National Advisory Council Explores How Research Can Contribute To Firearm Injury Prevention; Hears from CDC and NIH Regarding Current and Future Initiatives

National Advisory Council Explores How Research Can Contribute To Firearm Injury Prevention; Hears from CDC and NIH Regarding Current and Future Initiatives

Firearm injury prevention is a strategic imperative of the National Advisory Council for Nursing Research (NACNR). The Council held a meeting focused on the role nurse scientists and nursing research can play in firearm injury prevention.  Presentations outlined the National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC)’s current firearm injury prevention research initiatives including the… (Colocho, February 22, 2023) #Prevention, #Public Health

+ Read More

Certain Surprise Billing IDR Proceedings Can Resume

Certain Surprise Billing IDR Proceedings Can Resume

The Centers for Medicare and Medicaid Services (CMS) announced that certified independent dispute resolution (IDR) entities can resume processing payment determinations on February 27, 2023 for payment disputes involving items or services furnished before October 25, 2022 (February 24 notice).   As a result of the decision in Texas Medical Association, et al. v. United States Department of Health and… (Llamas, February 28, 2023) #Coverage Decisions, #Insurance Reform

+ Read More

Portal for Plans and Issuers to Submit Gag Clause Prohibition Compliance Attestation, Due Dec. 31, 2023

Portal for Plans and Issuers to Submit Gag Clause Prohibition Compliance Attestation, Due Dec. 31, 2023

The Centers for Medicare and Medicaid Services (CMS) opened the portal for group health plans and health insurance issuers offering group or individual health insurance coverage to submit a Gag Clause Prohibition Compliance Attestation (GCPCA). Plans and issuers are prohibited from entering into provider agreements with gag clauses that restrict a plan or issuer from sharing certain price and quality… (Llamas, February 23, 2023) #Transparency

+ Read More

Agency Announces Draft Research Plan on Interventions to Prevent Perinatal Depression

Agency Announces Draft Research Plan on Interventions to Prevent Perinatal Depression

The U.S. Preventive Services Task Force (USPSTF) released a draft research plan on interventions to prevent perinatal depression. USPSTF aims to use data on population characteristics to explore the degree to which study findings are representative of different populations of persons at risk for perinatal depression, including groups categorized by various social determinants of health, such as education, age, and… (Colocho, February 23, 2023) #Health Equity, #Pediatrics, #Prevention, #Public Health, #Social Determinants of Health, #Women’s Health

+ Read More

Innovation Center Accepting Applications for BPCI Advanced Two Year-Extension Period

Innovation Center Accepting Applications for BPCI Advanced Two Year-Extension Period

The Center for Medicare and Medicaid Innovation (CMMI) announced it is now accepting applications for Medicare providers, suppliers, and accountable care organizations (ACOs) to participate in the forthcoming two-year extension of the Bundled Payments for Care Initiative (BPCI) Advanced Model. The model extension period will allow CMMI two additional years of testing (2024 and 2025) to determine whether updates to… (LaRosa, February 21, 2023) #Accountable Care Organizations, #Bundling, #Delivery Reform, #Demonstration Programs, #Value-Based Purchasing

+ Read More

Office for Civil Rights Delivers Annual Reports to Congress on HIPAA Compliance and Breaches of Unsecured Protected Health Information

Office for Civil Rights Delivers Annual Reports to Congress on HIPAA Compliance and Breaches of Unsecured Protected Health Information

The Department of Health and Human Services (HHS) Office of Civil Rights (OCR) shared two reports to congress for 2021 on HIPAA compliance and breaches of unsecured protected health information (PHI) to help regulated entities better comply with the requirements of the HIPAA notification rules. In addition, the reports also share steps taken by OCR to investigate complaints, breach reports,… (Colocho, February 17, 2023) #Health Information Technology

+ Read More

TEP Nominations Sought to Advise on Exchange Health Plan Quality Initiatives; Due Mar. 1

TEP Nominations Sought to Advise on Exchange Health Plan Quality Initiatives; Due Mar. 1

The Centers for Medicare & Medicaid Services (CMS) is seeking nominations for a Technical Expert Panel (TEP) to contribute direction and thoughtful input to measure development and maintenance for the exchange health plan Quality Rating System (QRS) and Quality Improvement Strategy (QIS).   Details about the TEP follow in the table below.   Title Development and Evaluation of Exchange Health… (Testa, February 17, 2023) #Health Insurance Exchanges, #Qualified Health Plans, #Quality

+ Read More

Senators Discuss Farm Bill Nutrition Programs, Focus on Cost

Senators Discuss Farm Bill Nutrition Programs, Focus on Cost

The Senate Committee on Agriculture, Nutrition, and Forestry held a hearing on the nutrition programs in the Farm Bill, which must be reauthorized by September 30, 2023. Over 80 percent of Farm Bill Funding goes to nutrition programs which include the Supplemental Nutrition Assistance Program (SNAP), The Emergency Food Program (TEFAP), and the Commodity Supplemental Food Program (CSFP). In addition… (McClurg, February 16, 2023) #Health Equity, #Nutrition

+ Read More

CST Committee Examines PBM Legislation, Witnesses Express Support for Increased Transparency

CST Committee Examines PBM Legislation, Witnesses Express Support for Increased Transparency

The Senate Committee on Commerce, Science, and Transportation convened a hearing to examine pharmacy benefit manager (PBM) practices and their role in the pharmaceutical supply chain. The following witnesses testified that PBM anticompetitive practices negatively impact beneficiaries and community pharmacies and emphasized the need for greater transparency to shed light on which PBM practices are most detrimental. Dr. Ryan Oftebro,… (Slifer, February 16, 2023) #Pharmacies, #Pharmacy Benefit Managers, #Prescription Drugs

+ Read More

In Anticipated Report, Innovation Center Announces Three New Drug Pricing Model Concepts

In Anticipated Report, Innovation Center Announces Three New Drug Pricing Model Concepts

the Secretary of the Department of Health and Human Services (HHS) released a report in response to President Biden’s Executive Order on Lower Prescription Drug Costs for America, which describes three models the Secretary has selected for testing by the Center for Medicare and Medicaid Innovation (CMMI) (fact sheet, FAQs). The models would address drug pricing incentives in Medicare Part… (Slifer, February 14, 2023) #Delivery Reform, #Demonstration Programs, #Drug Pricing, #Prescription Drugs

+ Read More