{"id":9151,"date":"2025-03-21T15:21:08","date_gmt":"2025-03-21T20:21:08","guid":{"rendered":"https:\/\/www.appliedpolicy.com\/staging\/7403\/?page_id=9151"},"modified":"2026-05-04T10:12:50","modified_gmt":"2026-05-04T15:12:50","slug":"executive-order-tracker","status":"publish","type":"page","link":"https:\/\/www.appliedpolicy.com\/staging\/7403\/about\/executive-order-tracker\/","title":{"rendered":"Executive Order Tracker"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>Applied Policy and our team of experts are quoted\/featured in the following:<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.modernhealthcare.com\/providers\/mh-medicare-wage-index-lawsuit-urban-hospitals\/?utm_id=gfta-ur-260420&amp;share-code=4APOIQWUTNHALNG6S36XZVU74E&amp;user_id=user-id&amp;customer_secondary_source=aac_articleGifting\">Medicare wage index dispute expands\u2014what hospitals should know<\/a><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Alex Kackik, <em>Modern Healthcare<\/em>, April 17, 2026<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Urban hospitals that gain rural designation can benefit financially from programs intended to help hospitals in rural communities. For example, rural hospitals have a lower bar to clear compared with traditional hospitals seeking 340B drug discount eligibility, they receive more graduate medical education funding and can benefit from access to other programs designed to increase care in rural communities.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cRural classification alone can materially increase or decrease reimbursement, even before considering other policies, such as Medicare-Dependent Hospital and low-volume hospital adjustments,\u201d said Meghan Basler, senior health policy associate at consultancy Applied Policy.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.modernhealthcare.com\/medical-devices\/mh-cms-proposed-rule-cgm-insulin-pumps\/\">CMS proposed rule targets glucose monitor, insulin pump payments<\/a><br><strong>Lauren Dubinsky, <em>Modern Healthcare<\/em>, July 14, 2025<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">CMS said it seeks to prevent fraud, waste and abuse among both home healthcare companies and suppliers. Industry experts said competitive bidding is one way to fight that.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cThe durable medical equipment category in general is viewed as a high-fraud or high-risk category,\u201d said Simay McNutt, senior health policy manager at health policy and reimbursement consulting company Applied Policy.<\/strong> \u201cIt always has been and the way they define product categories and competitive bidding, in CMS\u2019 eyes, is a way to combat fraud, waste and abuse and also control payment.\u201d<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.managedhealthcareexecutive.com\/view\/use-of-copay-offset-programs-expected-to-rise-amcp-nexus-2024\">Use of Copay Offset Programs Expected to Rise | AMCP Nexus<\/a><br>Ashley Gallagher, <em>Managed Healthcare Executive<\/em>, October 15, 2024<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Another concern for employers is legalities and ethics of the programs. In the presentation, Alison Falb, JD, vice president of health policy at Applied Policy, said that copay accumulators have been the subject of rulemaking and lawsuits. For federal regulations, the Affordable Care Act, Notice of Benefit and Parameters (NBPP) and a joint legislation from the Departments of Labor, Health and Human Services and the Treasury all apply.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/insidehealthpolicy.com\/daily-news\/cms-proposed-monumental-digital-therapeutics-codes-what-s-next\">CMS Proposed \u2018Monumental\u2019 Digital Therapeutics Codes \u2014 What\u2019s Next?<\/a><br>Christian Robles, <em>Inside Health Policy<\/em>, July 29, 2024<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Still, CMS must answer several key questions that will determine if and how practitioners will be able to bill the proposed DMHT codes, Simay Okyay, senior health policy manager for Applied Policy, told IHP.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Okyay said Digital therapeutic companies should also clarify the necessary documentation required to bill the new codes. CMS also must clarify the criteria DMHT and DMHT patients must meet to be eligible for the Medicare coverage, Okyay said.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.hmpgloballearningnetwork.com\/site\/frmc\/news\/navigating-inflation-reduction-acts-impact-drug-pricing-and-health-care\">Navigating the Inflation Reduction Act\u2019s Impact on Drug Pricing and Health Care<\/a><br>Dean Celia, <em>First Report Managed Care<\/em>, June 2024<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">To seek additional expert insights, First Report Managed Care connected with Gary Owens, MD, president of Gary Owens Associates (Ocean View, DE) and Alison Falb, health policy director at Applied Policy (Washington, DC). Dr Owens reported that \u201cthe way net cost is derived will determine formulary position. Follow the dollars. Plans need to find the best financial outcomes to maintain profitability.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ms Falb shared similar concerns stating, \u201cThere won\u2019t necessarily be a one-size-fits-all approach. The [strategy] may change over time as more drugs have MFPs and new drugs enter the market\u2026patient access to high list price and high rebate drugs may be retained, but there can also be negative impact on access to other drugs.\u201d<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.hmpgloballearningnetwork.com\/site\/frmc\/news\/who-will-benefit-under-medicare-part-d-out-pocket-spending-cap\">Who Will Benefit Under the Medicare Part D Out-of-Pocket Spending Cap?<\/a><br>Dean Celia, <em>First Report Managed Care<\/em>, February 27, 2024<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A KFF poll revealed that only 25% of older adults know the Part D provision.&nbsp;This does not surprise Alison Falb, health policy director, Applied Policy, Washington, DC. \u201cOlder adults are likely less aware of this provision because of [its] complexity. Details about the rollout, which looks different in 2024 than in 2025, and explaining how cap can lead to savings makes messaging more complicated.\u201d Edmund J Pezalla, MD, founder and CEO, Enlightenment Bioconsult, Wethersfield, CT, concurred. \u201cThe cap seems straightforward but [will be] difficult for people to understand until it happens.\u201d<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.hmpgloballearningnetwork.com\/site\/frmc\/news\/latest-formulary-exclusions-top-pbms-demonstrate-issues-drug-pricing-landscape\">Latest Formulary Exclusions from Top PBMs Demonstrate Issues in the Drug Pricing Landscape<\/a><br>Dean Celia, <em>First Report Managed Care<\/em>, February 21, 2024<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Alison Falb, health policy director, Applied Policy, Washington, DC, noted that changes to the Medicare Part D benefit under the Inflation Reduction Act change the incentives that promote this behavior regarding Part D plans. \u201cPlans will be responsible for a greater share of costs, including once a beneficiary has met their out-of-pocket cap. This may lead to Medicare plans favoring products with lower list prices.\u201d<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"http:\/\/www.modernhealthcare.com\/article\/20180723\/NEWS\/180729970\/cbo-underestimates-medicare-part-d-savings-by-4-billion-due-to\" target=\"_blank\" rel=\"noreferrer noopener\">CBO underestimates Medicare Part D savings by $4 billion due to oversight lapse<\/a><br>Virgil Dickson, <em>Modern Healthcare<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In the Bipartisan Budget Act of 2018 the Congressional Budget Office underestimated the amount Medicare would save due to changes in Medicare Part D. The savings come from an increase in the government mandated discount that drug manufacturers must offer enrollees in the Medicare prescription drug coverage gap. However, this could impact drug prices long-term as manufacturers account for the mandatory discount as they determine prices for their new drugs.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"http:\/\/www.modernhealthcare.com\/article\/20171031\/NEWS\/171039975\/value-of-cms-voluntary-bundled-payment-program-remains-unclear\">Value of CMS\u2019 voluntary bundled-payment program remains unclear<\/a><br>Virgil Dickson, <em>Modern Healthcare<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Research on the Bundled Payments for Care Improvement initiative is inconclusive and the cost and care value of BPCI remains unclear. Providers\u2019 voluntary participation and multitude of options makes it difficult to measure outcomes.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"http:\/\/www.ajmc.com\/conferences\/amcp-nexus-2017\/clearing-up-misperceptions-around-the-acas-current-status\">Clearing Up Misperceptions Around the ACA\u2019s Current Status<\/a><br>Christina Mattina, AJMC Managed Markets Network<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">At the AMCP 2017 Nexus meeting, a public policy expert argued that despite all of the news surrounding the Affordable Care Act (ACA), the US healthcare system may not see fundamental changes anytime soon.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.managedhealthcareconnect.com\/content\/breaking-down-current-state-aca\">Breaking Down the Current State of the ACA<\/a><br>David Costill, Managed Health Care Connect<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Director of Health Policy outlined how the marketplaces are currently faring, how recent policy decisions by the Trump Administration will likely impact the market places, and the numerous legislative actions taken by Congress in 2017 related to the ACA. She notes that the marketplaces are not in as bad a shape as current media coverage suggests, and that the real dysfunction is more related to access.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.agingresearch.org\/pressrooms\/view\/313#.WgnKPluPKUk\">Alliance for Aging Research Names James G. Scott Chair of Its Board of Directors<\/a><br>Noel Lloyd, Alliance for Aging Research<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">AAR introduces two new members to its Board of Directors, discussing their experience in the health policy community and thanking Jim Eden for his service.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/insidehealthpolicy.com\/daily-news\/cms-sticks-mandatory-pay-bundles-despite-rep-prices-opposition\">CMS Sticks to Mandatory Pay Bundles, Despite Rep. Price\u2019s Opposition<\/a><br>John Wilkerson, <em>Inside Health Policy<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The final rule maintains regulations on bundled pay demonstrations for cardiac and joint replacement services while also creating three new models and expanding the existing orthopedic program. CMS\u2019 direction may change with the incoming Trump administration.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/insidehealthpolicy.com\/daily-news\/bpc-praises-draft-chronic-care-bill-national-coalition-health-care-urges-quick-passage\">BPC Praises Draft Chronic Care Bill, National Coalition on Health Care Urges Quick Passage<\/a><br>Michelle M. Stein, <em>Inside Health Policy<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The chronic care discussion draft proposes a variety of reforms and balances some of the CBO\u2019s concerns with those of political parties and special interests. The Bipartisan Policy Center and National Coalition on Health Care see this as an opportunity to produce constructive solutions to health care affordability challenges.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.help.senate.gov\/hearings\/small-business-health-care-challenges-and-opportunities\" target=\"_blank\" rel=\"noreferrer noopener\">Testimony from James Scott<\/a><br>Senate HELP Subcommittee on Primary Health and Retirement Security Hearing<\/h3>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/www.medpagetoday.com\/publichealthpolicy\/medicaleducation\/70253\">Coalition Backs Plan for Flexible Residency-Building Window<\/a><br>Joyce Frieden, <em>MedPage Today<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A coalition of medical societies and hospitals is supporting a new idea for boosting medical care in underserved communities: allowing medical schools in those areas to have a longer period of time to build up their residency programs.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"http:\/\/www.washingtonexaminer.com\/small-business-owners-say-obamacare-flaws-making-insurance-expensive\/article\/2567895\">Small Business Owners say Obamacare Flaws Making Insurance Expensive<\/a><br>Elizabeth Potter, <em>Washington Examiner<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Three small business owners told a Senate hearing Tuesday that Obamacare is riddled with problems that are leading to more expensive insurance policies, which is making it harder for companies to provide high-quality healthcare to their workers.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"http:\/\/www.modernhealthcare.com\/article\/20161221\/NEWS\/161229988\">Hospitals urge CMS to broaden transitional Medicaid Managed Care Funds<\/a><br>Virgil Dickson, <em>Modern Healthcare<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Providers are asking the CMS to withdraw a rule that would block billions in supplemental funding that helps safety net and Medicaid providers care for their poorest patients.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Applied Policy and our team of experts are quoted\/featured in the following: Medicare wage index dispute expands\u2014what hospitals should know Alex Kackik, Modern Healthcare, April 17, 2026 Urban hospitals that gain rural designation can benefit financially from programs intended to help hospitals in rural communities. For example, rural hospitals have a lower bar to clear [&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":5767,"parent":18,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","footnotes":""},"class_list":["post-9151","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Executive Order Tracker - Applied Policy<\/title>\n<meta name=\"description\" content=\"Applied Policy is tracking key executive orders and actions to help clients stay abreast of those with implications for the healthcare sector.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.appliedpolicy.com\/about\/executive-order-tracker\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Executive Order Tracker - 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