decisionhealth Newsletters, Part B News - 2017 Issue 6 (June)
Obamacare repeal races through Senate; DOJ makes settlement policy change
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Article Overview
This article summarizes current federal policy activity that may affect physician practices, including Affordable Care Act repeal efforts in Congress, a Justice Department change affecting certain settlement practices, and CMS proposed rules tied to ACA-related regulatory burdens and the Quality Payment Program. It is relevant for physicians, practice administrators, compliance teams, and health care policy professionals who track federal legislative and regulatory changes.
Why This Topic Matters
The update highlights policy movements that can influence coverage, compliance expectations, settlement structures, and administrative reporting requirements for health care organizations and physician practices.
Article Sections
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Regulatory update
A brief overview of federal health policy developments affecting physician practices. The section frames the article’s focus on legislative, justice, and CMS activity.
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American Health Care Act (AHCA) makes a comeback
Discussion of congressional activity around health care reform legislation and the political outlook for Senate action. The section addresses broader policy implications for coverage and Medicaid-related issues.
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Attorney General Jeff Sessions forbids “third-party payments” in settlement
Coverage of a Justice Department settlement policy change and its possible implications for health care-related settlements. The section also touches on compliance-related arrangements mentioned in the article.
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CMS seeks help on Affordable Care Act (ACA) repeal, flags merit-based incentive payment system (MIPS) virtual groups
Summary of two CMS proposed rules and the comment periods associated with them. The section includes high-level discussion of ACA-related regulatory burdens and CMS information collection related to virtual groups.
What You Will Learn
- How the article frames federal Affordable Care Act repeal activity in Congress
- What general policy change the Justice Department announced regarding settlement practices
- Which CMS proposed rules are discussed and why they may matter to physician practices
- How the article connects virtual groups to CMS information collection activity
- What kinds of federal policy updates are being tracked for health care organizations
Who Should Read This
- Physician practices
- Practice administrators
- Health care compliance teams
- Medical billing and reimbursement professionals
- Health care policy analysts
- Legal and regulatory affairs staff
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