Task Force Issues Final Research Plan for Tobacco Cessation Interventions in Adults Amid Uncertainty Over the Task Force’s Future Stability
Task Force Issues Final Research Plan for Tobacco Cessation Interventions in Adults Amid Uncertainty Over the Task Force’s Future Stability
The U.S. Preventive Services Task Force (USPSTF) released a final research plan on interventions for tobacco cessation in adults. This research plan incorporates feedback from the draft plan issued in February 2025, and aims to assess the effectiveness and potential harms of various tobacco cessation methods, including their impact on different populations (Impact Health summary). The main aim of the… (Colocho, July 21, 2025) #Affordable Care Act, #Coverage Decisions, #Mental and Behavioral Health, #Prevention, #Public Health, #Tobacco, #Wellness
Analysis Finds that NIH Funding Cuts and Increased FDA Review Times would Lead to 53 Fewer New Drug Approvals
Analysis Finds that NIH Funding Cuts and Increased FDA Review Times would Lead to 53 Fewer New Drug Approvals
At the request of ranking Democrats on the House and Senate health and budget committees, the Congressional Budget Office (CBO) assessed how two hypothetical policy changes – a 10 percent permanent reduction in National Institutes of Health (NIH) funding and a nine-month increase in FDA review times for new drug applications (NDAs) – would affect the development of new drugs…. (Colocho, July 21, 2025) #Biosimilars, #Drug Pricing, #Food and Drug Administration, #Prescription Drugs, #Public Health
CMS Staff Provide an Overview of WISeR Prior Authorization Model; Answer Common Questions
CMS Staff Provide an Overview of WISeR Prior Authorization Model; Answer Common Questions
The Centers for Medicare and Medicaid Services (CMS) hosted a webinar office hour to describe and answer questions about the new Wasteful and Inappropriate Service Reduction (WISeR) Model. WISeR will implement technology-enabled prior authorization in Original Medicare for a select set of services to help providers steer beneficiaries to safer, higher value care and reduce fraud and waste. This webinar provided… (McClurg, July 18, 2025) #Demonstration Programs, #Health Information Technology, #Program Integrity
Committee Members Debate Key Elements of Employment Benefits for Independent Workers
Committee Members Debate Key Elements of Employment Benefits for Independent Workers
The Senate Committee on Health, Education, Labor and Pensions (HELP) held a hearing on July 17, 2025, to discuss employment benefits for independent workers. The hearing focused on four pieces of proposed legislation to address accessibility, portability, and security of these benefits: Unlocking Benefits for Independent Workers Act (S._) Modern Worker Empowerment Act (S._) Association Health Plans Act (S._) Independent Retirement Fairness… (Ray, July 17, 2025) #Coverage Decisions, #Insurance Coverage
Department Issues Guidance Directing Federal Agencies to Minimize Multilingual Services; Will Release Updated Guidance for Public Comment to Help Agencies Prioritize English within Six Months
Department Issues Guidance Directing Federal Agencies to Minimize Multilingual Services; Will Release Updated Guidance for Public Comment to Help Agencies Prioritize English within Six Months
The Department of Justice (DOJ) released guidance to implement President Trump’s Executive Order No. 14224, which establishes English as the official language of the United States (press release). This directive revokes President Clinton’s Executive Order 13166, which had previously mandated multilingual access to federal programs for individuals with limited English proficiency (LEP). The DOJ’s new guidance prioritizes English in all… (Colocho, July 17, 2025) #Health Equity, #Health Information Technology, #Public Health, #Social Determinants of Health
Agency Lays out Implications of Supreme Court Decision on Nationwide Injunctions and Potential Congressional Responses
Agency Lays out Implications of Supreme Court Decision on Nationwide Injunctions and Potential Congressional Responses
In its June 27, 2025 decision in Trump v. CASA, Inc., the U.S. Supreme Court significantly curtailed the authority of federal courts to issue nationwide injunctions – court orders that prevent the federal government from enforcing laws or policies against individuals who are not parties to a lawsuit. The decision stemmed from litigation over an executive order limiting birthright citizenship… (Colocho, July 16, 2025) #Health Equity, #Social Determinants of Health
.4 Percent Increase Proposed for CY 2026 OPPS Payments; Comments Due September 15
.4 Percent Increase Proposed for CY 2026 OPPS Payments; Comments Due September 15
The Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule (press release, fact sheet). What it is. CMS’ wide-ranging proposed rule affects payments to approximately 3,500 hospitals paid under the OPPS, including hospital outpatient departments (HOPDs) and 6,100 ASCs, beginning on… (Slifer, July 15, 2025) #340B, #Ambulatory Surgical Centers, #Hospitals, #Quality, #Transparency
Agency Provides Rapid Cycle Innovation Program (RCIP) Overview for CMS Model Participants; Vote on Next Test Topic Due July 25
Agency Provides Rapid Cycle Innovation Program (RCIP) Overview for CMS Model Participants; Vote on Next Test Topic Due July 25
The Centers for Medicare and Medicaid Services (CMS) hosted a webinar to introduce the Rapid Cycle Innovation Program (RCIP), a voluntary initiative where CMS model participants (like ACO REACH, KCC, and PC Flex ACOs) can vote on and/or host rapid randomized controlled trials (RRCTs) to test specific care delivery strategies aimed at improving model performance and patient outcomes. Slides from… (Colocho, July 15, 2025) #Accountable Care Organizations, #Health Information Technology, #Hospice, #Prevention
CY 2026 MPFS Proposed Rule Increases Payment by 3.8% for APM Participants and 3.6% for Non-APM Physicians; Includes Proposals Related to Practice Expenses, Prevention and Wellness, and a Mandatory Model on Heart Failure and Back Pain; Comments Due Sept. 12
CY 2026 MPFS Proposed Rule Increases Payment by 3.8% for APM Participants and 3.6% for Non-APM Physicians; Includes Proposals Related to Practice Expenses, Prevention and Wellness, and a Mandatory Model on Heart Failure and Back Pain; Comments Due Sept. 12
The Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) proposed rule (press release; fact sheet; MSSP fact sheet; which addresses an array of policies under Medicare Part B and the Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Program (QPP). What it is. CMS’ major proposed rule affects payments to physicians, nurse practitioners, physician assistants,… (McClurg, July 14, 2025) #Care Coordination, #Demonstration Programs, #Drug Pricing, #Health Equity, #Physicians, #Prevention, #Primary Care, #Program Integrity, #Quality, #Telehealth
Committee Examines Health Care Cybersecurity Threats and Federal Policy Gaps
Committee Examines Health Care Cybersecurity Threats and Federal Policy Gaps
The Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing focused on cybersecurity challenges in the health care sector. Witnesses emphasized critical concerns including the termination of the Critical Infrastructure Partnership Advisory Council (CIPAC), the looming expiration of the Cybersecurity Information Sharing Act of 2015, uncertainty surrounding the Biden-era HIPAA Security Rule update, and the implications of recent… (Colocho, July 14, 2025) #Health Information Technology, #Privacy, #Transparency