 2025 | 
jdsupra.com | Jeffrey Davis
Over the next several weeks, both the Trump Administration and the 119th Congress will review the “menu” of Biden-era regulations that they may want to rescind or modify. In one of his first orders, President Trump (like previous incoming presidents) put a hold on any new regulations going to the Federal Register.
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Jan 16, 2025 | 
jdsupra.com | Jeffrey Davis
Medicare Advantage (MA), the private insurance option under Medicare, is one of many policy areas that will garner great attention in 2025 and beyond under the incoming Trump Administration. We recently released our 2025 policy outlook exploring major health policy issues that might arise this year. With respect to MA, the Trump Administration will soon have its hands full finalizing technical policies and payment rates for 2026.
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Jan 9, 2025 | 
jdsupra.com | Jeffrey Davis
Here we go again! For the second year in a row, we enter the new year without Congress enacting a doc fix or Advanced Alternative Payment Model (APM) bonus extension. While Congress did act last year on both counts (through the Consolidated Appropriations Act, 2024, enacted in March 2024), it remains to be seen whether Congress will do so again in 2025.
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Oct 31, 2024 | 
jdsupra.com | Jeffrey Davis |Leigh Feldman
Happy Halloween! In the health policy world, there are two things on everyone’s mind this spooky season: the upcoming election and the major calendar year (CY) 2025 Medicare fee-for-service (FFS) final regs that should be issued by Friday. While these may be haunting your thoughts, you don’t need to be scared much longer, because we at McDermott+ have you covered. In the coming weeks, we will break down the CY final regs for you and provide you with our election analysis.
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Oct 24, 2024 | 
jdsupra.com | Jeffrey Davis |Leigh Feldman
The election is approaching fast, and no matter who wins, there will be a change in administration come January 20, 2025. Thus, the Biden Administration is in the midst of making its final mark on priority healthcare policies. As we approach this final countdown, let’s take a look at how the Biden Administration’s final regulatory actions compare to former President Trump’s as his first administration came to an end.
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Oct 17, 2024 | 
jdsupra.com | Jeffrey Davis
There could be an all-you-can-eat buffet of regs (and eggs) from now until the end of the year!As you may recall, a July 2024 Regs & Eggs blog post highlighted the spring 2024 “unified agenda” that listed all the regs that the Biden Administration planned to issue in 2024 and beyond. Since then, some of the regs in the agenda have been published, and others seem likely to be released on schedule towards the end of the year (we have no reason to think otherwise).
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Sep 26, 2024 | 
jdsupra.com | Jeffrey Davis
As I mentioned last week, comments are in on major calendar year (CY) Medicare payment regulations. Besides the CY 2025 physician fee schedule, another big reg is the CY 2025 Outpatient Prospective Payment System (OPPS) proposed reg, which would revise payment and establish policies for outpatient hospital services. More than 2,000 stakeholders commented on this reg. One of the major proposals was a condition of participation (CoP) for obstetrical (OB) care.
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Sep 5, 2024 | 
jdsupra.com | Jeffrey Davis
We are now in September! And while many folks are thinking about how summer has come and gone so quickly, those following the No Surprises Act implementation process may also be wondering how a whole year has passed since the process hit a particularly bumpy patch from which it has yet to recover.
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Aug 29, 2024 | 
jdsupra.com | Jeffrey Davis
While the phrase “return to normal” is used in many different contexts, interestingly, it can now also be applied to the maximum payment adjustments that clinicians receive through the Merit-based Incentive Payment System (MIPS) based on their performance in the program. Before digging into why that’s the case, let’s first provide a quick refresher on MIPS. MIPS is the main quality performance program for physicians and other clinicians in Medicare.
