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. 

Joint replacement bundles saved $1K per patient

Bundled payments are helping lower overall healthcare costs, with joint replacement bundles saving about $1,000 per patient annually, according to a second annual report on the model from the Lewin Group.

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Sanford, UnityPoint to merge in $11B deal

Sanford Health and UnityPoint Health have agreed to merge to become an $11 billion nonprofit health system, making it among the 15 largest in the nation.

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Patient sues Google, UChicago for sharing patient data

The University of Chicago and Google are facing a class action lawsuit after one former patient at UChicago’s medical center accused the institution of sharing patient records and violating privacy rights.

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Obamacare lawsuit faces another court challenge

Another unexpected threat to the Affordable Care Act, commonly known as Obamacare, came in the form of a federal appeals court, which asked if Democratic states and the House of Representatives have the right to defend the healthcare law in a lawsuit, Politico reported.

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AARP: Drug prices vastly outpace inflation rate

Specialty drug prices commonly used by older adults in the U.S. have far outpaced the price increases of other goods and services over the last decade, according to AARP, which has been reporting on prescription drug price trends.

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Out-of-pocket costs rising for patients

Out-of-pocket healthcare costs rose about 12% in 2018, according to a new TransUnion Healthcare analysis.

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Shareholders of Centene, WellCare approve merger

The shareholders of both Centene and WellCare Health Plans have approved a plan for the two companies to merge, they announced June 24. The deal is worth $17.3 billion and is expected to close in the first half of 2020.

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Healthcare stocks take a hit after Trump order

Healthcare stocks are reeling following an executive order from President Trump that would give HHS the ability to require hospitals and health insurance companies to provide patients with prices for healthcare services based on negotiated rates.

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.