McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. August 21, 2025 – Within the next few weeks, the Trump administration is expected to issue the second Make America Healthy...more
8/22/2025
/ Centers for Disease Control and Prevention (CDC) ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Federal Trade Commission (FTC) ,
Food and Drug Administration (FDA) ,
Healthcare Reform ,
National Institute of Health (NIH) ,
Pharmaceutical Industry ,
Public Health ,
Regulatory Agenda ,
Trump Administration
Below is a tracker of healthcare-related executive orders (EOs) issued by the Trump administration, including overviews of each EO and the date each EO was signed. We will regularly update this tracker as additional EOs are...more
8/20/2025
/ Artificial Intelligence ,
Department of Health and Human Services (HHS) ,
Executive Orders ,
Federal Grants ,
Fraud Abuse and Waste ,
Government Agencies ,
Government Efficiency ,
Healthcare ,
Life Sciences ,
Mental Health ,
Organized Crime ,
Permits ,
Pharmaceutical Industry ,
Popular ,
Prescription Drugs ,
Public Health ,
Regulatory Oversight ,
Regulatory Reform ,
Supply Chain ,
Trump Administration ,
World Health Organization
Stakeholders in the Medicare value-based care world have without a doubt heard of the Merit-based Incentive Payment System (MIPS), MIPS Value Pathways (MVPs), and alternative payment models (APMs). While all these initiatives...more
8/13/2025
/ Alternative Payment Models (APM) ,
Centers for Medicare & Medicaid Services (CMS) ,
Healthcare ,
Healthcare Reform ,
Medicare ,
Medicare Part B ,
MIPS ,
Physician Fee Schedule ,
Physicians ,
Proposed Rules ,
Value-Based Care
Below is a tracker of healthcare-related executive orders (EOs) issued by the Trump administration, including overviews of each EO and the date each EO was signed. We will regularly update this tracker as additional EOs are...more
8/6/2025
/ Artificial Intelligence ,
Department of Health and Human Services (HHS) ,
Executive Orders ,
Food and Drug Administration (FDA) ,
Healthcare ,
Healthcare Reform ,
Pharmaceutical Industry ,
Prescription Drugs ,
Public Health ,
Regulatory Agenda ,
Regulatory Reform ,
Trump Administration
Recently, the Centers for Medicare & Medicaid Services (CMS) issued all the fiscal year (FY) 2026 Medicare final regulations for different facility types: hospice facilities, inpatient psychiatric facilities, inpatient...more
It’s been more than two weeks since the release of the CY 2026 Medicare Physician Fee Schedule (PFS) proposed rule. We’ve had a chance to digest our initial helping and now we’re ready for seconds. We thought we would see...more
7/31/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Digital Health ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Insurance Industry ,
Medical Devices ,
Medicare ,
Medicare Fraud ,
Mental Health ,
Technology ,
Telehealth
Last week, the Centers for Medicare & Medicaid Services (CMS) issued two major regs: the calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) proposed rule and the CY 2026 Outpatient Prospective Payment System (OPPS)...more
7/24/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Healthcare ,
Healthcare Reform ,
Hospitals ,
Legislative Agendas ,
Medicare ,
Outpatient Prospective Payment System (OPPS) ,
Payment Systems ,
Physicians ,
Proposed Rules ,
Regulatory Agenda ,
Regulatory Requirements ,
Trump Administration
On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule [CMS-1834-P],...more
7/18/2025
/ Ambulatory Surgery Centers ,
Centers for Medicare & Medicaid Services (CMS) ,
Financial Services Industry ,
Healthcare ,
Healthcare Reform ,
Medicare ,
Outpatient Prospective Payment System (OPPS) ,
Payment Systems ,
Proposed Rules ,
Regulatory Requirements ,
Reporting Requirements
On July 14, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B [CMS-13271]...more
7/17/2025
/ Ambulatory Surgery Centers ,
Centers for Medicare & Medicaid Services (CMS) ,
Healthcare ,
Healthcare Reform ,
Insurance Industry ,
Medicare ,
Medicare Part B ,
Medicare Shared Savings Program ,
New Regulations ,
Physician Fee Schedule ,
Proposed Rules ,
Regulatory Agenda ,
Technology ,
Telehealth
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) proposed reg. Stakeholders have highly anticipated the release of this reg, as it...more
7/17/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Healthcare ,
Insurance Industry ,
Medicare ,
MIPS ,
Payment Systems ,
Physician Fee Schedule ,
Physicians ,
Proposed Regulation ,
Proposed Rules ,
Regulatory Requirements ,
Technology ,
Telehealth
Many healthcare programs are extended for specific time periods, as short as one or two years or as long as 10, and are usually attached to a larger piece of must-pass legislation. Additionally, while traditional...more
The last week of June was a busy one when it comes to news about prior authorization – a major tool used by health plans and the federal government to manage healthcare utilization. The week started with a commitment from...more
7/10/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Fee-for-Service ,
Fraud ,
Government Agencies ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Medicare ,
Medicare Advantage ,
Prior Authorization ,
Regulatory Reform ,
Waste
July 2, 2025 – There has been a lot of talk recently about the future of the Medicare Physician Fee Schedule (PFS) conversion factor (CF) – the standardized dollar amount used to convert relative value units (RVUs) into...more
Health plan members of AHIP and the Blue Cross and Blue Shield Association made news earlier this week when they announced a series of steps that a broad swath of health insurers will take to improve the prior authorization...more
6/26/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Insurance Industry ,
Medicare Advantage ,
New Regulations ,
Prior Authorization ,
Regulatory Reform ,
Regulatory Requirements
Patient engagement. Information blocking. Interoperability. These buzz words are flying around the health information technology (HIT) world as the Trump administration starts to make its mark on the HIT policy landscape....more
6/18/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Data Privacy ,
Department of Health and Human Services (HHS) ,
Digital Health ,
Health Care Providers ,
Health Information Technologies ,
Healthcare ,
Healthcare Reform ,
Regulatory Reform ,
Regulatory Requirements ,
Technology ,
Trump Administration
As discussed in last week’s Regs & Eggs blog post, the US Department of Health and Human Services (HHS) recently released additional budget documents to support the department’s fiscal year (FY) 2026 discretionary request....more
6/11/2025
/ Affordable Care Act ,
Budgets ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Department of Health and Human Services (HHS) ,
Federal Budget ,
Fraud Abuse and Waste ,
FTEs ,
Healthcare ,
Healthcare Reform ,
MACs ,
Medicaid ,
Medicare ,
Medicare Part C ,
Medicare Part D ,
Payment Systems ,
Section 340B ,
Telehealth ,
Telemedicine ,
Value-Based Care
UPDATE: On May 30, 2025, the Fifth Circuit granted the TMA III plaintiffs’ petition for rehearing en banc, which was previously filed on December 16, 2024. Of note, the Fifth Circuit’s mandate has not yet been issued, so as a...more
McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. Click here to subscribe to future blog posts. June 5, 2025 – On May 30, 2025, the US Department of Health and Human Services...more
Below is a tracker of healthcare-related executive orders (EOs) issued by the Trump administration, including overviews of each EO and the date each EO was signed. We will regularly update this tracker as additional EOs are...more
Recently, the Trump administration took steps toward implementing one of its major priorities: improving price transparency. As discussed in a previous Regs & Eggs blog post, President Trump signed an executive order (EO) on...more
5/29/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
Executive Orders ,
Health Insurance ,
Healthcare Reform ,
Hospitals ,
Price Transparency ,
Regulatory Reform ,
Rulemaking Process ,
Trump Administration
It’s getting hot outside, which means that the summer regulatory season is almost upon us. In June or July, the Centers for Medicare & Medicaid Services (CMS) will release proposed regs impacting Medicare payments in...more
5/22/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Payment Systems ,
Physician Fee Schedule ,
Proposed Legislation ,
Proposed Regulation ,
Proposed Rules ,
Quality Payment Program (QPP) ,
Regulatory Reform
Below is a tracker of healthcare-related executive orders (EOs) issued by the Trump administration, including overviews of each EO and the date each EO was signed. We will regularly update this tracker as additional EOs are...more
While much of Washington, DC’s attention this week has been focused on congressional action around budget reconciliation, including proposed changes to the Medicaid program, the White House also made news with release of a...more
Below is a tracker of healthcare-related executive orders (EOs) issued by the Trump administration, including overviews of each EO and the date each EO was signed. We will regularly update this tracker as additional EOs are...more
5/12/2025
/ Anti-Competitive ,
Artificial Intelligence ,
Biologics ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Government Efficiency (DOGE) ,
Department of Health and Human Services (HHS) ,
Diversity and Inclusion Standards (D&I) ,
Drug Pricing ,
Educational Institutions ,
Executive Orders ,
Healthcare ,
Healthcare Reform ,
Loan Forgiveness ,
OSTP ,
Procurement Guidelines ,
Regulatory Reform ,
Regulatory Requirements ,
State and Local Government ,
Technology Sector ,
Trump Administration ,
World Health Organization
Last week, the White House Office of Management and Budget (OMB) released its fiscal year (FY) 2026 discretionary funding request to Congress on its President’s Budget webpage. The administration released a “skinny” FY 2026...more