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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CBO weighs in on Medicare for all costs

With more policymakers proposing, supporting and seriously considering various Medicare-for-all health plans, the Congressional Budget Office took a look at a possible design of such a healthcare system and published a highly anticipated paper.

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CMS finalizes rule to secure Medicaid provider payments

CMS has finalized a rule to ensure that states cannot divert portions of Medicaid provider payments to third parties beyond what is allowed in the statute.

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Aetna sued again over claims denial

Aetna’s legal department remains busy. Days after the company settled out of court with a patient who sued for coverage denial in California, it’s in the news in Florida for much the same reason—but with a bigger claimant.

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CMS takes steps to beef up oversight of accrediting organizations

CMS has proposed a new rule that aims to improve transparency around accrediting organizations (AOs) that certify healthcare facilities in the Medicare program. Specifically, the rule creates a new process for AOs to follow if there is a sale, transfer or purchase of assets in the ownership of the organization.

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10 best and worst states for nurses

Not all states are equal when it comes to the job quality and opportunity of being a nurse the U.S. While the profession is in high demand, with expectations that the industry will double the rate of the average occupation by 2026, there are several challenges to being a nurse depending on location.

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Variations in healthcare prices don’t reflect quality

Within the same metro area, the price of some common health services can vary up to 39-fold, while services can differ 25-fold across areas, according to the latest issue brief from the Health Care Cost Institute (HCCI).

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HHS lowers monetary penalties for HIPAA violations

HHS has changed its regulations for civil monetary penalties (CMP) under the Health Insurance Portability and Accountability Act (HIPAA), effectively lowering penalties across four categories of violations.

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Hospital employment, pay on the rise across the board

Overall U.S. hospital employment hit 5,223,000 in March, rising 2.11% over the 5,115,000 recorded in March of 2018, according to the latest numbers from the Bureau of Labor Statistics.

Around the web

With generative AI coming into its own, AI regulators must avoid relying too much on principles of risk management—and not enough on those of uncertainty management.

Cardiovascular devices are more likely to be in a Class I recall than any other device type. The FDA's approval process appears to be at least partially responsible, though the agency is working to make some serious changes. We spoke to a researcher who has been tracking these data for years to learn more. 

Updated compensation data includes good news for multiple subspecialties. The new report also examines private equity's impact on employment models and how much male cardiologists earn compared to females.

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