HRI regulatory center

HRI regulatory center

HRI regulatory spotlight: FDA sheds light on social media use for life-sciences sector
Consumers are increasingly turning to social media websites such as Twitter, Facebook and CaringBridge to better engage in health decisions. But when it comes to social media and healthcare, life-sciences companies have lagged behind.
HRI regulatory spotlight: Hospitals face compliance challenges under 'two-midnight' rule
Chief financial officers say they could lose millions of dollars in payments—and potentially change how and when patients are admitted for care—under a controversial Medicare rule that narrows hospital admission criteria.
HRI regulatory spotlight: Medicaid rule revamps home and community services
A final rule from CMS makes it easier for Medicaid beneficiaries to receive services in their homes and communities, and adds fuel to the rapidly growing long term care industry.
HRI regulatory spotlight: Medical device identifiers: Better outcomes through better tracking
Seven years after Congress instructed the FDA to create a system to enhance its tracking of medical devices the agency released a final rule this September fulfilling the requirement.
HRI Spotlight: FDA focuses on patient safety as medical devices go wireless
HRI regulatory spotlight: FDA focuses on patient safety as medical devices go wireless
As more medical devices include remote technology, the FDA is advising manufacturers to ensure their products remain safe and effective.
HRI's closer look
Health insurance premiums: Comparing ACA exchange rates to the employer-based market
In 2014 the premiums for state exchange based health plans are comparable to -- and in some cases lower than -- those being offered by employers. The data suggest the new exchanges are competitive with the current insurance market and may open doors for employers as they contemplate future benefits strategies.
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The Affordable Care Act has entered its most pivotal year since being signed into law in 2010. About 20 million Americans gained coverage during the ACA’s inaugural open enrollment period, and hospitals and physicians are beginning to reorient how they deliver care to align with new payment models. It’s now more important than ever to stay atop the regulatory environment, as federal agencies provide the guideposts to an emerging new health economy. But that’s just the starting point. As consumers shoulder more of the costs for care, prepare to see dynamic changes as the industry shifts to compete for the newly insured.

Learn more about the healthcare regulatory environment through the following resources:

Week of 10/13/2014

  • Final HIPAA disclosure rule delayed until 2015
  • Medicare Advantage and Part D will have fewer plans in 2015
  • New analysis reveals Rx trends in public exchanges
  • ACA “Cadillac” tax likely to have widespread impact on employers, health plans
  • FDA finalizes cybersecurity guidance for devices

Week of 10/06/2014

  • CMS guidance to states: pay adequate rates to Medicaid managed care plans
  • Innovation center explores new health plan models to control Medicare Part D costs
  • CMS sets its sights on home health, hospice
  • HHS lacks authority to make 2015 risk corridor payments, according to GAO
  • Study suggests hospitals may profit from 340B discounts
  • Medical device tracking sheds light on patient safety and outcomes

Week of 09/29/2014

  • Transparency initiatives go live for device, drugmakers
  • Final rules on health benefits clarify supplemental coverage requirements
  • Medicare Pioneer ACO program loses four participants
  • HHS inspector probes drug coupon programs
  • Administration projects $5.7 billion decline in unpaid care in 2014

Week of 09/22/2014

  • Treasury Department targets corporate tax inversions
  • Obama administration steps up efforts to combat antibiotic resistance
  • Medicare Advantage Stars program may penalize plans with low-income enrollees, according to new study
  • More insurers will join the 2015 ACA exchange market
  • Medicaid enrollees pleased with coverage, confused by options

Week of 09/15/2014

  • Treasury report finds challenges collecting medical device tax
  • Massachusetts study finds narrow networks may reduce costs without reducing care
  • 2015 open enrollment may pose challenges for consumers, some experts warn
  • MedPAC and physician groups weigh in against physician fee schedule provisions
  • Regulations prove burdensome say tech companies entering healthcare
  • Health insurance is going retail through public and private exchanges

Week of 09/082014

  • Federal SHOP exchange will debut early in five states this fall
  • FDA new drug approvals tick up in 2014
  • New regulations aim to curb opioid abuse
  • Chronic Care Model strategy demonstrates quality improvement

Week of 09/01/2014

  • CMS eyes settlement over patient status denials
  • High-deductible plans may pose price comparison challenges
  • FDA releases action plan on demographic data
  • Health exchange auto-enrollment finalized
  • CMS final rule offers providers EHR certification flexibility
  • Medicaid expansion financially benefits some health systems

Week of 08/18/14

  • Community Health Systems hit by hackers, others warned
  • Hospitals scale back charity care for some patients
  • Providers seek delay of Sunshine payments data
  • Cancer test clears major hurdle in FDA, CMS joint review
  • HRI as we see it will not publish the week of August 25

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