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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Kaiser avoids workforce strike with new agreement

Kaiser Permanente has reached a new contract settlement with 80,000 workers based in California, effectively averting a scheduled strike in October.

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Switching to high-value physicians in Medicare saves $286B

If physicians caring for Medicare fee-for-service patients were all high-value physicians, the federal program could cut healthcare costs by a whopping $286.8 billion from 2020 to 2029, according to UnitedHealth Group. For 2020 alone, Medicare could save more than $20 billion if all physicians were considered high value.

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Medicare Advantage, Part D premiums drop

Medicare Advantage premiums are expected to drop 23% from 2018 levels ahead of the new enrollment period, CMS announced, stating that plan choices, benefits and enrollment have increased.

Bernie Sanders proposes plan to eliminate medical debt

Senator Bernie Sanders (I-VT) has introduced his plan to eliminate $81 billion in medical debt as part of his pitch to become the Democratic presidential candidate.

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Funding roundup: Digital therapeutics investments trending

Catch up on some of the healthcare industry’s most recent investment rounds.

 

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Purdue will pay out millions in bonuses in bankruptcy case

Purdue Pharma, maker of the popular opioid OxyContin, will be allowed to dole out millions of dollars in bonuses to executives as the company declares bankruptcy as part of a $10 billion settlement to resolve thousands of lawsuits against the company for its role in the national opioid abuse and overdose epidemic.

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Pelosi introduces plan to negotiate drug prices

Speaker of the House Nany Pelosi (D-CA) and House Democrats introduced a new bill Sept. 19 aimed at lowering drug prices.

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73M Americans live in limited insurance marketplaces

Highly concentrated markets in the commercial health insurance industry are on the rise, leaving millions more Americans with limited choices when it comes to getting coverage, according to the American Medical Association.

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.