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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Hospitals team up in surprise billing framework

A group of hospital associations sent a letter to Congress outlining their joint position to utilize a new set of principles to protect patients from surprise billing.

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Kaiser Permanente medical school to open tuition-free

The Kaiser Permanente School of Medicine, a new Pasadena, California-based medical school opening in 2020, will allow students to attend tuition-free for the first five graduating classes.

Healthcare to reach 19.4% of GDP by 2027

The healthcare sector will continue to eclipse more of the economy over the next several years, with national healthcare expenditures hitting 19.4 percent of GDP by 2027, according to the Office of the Actuary at CMS. From 2018 to 2027, healthcare expenditures will grow an average of 5.5 percent annually, hitting nearly $6 trillion.

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CVS Health reports losses after Aetna merger

After acquiring Aetna for nearly $70 billion, CVS Health has taken a financial hit. During the three months ending Dec. 31, 2018, CVS Health lost $421 million in net income, according to its end-of-year financial results.

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Healthcare stocks rise during market volatility

The healthcare sector has been on fire over the last several years, with investors in the space seeing big returns on stocks. Even during periods of volatility across the stock market at the end of 2018, the healthcare sector remained consistent, with “stellar returns,” Bloomberg reported.

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CMS proposes to cover new cancer therapy

CMS has proposed covering a new form of cancer therapy, CAR T-cell therapy, under Medicare. The proposal would create a uniform standard of covering the treatment, which uses a patient’s own immune system to fight the disease.

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Unnecessary ED visits for chronic conditions cost $8.3B

Emergency department (ED) visits for people with at least one of six prevalent chronic conditions contributed to approximately 50 percent of all annual visits at nearly 750 hospitals in 2017. 

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HHS launches new model for ambulatory services to serve outside the ED

HHS and the Center for Medicare and Medicaid Innovation (CMMI) introduced a new payment model for emergency ambulance services that would allow Medicare beneficiaries to receive care on the scene or at lower acuity sites, such as urgent care clinics.

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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