Fact Sheet

Health Plan Price Transparency in Coverage Proposed Rule Summary

HFMA provides a detailed summary of proposed rule requiring group health plans and health insurance issuers to disclose, upon request, cost-sharing amounts.

By HFMA December 13, 2019

Health Plan Price Transparency Requirements Proposed Rule Executive Summary

On November 15, 2019, CMS issued a proposed rule that, if finalized, would require health plans to make an online price transparency tool that provides cost sharing and other information available to their members.

By HFMA November 21, 2019

Anti-Kickback Statute and Civil Monetary Penalty Proposed Rule Summary

This document summarizes the proposed rule published by the OIG in the October 17, 2019, Federal Register, to revise safe harbors under the federal anti-kickback statute and the civil monetary penalty law that prohibits inducements offered to patients.

By HFMA October 28, 2019

Physician Self-Referral Proposed Rule Summary

This document summarizes the proposed rule updating regulations implementing the physician self-referral law, published by CMS in the October 17, 2019, Federal Register.

By HFMA October 21, 2019

Discharge Planning Final Rule Executive Summary

This document contains a high-level overview of CMS’s discharge planning final rule.

By HFMA October 11, 2019

Regulatory Burden Reduction, Dialysis Fire Safety and Hospital CAH CoP Final Rules Summaries

This document summarizes three final rules published by CMS addressing certain Medicare regulations identified as unnecessary, obsolete or excessively burdensome; updating fire safety requirements to certain renal dialysis facilities; and revising hospital and critical access hospital (CAH) conditions of participation (CoPs).

By HFMA October 4, 2019

Interoperability and Patient Access to Health Data Proposed Rule Summary

This document summarizes the proposed rule on interoperability and patient access to health data, published by CMS, in the March 4, 2019, Federal Register.

By HFMA March 6, 2019

HHS Notice of Benefit and Payment Parameters for 2020 Proposed Rule Summary

Summary of the Notice of Benefit and Payment Parameters for 2020 proposed rule, published by CMS. 

By HFMA January 29, 2019

Medicare Shared Savings Program 2019 Final Rule Summary

This document provides a comprehensive summary of December 2018 Medicare Shared Savings Program final rule, published by CMS.

By HFMA January 7, 2019

Medicare Shared Savings Program 2019 Final Rule: HFMA Executive Summary

This document briefly highlights noteworthy details of the 2019 Medicare Shared Savings Program final rule, published by CMS.

By HFMA January 3, 2019
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