Reconciliation aftermath -
Last week, President Trump signed H.R. 1, the One Big Beautiful Bill Act, into law after months of work on the reconciliation package. This week, things will slightly cool down in Washington, DC…
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/ Administrative Law, Elections & Politics, Health
July 2, 2025 – There has been a lot of talk recently about the future of the Medicare Physician Fee Schedule (PFS) conversion factor (CF) – the standardized dollar amount used to convert relative value units (RVUs) into payment…
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/ Health
Welcome to what technically was supposed to be a congressional recess week in advance of the Fourth of July. The Fourth also has been Republicans’ internal deadline for having a reconciliation package on the president’s desk, so…
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/ Elections & Politics, Health
Senate Reconciliation Process Continues. Republicans are adjusting language to comply with Senate rules and appease various wings of the party…
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/ Health, Immigration Law, Science, Computers, & Technology
Health plan members of AHIP and the Blue Cross and Blue Shield Association made news earlier this week when they announced a series of steps that a broad swath of health insurers will take to improve the prior authorization…
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/ Administrative Law, Health, Insurance
What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient volumes changed over time for inpatient hip and femur…
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/ Health
Reconciliation Byrd Rulings and Potential Floor Vote -
This week will be busy as Republicans race to try to get the reconciliation package to President Trump’s desk by July 4. Last week, the Senate Finance Committee, which has…
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/ Administrative Law, Elections & Politics, Health, Taxation
THIS WEEK’S DOSE -
- Senate Finance Committee Releases Reconciliation Text. The language is subject to change as negotiations continue and the Byrd rule process plays out.
- CMS Releases MA Risk Adjustment Audit Methodology…
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/ Administrative Law, Elections & Politics, Health
Updated to include Medicare claims data thru Q4 2024.
What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient…
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/ Health, Science, Computers, & Technology
Patient engagement. Information blocking. Interoperability. These buzz words are flying around the health information technology (HIT) world as the Trump administration starts to make its mark on the HIT policy landscape. While…
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/ Administrative Law, Health, Science, Computers, & Technology
The House is out this week for the Juneteenth holiday, but the Senate will be in town through Wednesday. We expect these three days to be significant because the Senate Finance Committee has announced that it intends to release…
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/ Elections & Politics, Finance & Banking, Health, Taxation
THIS WEEK’S DOSE -
- Reconciliation Moves Forward. Senate committees continue to release their reconciliation provisions.
- NIH Director Testifies on FY 2026 Budget. National Institutes of Health (NIH) Director Bhattacharya…
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/ Administrative Law, Elections & Politics, Health
As discussed in last week’s Regs & Eggs blog post, the US Department of Health and Human Services (HHS) recently released additional budget documents to support the department’s fiscal year (FY) 2026 discretionary request. HHS…
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/ Administrative Law, Commercial Law & Contracts, Government Contracting, Health, Science, Computers, & Technology
UPDATE: On June 4, 2025, the Congressional Budget Office (CBO) released updated cost estimates of H.R. 1, the One Big Beautiful Bill Act. We have updated our summary of the bill’s health provisions to reflect these new CBO…
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/ Elections & Politics, Health, Taxation
Senate Continues Reconciliation Consideration -
This week, Senate consideration of the reconciliation package will continue, and more text will be made public as the process begins to move out from behind closed doors. Senate…
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/ Elections & Politics, Health, Taxation
