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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AMA study shows four pharmacy benefit managers control 70% of the market

The study from the American Medical Association is based on data from commercial and Medicare Part D plans. The analysis found market share for PBMs is heavily concentrated, leading to higher drug costs. 

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Association of 300 telehealth groups urges Congress to extend COVID-era rules

The American Telemedicine Association, an industry lobby representing companies and providers, fears a crackdown from the DEA would harm patients who rely on virtual care to get vital treatments. 

Vintage neon drug sign at the Walgreens pharmacy on Canal Street in downtown New Orleans.

Walgreens settles opioid case with Baltimore; three lawsuits still pending

Baltimore sued eight companies that it claimed profited off the city’s opioid epidemic. To date, the government has received $402.5 million in settlements. 

Biden administration aims to improve prior authorizations for mental health services

Announced Monday, modifications to the Mental Health Parity and Addiction Equity Act would close loopholes that limit patient access to mental health and addiction treatments.

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Another 947K patient records found to be leaked in MOVEit breach

The Centers for Medicare & Medicaid Services (CMS) and Wisconsin Physicians Service Insurance Corporation are sending notices to impacted patients. The data was leaked as a result of the May 2023 MOVEit exploit. 

Video interview with Elizabeth Ann Ignacio, MD, FSIR, FACR., chair of the Society of Interventional Radiology (SIR) Small and Rural Practices Committee and president of the Hawaii Medical Association, who explains the challenges facing rural healthcare providers and the key reasons for burnout.

Interventional radiologist burnout and retention in rural areas largely related to administrative burdens

"A significant part of burnout stems from the overwhelming administrative burden," explains Elizabeth Ann Ignacio, MD, FSIR, FACR, chair of the SIR Small and Rural Practices Committee.

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Lawyer: Immigration policy reforms would address healthcare staffing shortages

Kathleen Campbell Walker, JD, immigration practice group chair at the law firm Dickinson Wright, explains how outdated immigration policy is exacerbating the healthcare staffing shortage.
 

Time running out to comment on higher cardiac CT payments

Imaging experts have said the move could reshape the financial landscape for hospitals offering Cardiac CT services.

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.