Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

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Americans don’t believe Trump has a ‘phenomenal health plan’

The majority of Americans don’t believe President Trump has a healthcare plan to replace the Affordable Care Act. While Trump has touted that he will release a healthcare plan and that his administration already had an outline for a plan back in June, he has yet to release anything.

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Medicaid work requirements challenged in court

The Trump administration’s efforts to change the Medicaid program by allowing states to implement work requirements could be under threat as they are challenged in court and threatened by a new report that shows the steep cost of putting the changes into place.

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More states exit Healthcare.gov to run their own insurance marketplaces

A handful of states are contemplating leaving the federal healthcare marketplace in favor of their own state-based marketplace. 

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Capping resident payments could save Medicare more than $1.2B

Medicare may be shelling out an extra $1.2 billion in overpayments for graduate medical education (GME), which trains medical residents, according to a study published in JAMA Internal Medicine.

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Johnson & Johnson ordered to pay $8B in drug harm case

Johnson & Johnson was hit with an $8 billion judgment and ordered to pay a Maryland man after the company failed to sufficiently warn users that its antipsychotic drug Risperdal could cause breast growth in men.

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Cities with the highest and lowest uninsured rates

The healthcare uninsured rate in the U.S. is rising, but not all cities are seeing the same decline. WalletHub took a look at 548 U.S. cities to compare insurance coverage rates, ranking the highest and lowest cities by uninsured rate.

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54M Americans have a pre-existing condition

Nearly 54 million Americans have a pre-existing condition, according to a new statistic from the Kaiser Family Foundation. The finding comes at a time when a court of appeals is considering a case that could impact those with pre-existing conditions.

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HHS proposes reforms to kickback laws

HHS proposed anticipated changes to kickbacks regulations and the physician self-referral law, known as the Stark Law, Oct. 9. 

Around the web

CMS finalized a significant policy change when it increased the Medicare payments hospitals receive for performing CCTA exams. What, exactly, does the update mean for cardiologists, billing specialists and other hospital employees?

Stryker, a global medtech company based out of Michigan, has kicked off 2025 with a bit of excitement. The company says Inari’s peripheral vascular portfolio is highly complementary to its own neurovascular portfolio.

RBMA President Peter Moffatt discusses declining reimbursement rates, recruiting challenges and the role of artificial intelligence in transforming the industry.