Is your practice compliant with HHS discrimination prohibitions?
Last year, the HHS Office for Civil Rights (OCR) issued a final rule implementing Section 1557 of the Affordable Care Act.
House hearing shows PBM reform remains a priority for this Congress
One of the most significant and impactful PBM reforms was a ban on “spread pricing,” particularly within Medicaid.
Understanding the 340B program
The College’s Advocacy Council wants to ensure that allergists understand the program and how it can impact their practices.
College stands against NIH budget cuts
The College has taken a strong stand against proposed cuts to funding that would cap indirect costs for NIH research grants at 15%.
CFPB finalizes rule to remove medical bills from credit reports
The rule bans consumer reporting agencies from including medical debt on credit reports and credit scores sent to creditors.
New administration’s impact on allergy
The Advocacy Council wants to address some important developments in the recent presidential administration change and its potential impact.
2024 Medicare Advantage denials raise concerns for allergy patients
A report explains how MA has increasingly relied on prior authorization for all types of services and how AI has exacerbated the issue.
2024 – FTC and Congress take action against PBMs for price gouging
The FTC issued an interim staff report on Pharmacy Benefit Managers (PBMs) as it prepares a lawsuit against the three largest PBMs
HHS finalizes information blocking enforcement rule impacting practitioners
Under the final rule, certain allergists who have committed information blocking may be penalized through CMS’s MIPs program.
House Energy & Commerce Committee Republicans propose revamp of NIH
Earlier, Republicans on the House Energy & Commerce Committee released a plan calling for major changes to the National Institutes of Health.
Consumer Financial Protection Bureau releases proposed rule on medical debt
The proposed rule would alleviate barriers that patients face when attempting to obtain a loan or mortgage when they have medical debt.
ACAAI-endorsed prior authorization legislation reintroduced
On June 12, the Improving Seniors’ Timely Access to Care Act was reintroduced in both the House and Senate.
2023 Prior Authorization Reforms
CMS released a final rule that addresses changes to the prior authorization process under Medicare Advantage.
2023 – Ending the Public Health Emergency
The document provides a high-level overview of anticipated ways the end of the PHE will impact direct supervision under Medicare, Medicare telehealth services,…
The No Surprises act requires providers to supply a good faith estimate for cost of care
In December 2020, Congress passed the No Surprises Act (NSA), which is intended to protect patients from unexpected out-of-network (OON) “surprise” medical bil…