Reforming the Medicare conditions of participation and modernizing the Stark Law are key to regulatory relief and the transition to value, Advocate Aurora Health Chief Medical Officer Lee Sacks, M.D., told the House Ways and Means Health Subcommittee yesterday. Testifying at a closed-door forum on hospital regulatory relief, Sacks recommended “a complete overhaul and audit of the CoP requirements to ensure that all regulations and code are current and up to date with modern practices and standards.” He said the integrated health system also supports “full-scale modernization” of the Stark Law to eliminate the regulatory barriers it can impose on providers and integrated delivery systems, as well as other changes to advance the country’s transition to value-based care models. The subcommittee last year launched an initiative to reduce legislative and regulatory burdens on Medicare providers. Hospitals, health systems and post-acute care providers spend nearly $39 billion a year on administrative activities related to regulatory compliance, according to a study released last October by the AHA. In a letter to the subcommittee last year, AHA laid out actions that Congress could take immediately to reduce the regulatory burden on hospitals, health systems and the patients they serve.

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The Department of Health and Human Services Office of Inspector General June 11 released two reports on high rates of coverage denials by Medicare Advantage…
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The Hospital Insurance Trust Fund has been projected to become insolvent in 2033, according to the Medicare Board of Trustees’ annual report released June 9.…
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Members of Congress and hospital and health system leaders today gathered for a briefing in Washington, D.C., to discuss how payment delays in Medicare…
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The Centers for Medicare & Medicaid Services May 28 issued a final rule making changes to the Increasing Organ Transplant Access Model beginning July 1.…
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Approximately 35 million Americans are enrolled in Medicare Advantage plans in 2026, and that number is expected to grow to about 45 million MA enrollees by…
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The Centers for Medicare & Medicaid Services has released details on downloading its upcoming fiscal year 2025 Program for Evaluating Payment Patterns…