MedPAC Report to Congress on Medicare Policy

The Medicare Payment Advisory Commission (MedPAC) has released its annual recommendations to Congress on Medicare policies, including Medicare fee-for-service (FFS) payment updates and a status report on the Medicare Advantage and Medicare Part D programs. The following are highlights of the recommendations for 2016 (many of which were recommended previously):

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MedPAC Voices Concerns about Growing Volume, Burden of Medicare Quality Measures

In December 2014, CMS released a 329-page list of quality measures under consideration for the Medicare program. In a January 13, 2015 comment letter, MedPAC observes that volume of measures under consideration “reinforces our concerns that Medicare’s provider-level measurement activities are accelerating without regard to the costs or benefits of an ever-increasing number of measures.” MedPAC suggests that CMS is “relying on too many clinical process measures that are, at best, weakly correlated with health outcomes.” Moreover, including numerous process measures could reinforce “undesirable payment incentives in FFS Medicare to increase the volume of services and is overly burdensome on providers to report, while yielding limited information to support clinical improvement or beneficiary choice.” While acknowledging that CMS includes more measures than will be adopted in order to solicit comments, MedPAC urges CMS to “carefully consider whether each additional measure would simply reinforce or exacerbate the current system’s problems.”

The following is MedPAC’s count of measures under consideration (note that the largest number of measures under review this year apply to accountable care organizations):

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Circuit Split on Availability of ACA Tax Credits in Federal Exchanges

As has been widely reported, on July 22, 2014, two circuit court panels handed down conflicting decisions on whether ACA insurance premium tax credits are available for insurance purchased on federal, rather than state, insurance Marketplaces/Exchanges. On the one hand, a three-judge panel of the U.S. Court of Appeals for the D.C. Circuit ruled 2-1 that insurance tax credits established by the ACA are “unambiguously: restricted to insurance purchased on Exchanges “established by the State.” The Court therefore vacated IRS regulations making tax credits available as a form of subsidy to individuals who purchase health insurance on an Exchange established by the federal government.  Hours later, a three-judge panel of the Fourth Circuit Court of Appeals ruled unanimously that IRS can indeed extend credits to federal Exchanges; given that the “applicable statutory language is ambiguous and subject to multiple interpretations,” the IRS determination is “a permissible exercise of the agency’s discretion.”  The Obama Administration will seek an en banc hearing before the D.C. Circuit, but the issue may ultimately be left to the Supreme Court. At stake is the continued availability of subsidies for individuals purchasing health insurance in the 36 states where the federal government – rather than the state -- operates the health insurance Exchange.

MedPAC Issues 2014 Medicare/Health Spending Data Book

The Medicare Payment Advisory Commission (MedPAC) has released its 2014 Data Book on Health Care Spending and the Medicare Program. The volume provides detailed information regarding national health care and Medicare spending and utilization, sector profit margins, Medicare and dual-eligible beneficiary demographics, Medicare quality, Medicare beneficiary and other payer liability, and related issues.

MedPAC Issues Medicare Delivery Reform Recommendations

On June 13, 2014, the Medicare Payment Advisory Commission (MedPAC) released its June 2014 Report to the Congress on Medicare and the Health Care Delivery System. Among other things, MedPAC addresses ways to align Medicare fee-for-service (FFS), Medicare Advantage, and accountable care organization policies on payment, risk adjustment, and quality measurement. MedPAC also discusses various FFS reforms, including post-acute care reforms to promote payment consistency across settings and bonus payments to support primary care. Finally, MedPAC discusses changing income eligibility standards for the Medicare Savings Programs to help low-income Medicare beneficiaries afford out-of-pocket costs, and it examines the impact of medication adherence on health spending. 

Is anybody home? Medicare contractors on the prowl for DMEPOS supplier violations of posted business hours and other physical facility standards.

This post was written by Paul W. Pitts, Carol C. LoepereElizabeth Carder-Thompson, and Nancy Sheliga.

Medicare suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) should be on the alert for enhanced Medicare supplier standard compliance monitoring by CMS, the National Supplier Clearinghouse (NSC), and their agents. Recently, these entities have taken draconian actions to revoke the enrollment of a number of suppliers who failed to be present during indicated hours of operation. Recent Administrative Law Judge (ALJ) decisions have upheld such revocations for technical violation of the Medicare supplier standard, even in the face of extenuating circumstances, reinforcing the need for suppliers to review their practices and policies to ensure full compliance.

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Stolen Unencrypted Laptops Results in HIPAA Settlements for Two Health Companies

Two more health care companies have settled potential violations of the HIPAA Privacy and Security Rules arising from the theft of unencrypted laptops by paying a total of almost $2 million and agreeing to continued oversight by the HHS Office for Civil Rights (OCR). In both instances, the breaches were self-reported and the settlements resulted from OCR’s subsequent investigations. For details, see the report on our Life Sciences Legal Update blog.

Exploring the "Country of Origin" Question for Pharmaceutical Products

Because drugs and medical devices are often sourced, processed, and manufactured in multiple countries, manufacturers are often faced with difficult challenges in determining the country of origin for their products. As detailed in the article "Origin of the Pieces: How to Determine a Pharmaceutical Product's 'Country of Origin,'" written by Reed Smith lawyers Jeffrey Orenstein and Lorraine Campos, a variety of factors must be taken into consideration when answering the country of origin question for a pharmaceutical product. The alert is available on our Life Sciences Legal Update blog.  

California Weighs Further Curtailment of Physician Self-Referrals

This post was written by Paul Pitts.

California State Senator Ed Hernandez, O.D., Chair of the Senate Health Committee, has introduced legislation that would close an exception in state law that currently permits physicians to provide advanced imaging, anatomic pathology, radiation therapy, and physical therapy within their office or the office of their group practice.  Under current law, the so-called “in-office exception” permits physicians to refer patients to their own practice for these services, which are typically ancillary to the primary service of the referring physician. If this legislation is adopted, California’s self-referral law would be more restrictive than the federal physician self-referral law, commonly referred to as the Stark law. Physicians in California residing outside of rural areas would be prohibited from referring any patients, regardless of source of payment, for advanced imaging, anatomic pathology, radiation therapy, and physical therapy performed by the referring physician’s own practice. The proposed legislation, Senate Bill 1215, is scheduled for an April 21, 2014 hearing before the Senate Business, Professions and Economic Development Committee. Comments on the legislation may be sent to the committee at State Capitol, Room 2053 Sacramento, California 95814.

MedPAC Issues 2014 Report to Congress on Medicare Payment Policy

The Medicare Payment Advisory Commission (MedPAC) has released its annual report to Congress on Medicare payment policy, including payment update recommendations for all the major Medicare fee-for-service payment (FFS) systems, limited recommendations related to the Medicare Advantage (MA) program, and a status report on the Medicare Part D program. The following are highlights of the recommendations for 2015 (many of which were recommended previously):

  • MedPAC recommends a 3.25% update to inpatient and outpatient hospital payment rates, concurrent with two changes that would institute site-neutral payments among settings. First, Congress should direct the HHS Secretary to reduce or eliminate differences in payment rates between outpatient departments and physician offices for selected ambulatory payment classifications. Second, MedPAC recommends reducing payment for long-term care hospital (LTCH) services furnished to patients whose illness is not characterized as chronically critically ill (CCI) to the same rate that an acute care hospital would be paid for such care; savings from this provision would fund an outlier pool for acute care hospitals that treat costly CCI patients.
  • Congress should repeal the sustainable growth rate (SGR) system for physician services and replace it with a 10-year path of statutory updates that includes a higher update for primary care services than for specialty care services. MedPAC also endorsed the collection of data to establish more accurate work and practice expense values; budget-neutral changes to improve data on which relative value unit weights are based and to redistribute payments from overpriced to underpriced services; and relative value unit reductions to achieve fee schedule savings.
  • Congress should eliminate the ambulatory surgical center (ASC) payment update for 2015, require ASCs to submit cost data, and direct the Secretary to implement a value-based purchasing program for ASCs by 2016.
  • Congress should eliminate the skilled nursing facility (SNF) market basket update. Congress also should direct the Secretary to revise the prospective payment system for SNFs and begin a process of rebasing with an initial reduction of 4% and subsequent reductions until Medicare’s payments better align with providers’ costs. Moreover, Congress should direct the Secretary to reduce payments to SNFs with relatively high risk-adjusted rates of rehospitalization during Medicare-covered stays.
  • MedPAC reiterates previous recommendations to rebase home health rates, eliminate the market basket update, revise the home health case-mix system to rely on patient characteristics to set payment for therapy and nontherapy services, and establish a per episode copay for home health episodes not preceded by hospitalization or post-acute care use. In addition, Congress should direct the Secretary to reduce payments to home health agencies with relatively high risk-adjusted rates of hospital readmission.
  • Congress should eliminate the update to hospice rates for FY 2015 and adopt a series of previous MedPAC payment reform recommendations.
  • Congress should eliminate the 2015 updates for outpatient dialysis services and direct the Secretary to establish a quality measure that assesses poor outcomes related to anemia in the End-Stage Renal Disease Quality Incentive Program, revise the low-volume adjustment, and audit dialysis facilities’ cost reports.
  • Congress should eliminate the FY 2015 payment updates for inpatient rehabilitation facilities and LTCHs.
  • With regard to Medicare Advantage (MA), MedPAC recommends that Congress: (1) direct the Secretary to determine payments for employer-group MA plans in a manner more consistent with the determination of payments for comparable non-employer group plans; and (2) include the Medicare hospice benefit in the MA benefits package beginning 2016.

Note that while MedPAC’s recommendations are not binding, Congress and CMS often take into account MedPAC’s assessments when updating Medicare payment policies.

MACPAC Issues Annual Report to Congress on Medicaid, CHIP Policy

On March 14, 2014, the Medicaid and CHIP Payment and Access Commission (MACPAC) recommended that Congress take steps to promote continuity in Medicaid coverage, such as by providing states with an option for 12-month continuous eligibility for adults and extending the current transitional medical assistance program. Among other things, the report also discusses at length the policy implications of Medicaid non-disproportionate share hospital supplemental payments, and calls for additional data collection related to these payments to promote transparency, support program integrity efforts, and facilitate assessments of Medicaid payment adequacy. In addition, the report includes a statistical supplement containing detailed Medicaid data.

D.C. District Court Rules Internal Compliance Investigations Are Not Privileged

On March 6, 2014, the U.S. District Court for the District of Columbia ruled that documents related to internal investigations of possible violations of corporate codes of conduct are not protected from disclosure under either the attorney-client privilege or attorney work product doctrine. The court instead concluded that the company’s investigations were conducted pursuant to “regulatory law and corporate policy,” rather than for the purpose of obtaining legal advice. As discussed in a recent Reed Smith client alert, the ruling serves as timely reminder for health care companies to review internal procedures relating to internal corporate compliance program or code of conduct investigations to maximize the likelihood that appropriate privileges will be honored. For details and analysis, read the full Reed Smith alert.

Advisory Panel Recommends Access Standards for Medical Diagnostic Equipment

The Access Board's Medical Diagnostic Equipment Accessibility Standards Advisory Committee has issued its final report on “Advancing Equal Access to Diagnostic Services: Recommendations on Standards for the Design of Medical Diagnostic Equipment for Adults with Disabilities.” The report includes detailed recommendations on standards for access to equipment such as examination tables and chairs, weight scales, and diagnostic equipment. Among other things, the report address transfer access, armrests, lift compatibility, and other features for accessibility. The standards, which are being developed as directed under the ACA, still must be approved by the full Access Board.

2013 MedPAC Data Book Released

The Medicare Payment Advisory Commission (MedPAC) has released its 2013 Data Book on Health Care Spending and the Medicare Program. The publication provides information on national health care and Medicare spending and utilization, Medicare and dual-eligible beneficiary demographics, Medicare quality, Medicare beneficiary and other payer liability, and related issues.

Hard Drives on Used Photocopiers Result in HIPAA Violations and $1.2M Settlement to the OCR

As covered on Reed Smith’s Life Sciences Legal Update blog, Affinity Health Plan, Inc. (Affinity) recently reached a $1.2 million settlement with the HHS Office for Civil Rights related to potential violations of the Health Information Portability and Accountability Act of 1996 (HIPAA). Affinity self-reported a breach after learning from a CBS Evening News investigative report that electronic protected health information (PHI) was stored on the hard drives of photocopiers formerly leased to Affinity. Since almost every business uses photocopiers, Affinity serves as a reminder that all covered entities and business associates should implement policies and procedures to ensure that all hard drives are scrubbed of PHI before leaving their possession.  For more information, please see the full post.

China Life Sciences Regulatory Crackdown Spreads to Medical Device Sector

As reported on Reed Smith's Life Sciences Legal Update blog, the local Beijing office of the Ministry of Health (MOH) of the People's Republic of China recently announced that it has started a three-month review of the use of high-value medical consumables and large-scale medical equipment in Beijing. Noting that prior inspections of hospitals had found continuing problems with the misuse and overuse of medical devices to increase profits, the investigation is intended to strengthen hospitals’ management of the use of medical devices and to regulate the use of high value medical consumables.  The Beijing MOH will also develop a database that will track the price and model of devices implanted in each patient, require hospitals to improve their purchasing management systems, and conduct periodic inspections of hospitals’ purchasing and management of medical consumables.  For more information about this recent investigation and increased life sciences regulatory enforcement in China, see the full post.

MedPAC Report to Congress on Delivery Reform

The Medicare Payment Advisory Commission (MedPAC) has released its June 2013 Report to the Congress on Medicare and the Health Care Delivery System. The report examines a number of potential ways to reform Medicare, including the following: 

  • Redesigning the Medicare benefit. MedPAC continues to discuss the concept of competitively determined plan contributions (CPC), under which Medicare beneficiaries could receive care through either a private plan or traditional fee-for-service, but the premium paid by the beneficiary could vary depending on the coverage option chosen. The federal government’s payment for a beneficiary’s care would be determined through a competitive process comparing the costs of available options for coverage. The report identifies key issues to be addressed if the Congress wishes to pursue a policy option like CPC, such as how benefits could be standardized for comparability, how to calculate the Medicare contribution, and the structure of subsidies for low-income beneficiaries.
  • Reducing Medicare payment differences across sites of care. MedPAC notes that Medicare payment rates often vary for similar services provided to similar patients, simply because they are provided in different sites of care (e.g., physician’s office vs. hospital outpatient department). The report identifies services that may be eligible for equalizing or narrowing payment differences across settings.
  • Bundling post-acute care services. MedPAC explores the implications for quality and program spending for different design features of post-acute care payment bundles, such as the services included, the length of time covered by the bundle, and the method of payment.
  • Reducing hospital readmissions. MedPAC suggests further refinements to improve incentives for hospitals and generate program savings through reduced readmissions, including proposals to address the effect of random variation on hospitals with small numbers of cases, the inability of the industry to reduce average penalties with improved performance, the correlation of patient income and readmission rates, and the inverse relationship between readmissions and mortality for cardiac patients.
  • Payments for hospice services. MedPAC presents information on the prevalence of long-stay patients and the use of hospice services among nursing home patients to inform future hospice payment reforms. MedPAC also provides additional information supporting its March 2009 recommendations to revise the hospice payment system.
  • Improving care for dual-eligible beneficiaries. MedPAC discusses the potential role that federally qualified health centers and community health centers can play in coordinating care for Medicare-Medicaid dual-eligible beneficiaries.

In addition to discussing these delivery reforms, the MedPAC report addresses Congressionally-mandated reviews of the following topics: Medicare ambulance add-on payments; geographic adjustment of fee schedule payments for the work effort of physicians and other health professionals; and Medicare payment for outpatient therapy services.

MACPAC Report Addresses Medicaid and CHIP Policies

The Medicaid and CHIP Payment and Access Commission (MACPAC) has released its June 2013 Report to the Congress on Medicaid and CHIP, covering issues such as Medicaid and CHIP eligibility, coverage for maternity services, increased Medicaid payment for primary care physicians services, access to care for persons with disabilities, Medicaid and CHIP data for use in oversight and program monitoring, and program integrity efforts. This report also includes the latest MACStats data supplement.

Obama Administration's Proposed FY 2014 Budget Includes $401 Billion in Health Program Savings

Today, the Obama Administration released its proposed federal budget for fiscal year 2014. As widely reported, the budget incorporates an offer the President made to Congress in December 2012 to achieve nearly $1.8 trillion in additional deficit reduction over the next 10 years, including $401 billion in health savings (the Administration observes that this level of cuts would “provide more than enough deficit reduction to replace the damaging cuts required by the Joint Committee sequestration”).

Virtually all provider types – and drug manufacturers – would be impacted by the budget provisions, if adopted as proposed. The budget proposal is certainly subject to change during the legislative process, particularly as the House and Senate leadership pursue alternative budget frameworks, and indeed, gridlock could prevent significant action on entitlement reform this year. Nevertheless, the proposals bear careful monitoring because they could eventually be included in any long-elusive “grand bargain” to reform the Medicare program and reduce the federal debt.

Highlights of the Administration’s Medicare and Medicaid proposals include the following:

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Older Entries

March 28, 2013 — MedPAC's March 2013 Report to Congress

March 27, 2013 — MACPAC 2013 Report to Congress on Medicaid/CHIP

March 27, 2013 — Recent Reed Smith Analyses of Sunshine Act Rule, ACA Qualified Health Plans, HITECH Final Rule

January 9, 2013 — OCR Announces First HIPAA Breach Settlement Involving Less than 500 Individuals

November 27, 2012 — Massachusetts Issues Final Drug/Device "Sunshine" Rules

November 12, 2012 — Affordable Care Act and the Post-Election Implications for Radiology

November 5, 2012 — Massachusetts Approves Emergency Amendments on State "Sunshine Act" Drug/Device Manufacturer Reporting Requirements

September 6, 2012 — Vermont Offers Limited Amnesty to Device and Biologic Manufacturers who Failed to Report Payments to Health Care Providers

September 5, 2012 — Congressional Hearings

August 31, 2012 — U.S. District Court Decides Whistleblower Cannot Rely on Stolen Patient Records

August 20, 2012 — Fifth Circuit Upholds Ability of Government Employee Fraud Investigators to Bring Qui Tam False Claims Actions

July 31, 2012 — PCORI Seeks Comments on Draft Outcomes Research Methodology Standards

July 31, 2012 — Justice Department Announces ADA "Barrier-free Health Care Initiative"

July 27, 2012 — MedPAC Issues 2012 Data Book

July 17, 2012 — Massachusetts Loosens Drug/Device Manufacturer Gift Ban and Disclosure Law, Allows Certain Drug Coupons and Vouchers

June 27, 2012 — MACPAC Report to Congress

June 18, 2012 — MedPAC Examines Medicare Benefit Redesign, Dual Eligible Policy Options

May 31, 2012 — PCORI Announces ACA Comparative Effectiveness Funding

May 23, 2012 — Hospital Readmissions Reduction Program May Impact Post-Acute Providers

April 23, 2012 — OSHA Announces National Emphasis Program for Nursing and Residential Care Facilities

April 2, 2012 — Supreme Court Hears Oral Arguments on ACA Challenges

April 2, 2012 — MedPAC Issues March 2012 Medicare Recommendations

April 2, 2012 — MACPAC Report to Congress on Medicaid, CHIP Policy

January 25, 2012 — PCORI Issues Draft National Priorities for Research and Research Agenda

January 25, 2012 — CBO Examines Raising Medicare Eligibility Age

January 5, 2012 — Justice Department FCA Recoveries Top $3 Billion in FY 2011

November 30, 2011 — Supreme Court to Review Constitutionality of the ACA

November 7, 2011 — IRS Guidance on ACA Branded Prescription Drug Fee for 2012

October 14, 2011 — IOM Issues ACA Essential Health Benefits Recommendations

October 14, 2011 — MedPAC Endorses Medicare SGR Proposal, With Offsetting Medicare Cuts

October 14, 2011 — Updated Resources for DMEPOS Competitive Bidding

September 30, 2011 — Obama Administration Seeks Supreme Court Review of the ACA

September 30, 2011 — MedPAC Offers Medicare SGR Proposal, With Offsetting Medicare Cuts

August 16, 2011 — PCORI Seeks Comments on Topics for Pilot Project Grants

July 29, 2011 — PCORI Proposes Definition of Patient-Centered Outcomes Research

July 29, 2011 — IOM Issues Recommendations for Women's Clinical Preventive Services

July 29, 2011 — MedPAC 2011 Data Book Released

June 27, 2011 — MACPAC Report on Medicaid Managed Care

June 23, 2011 — MedPAC Recommends Changes to Medicare Ancillary Services Policies

June 14, 2011 — IRS Invites Comments on Insurance Fee to Finance PCORI Trust Fund

May 31, 2011 — PCORI Executive Director Appointed

May 31, 2011 — CMS Guidance to States on the Medicaid EHR Incentive Program

May 31, 2011 — IRS Extends to June 10 the Deadline for Submitting Error Reports on Branded Prescription Drug Sales

May 13, 2011 — IRS Notice on ACA Employer Shared Responsibility Payments

April 29, 2011 — BLS Report on Employer-Sponsored Health Insurance Coverage

April 29, 2011 — MedPAC Issues Recommendations on the Use of Diagnostic Services

March 29, 2011 — MedPAC Report to Congress on 2012 Payment Recommendations

March 29, 2011 — First MACPAC Report To Congress on Medicaid Issues

March 29, 2011 — CBO Presents Budget Options, Including Potential Health Policy Savings

March 29, 2011 — PCORI Meetings Underway

March 29, 2011 — IOM Issues Comparative Effectiveness Standards Reports

February 17, 2011 — FTC Issues FAQs on Medical Identity Theft

February 17, 2011 — IOM Work on Development of ACA Essential Health Benefits Package

January 28, 2011 — President Obama Issues Regulatory Reform Strategy

January 13, 2011 — MedPAC Reports on Regional Variation in Medicare Service Use

January 12, 2011 — President Signs Alzheimer's Legislation into Law

December 28, 2010 — President Signs into Law Physician Fee Schedule Fix/Extenders Bill, Red Flag Rule Relief, Health Policy Bills

November 29, 2010 — DOJ Announces Health Fraud Recovery Amounts for FY 2010

November 15, 2010 — Upcoming Congressional Hearings, Markups

September 29, 2010 — National Supplier Clearinghouse (NSC) Updates DMEPOS Supplier Standards

September 17, 2010 — MedPAC Policy Meeting

July 28, 2010 — MedPAC Data Book

July 28, 2010 — Guidance on Medical Care Services for People with Mobility Disabilities

July 12, 2010 — DEA Notice and Solicitation of Information on Dispensing of Controlled Substances to LTC Facility Residents

June 17, 2010 — MedPAC Report On Aligning Incentives In Medicare

June 2, 2010 — FTC Again Delays Red Flags Rule Enforcement

May 27, 2010 — DOJ Health Fraud Activities, Focus on Pharmaceutical Companies

May 13, 2010 — Occupational Exposure to Infectious Diseases

March 30, 2010 — MedPAC Part D Data

March 15, 2010 — MedPAC Issues 2011 Medicare Payment Recommendations

March 15, 2010 — White House Anti-Fraud Initiative

January 27, 2010 — MedPAC Votes on 2011 Medicare Provider Update Recommendations

January 27, 2010 — FTC Report on Drug Company "Pay-for-Delay" Agreements

December 4, 2009 — MedPAC Report on Regional Variation in Service Use

December 4, 2009 — CBO Report on Pharmaceutical Manufacturer Spending on Prescription Drug Promotion

November 11, 2009 — Red Flag Rule Enforcement Extended Until June 1, 2010

October 13, 2009 — MedPAC Meeting

August 17, 2009 — FTC Further Postpones Identity Theft Red Flags Rule

August 17, 2009 — AHRQ Comparative Effectiveness Developments

July 28, 2009 — MedPAC Data Book

July 28, 2009 — Hip & Knee Replacement Registry Solicitation

July 7, 2009 — Comparative Effectiveness Research Priorities

July 7, 2009 — FTC Report on "Authorized Generic" Drugs

June 16, 2009 — MedPAC Report on Medicare Payment Policy

June 10, 2009 — FTC Issues Report on Follow-On Biological Drug Competition

June 8, 2009 — Comparative Effectiveness Review Methods

June 1, 2009 — NSC Supplier News on Accreditation, Surety Bonds, Enrollment

May 27, 2009 — OPPS for TRICARE Program

May 27, 2009 — Medicare Trustees' Report

May 7, 2009 — IOM Report on Conflicts of Interest in Medicine

May 1, 2009 — Identity Theft Red Flag Rule Further Postponed

April 30, 2009 — HHS Reporting of ARRA Lobbying Contacts

April 24, 2009 — White House Executive Order Creating Health Reform Office

April 23, 2009 — NIH High-Impact Research Funding

April 22, 2009 — HHS Announces Free Software to Connect Health IT Systems to the NHIN

April 22, 2009 — Solicitation for Nominations for Members of the U.S. Preventive Services Task Force

April 6, 2009 — FTC Identity Fraud Red Flag Guidance

April 6, 2009 — HIT Policy Committee Members Named

March 6, 2009 — Federal Regulatory Review

March 6, 2009 — IRS Nonprofit Hospital Study