Compliance

Information on the many state and federal regulations Massachusetts hospitals and other care providers must meet. 
National Government Services (NGS) – which is part of the Anthem health insurance company – has been conducting audits on use of the MOON form and, as a result, has been routinely denying hospital observation claims.
Approximately 350 people attended MHA’s Mid-Winter Leadership Forum last Friday – the 53rd such gathering in MHA’s 84-year history.
From 2017 to 2018, the state’s healthcare spending growth was 3.1% percent, precisely matching the 3.1% benchmark set in 2018.
The goal of the ED Access Working Group was to create best practice recommendations to ensure optimal access to all Massachusetts EDs.
Massachusetts hospitals are interested in ensuring a complete count of the state’s residents during the 2020 U.S. Census
The unplanned readmission rate for Massachusetts acute care hospitals in 2018 was 15.4% – unchanged from the previous year.
The Joint Committee on Public Health heard testimony on a bill that would mandate that DPH create a program to screen patients for the presence of firearms in the home.
Last month, CMS issued a final national rule that would require hospitals to make their standard charges public.
MHA last week testified in favor of proposed legislation that would eliminate the religious exemption as a reason to refuse vaccinations for school admittance.
Three bills that MHA and its membership have endorsed throughout their journey in the State House were passed by the legislature last week.
A new Expedited Psychiatric Inpatient Admissions Policy, or EPIA 2.0, builds on the original EPIA that was released in February 2018.
DPH reminds providers that mandatory reporting of possible cases of unexplained e-cigarette or vaping-associated lung injury remains in effect.
A new MassHealth policy that would require prior authorizations for more than 350 medical and diagnostic services is on hold for now.
The National Quality Forum (NQF) weighed in, to a limited extent, on the five-star hospital rating system.
This week the state senate is expected to begin deliberations on pharmaceutical cost control legislation.
The state’s Health Policy Commission (HPC) held its annual cost trends hearing last Tuesday and Wednesday.
This conference will look at effective current strategies for improved ROI across an enterprise.
Massachusetts Senate President Karen Spilka said at the HPC cost trends hearing last week that the Senate is crafting its own healthcare reform bill.
Governor Charlie Baker last Friday introduced the latest legislative proposal to reform the state’s healthcare system.
A series of federal judges on October 11 stayed a U.S. Department of Homeland Security (DHS) “public charge” rule.

Resources

Click on the links below for easy access to important information related to state healthcare issues and advocacy.


Visit the Commonwealth of Massachusetts websites below to find information on legislative hearings and other meetings of interest to the healthcare community.


To guide your navigation of the legislative process and assist your advocacy efforts, please visit the following state websites: