Jeffrey Davis at McDermott Will & Emery

Legislative Uncertainty Slows Down, But Doesn’t Halt, Regulatory Action on Telehealth and Digital Health

Legislative Uncertainty on Telehealth Waivers Slows Down, But Doesn’t Halt, Regulatory Action on Virtual Care McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. Click here to...more

8/1/2024 / Centers for Medicare & Medicaid Services (CMS) , Healthcare , Healthcare Reform , Legislative Agendas , Medicare Part B , Physician Fee Schedule , Proposed Legislation , Rulemaking Process , Telehealth , Telemedicine

CMS Proposes New CoP for Obstetrical Services: With Great Power Comes Great Responsibility

In case you need a reminder given everything going on in Washington, DC, the Calendar Year (CY) 2025 Physician Fee Schedule (PFS) and CY 2025 Outpatient Prospective Payment System (OPPS) proposed regs were released a couple...more

7/25/2024 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Healthcare , Healthcare Reform , Medicare , New Regulations , Outpatient Prospective Payment System (OPPS) , Physician Fee Schedule , Popular , Regulatory Agenda

The Budget Neutrality Paradox: Explaining the CY 2025 PFS Positive Budget Neutrality Adjustment

The major calendar year proposed regs are now out, with thousands of pages of text to digest. Since a plethora of issues are embedded in these regs, including the Calendar Year (CY) 2025 Physician Fee Schedule (PFS) and the...more

7/18/2024 / Centers for Medicare & Medicaid Services (CMS) , Federal Budget , Healthcare , Legislative Agendas , Medical Billing Codes , New Legislation , Outpatient Prospective Payment System (OPPS) , Physician Fee Schedule , Vaccinations

CMS Releases CY 2025 Hospital Outpatient Prospective Payment and ASC Payment Systems Proposed Rule

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2025 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B...more

7/17/2024 / Centers for Medicare & Medicaid Services (CMS) , Outpatient Prospective Payment System (OPPS) , Payment Systems

CMS Releases CY 2025 Physician Fee Schedule Proposed Rule

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2025 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B...more

7/17/2024 / Centers for Medicare & Medicaid Services (CMS) , Medicare , MIPS , Physician Fee Schedule , Physicians , Telehealth

Regs, Regs and More Regs: The Biden Administration Releases Spring 2024 Unified Agenda

We are in the midst of a storm of regulations that are being released by the Centers for Medicare & Medicaid Services (CMS) and the US Department of Health and Human Services (HHS), including the Calendar Year (CY) 2025...more

7/11/2024 / Biden Administration , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Health Insurance , Healthcare , Healthcare Reform , Hospitals , Insurance Industry , Legislative Agendas , Medicare Advantage , Popular , Proposed Regulation , Regulatory Agenda

HHS Institutes Information Blocking Disincentives for Healthcare Providers

The long-awaited final reg is upon us! The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) released a final regulation earlier this week...more

6/27/2024 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Healthcare , Healthcare Reform , Information Blocking Rules , MIPS , OIG , ONC , Regulatory Requirements

“Reg Season” is Coming! Preview of the Physician Fee Schedule

School is out and it is summertime, which means only one thing in the health policy community: reg season! This is the time of the year when the Centers for Medicare & Medicaid Services (CMS) releases regulations that propose...more

6/19/2024 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Healthcare , Healthcare Reform , Medicare , MIPS , New Regulations , Physician Fee Schedule , Physicians , Regulatory Agenda , Telehealth

Top 10 Comments on Proposed Mandatory Episode-Based Payment Model, TEAM

Time’s up and pencils down! Public comments on the Centers for Medicare & Medicaid Services (CMS) Fiscal Year 2025 Inpatient Prospective Payment System (IPPS) proposed regulation were due this past Monday, June 10, 2024. CMS...more

6/13/2024 / Centers for Medicare & Medicaid Services (CMS) , Comment Period , Health Care Providers , Inpatient Prospective Payment System (IPPS) , Payment Rates , Proposed Rules , Public Comment

CMS Hosts Health Equity Conference: Key Insights and Perspectives

Last week, the Centers for Medicare & Medicaid Services (CMS) held the second annual CMS Health Equity Conference. The event drew several hundred in-person attendees, including my colleague Kayla Holgash, and thousands of...more

6/6/2024 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Digital Health , Equity , Health Care Providers , Healthcare , Healthcare Reform , Inpatient Prospective Payment System (IPPS) , Medicaid , Mental Health , Professional Conferences , Regulatory Agenda , Regulatory Reform , Reproductive Healthcare Issues , Substance Abuse

A Buffet of Hospital Alternative Payment Models: Will Too Many Entrees Be Overwhelming?

Over the last several months, the Center for Medicare and Medicaid Innovation (CMMI), within the Centers for Medicare & Medicaid Services (CMS), has introduced several alternative payment models (APMs) geared toward...more

5/30/2024 / Alternative Payment Models (APM) , Centers for Medicare & Medicaid Services (CMS) , CMMI , Health Care Providers , Healthcare , Healthcare Reform

2022 Quality Payment Program Performance Report Released: Observations and Insights

A couple of weeks ago, the Centers for Medicare & Medicaid Services (CMS) released an important report that provides insight into a significant contributor of clinicians’ overall Medicare reimbursement for this year....more

5/23/2024 / Alternative Payment Models (APM) , Centers for Medicare & Medicaid Services (CMS) , Legislative Agendas , MIPS , New Legislation , Physician Fee Schedule , Quality Payment Program (QPP) , Regulatory Agenda , Regulatory Reform

Telehealth: Regulatory Questions Amid Legislative Uncertainty

Where has the time gone? We have hit the one-year mark since the end of the COVID-19 public health emergency (PHE). Yes, you read that correctly. One year! One of the long-term consequences of the PHE was the shift in when...more

5/16/2024 / Centers for Medicare & Medicaid Services (CMS) , Consolidated Appropriations Act (CAA) , Healthcare , Medicare , Proposed Legislation , Regulatory Standards , Telehealth , Waivers

It’s Raining Regs: CMS Releases Major Laboratory-Developed Test Reg in Midst of Massive Reg Storm

Over the last several weeks, the Biden administration has released numerous final regulations in order to “beat the clock” before it ticks down to the Congressional Review Act (CRA) deadline. The CRA authorizes Congress to...more

CMS Finalizes Major Reforms to Medicaid, Part 2: Medicaid Managed Care Reg

Medicaid Regs Part 2! Last week, Regs & Eggs took a deep dive into the Ensuring Access to Medicaid Services final reg, one of two regs that the Centers for Medicare & Medicaid Services (CMS) released to add new requirements...more

5/3/2024 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Fee-for-Service , Health Care Providers , Health Insurance , Health Insurance Exchanges , Healthcare , Managed Care Contracts , MCOs , Medicaid , Price Transparency , Proposed Regulation

Policy Update - CMS Releases Final Rule: Medicaid and CHIP Managed Care Access, Finance, and Quality

On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) published the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality final rule. CMS finalized several substantial...more

5/1/2024 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Final Rules , Healthcare , Healthcare Reform , Managed Care Contracts , Medicaid , Regulatory Agenda

Policy Update - CMS Releases Final Rule: Medicaid Program; Ensuring Access to Medicaid Services

On April 22, 2024 the Centers for Medicare & Medicaid Services (CMS) published the Medicaid Program; Ensuring Access to Medicaid Services final rule. The rule has a particular focus on home- and community-based services...more

4/29/2024 / Centers for Medicare & Medicaid Services (CMS) , Fee-for-Service , Final Rules , Health Care Providers , Home and Community Based Services (HCBS) , Home Health Care , Medicaid , Provider Payments , Quality of Care Standards , Transparency

2024 Chart of Additional Healthcare Regulations

During this election year, McDermottPlus is actively monitoring annual regulations that federal agencies are expected to release, as well as “ad hoc” regulations that will be released at the discretion of federal agencies. ...more

4/26/2024 / Centers for Medicare & Medicaid Services (CMS) , DEA , Department of Health and Human Services (HHS) , Department of Labor (DOL) , Department of Veterans Affairs , Employee Benefits , Federal Trade Commission (FTC) , Food and Drug Administration (FDA) , Health and Welfare Plans , Healthcare , Healthcare Reform , New Regulations , OCR , OIG , OSHA , Proposed Regulation , Regulatory Agenda , Regulatory Reform

CMS Finalizes Major Reforms to Medicaid, Part 1: Medicaid Access Reg

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released two final regulations that added new requirements for states when operating their Medicaid programs. Medicaid is currently the largest health...more

4/25/2024 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Healthcare , Healthcare Reform , Home and Community Based Services (HCBS) , Medicaid , Medicare

CMMI Proposes New Mandatory Episode-Based Payment Model

Last week, the Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year 2025 Inpatient Prospective Payment System (IPPS) proposed regulation. This 1,900+ page annual reg updates Medicare payments and policies...more

4/18/2024 / Centers for Medicare & Medicaid Services (CMS) , CMMI , Comment Period , Health Care Providers , Healthcare , Healthcare Reform , Inpatient Prospective Payment System (IPPS) , Proposed Legislation , Proposed Regulation , Public Comment

HHS Releases New Proposal to Address Drug Shortages

A few weeks ago, Regs & Eggs focused on nine health-related issues that were not included in the Fiscal Year (FY) 2025 President’s Budget. Another policy absent from the budget was the Administration’s plan to address drug...more

4/11/2024 / Biden Administration , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Federal Budget , Inpatient Prospective Payment System (IPPS) , Legislative Agendas , Pharmacy Benefit Manager (PBM) , Prescription Drugs , Proposed Legislation , Supply Chain , Supply Shortages

3/14/2024 / Artificial Intelligence , Biden Administration , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Executive Orders , Federal Budget , Healthcare , Medicaid , Medicare , Medicare Advantage , Medicare Part A , Medicare Part B , MedPAC , Mental Health , Pharmacy Benefit Manager (PBM) , Physician Fee Schedule , Public Health Emergency , Transparency

Jeffrey Davis

McDermott Will & Emery

Popular Topics by This Author

Latest Publications