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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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.

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Aetna settles with patient who sued for coverage denial

A little over a year ago, California’s insurance commissioner began investigating Aetna for possibly denying care coverage without reviewing the records of a patient who’d filed a lawsuit. Now the company has agreed to an out-of-court settlement.

Voters trust Democrats more than Republicans when it comes to healthcare

Healthcare is a major voter issue, but many Americans tend to trust Democrats more than Republicans in this area heading into the 2020 election, according to a new poll from the Associated Press-NORC Center for Public Affairs Research.

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CMS launches 5 primary care models in new value-based push

HHS and CMS have launched a set of new payment models, dubbed the Primary Cares Initiative, that aim to transform primary care through value-based options. The new models will also test financial risk and performance-based payments for primary care practitioners and clinicians.

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14 million middle-class seniors to need care beyond their budgets

Ten years from now, more than 14 million middle-class Americans will be elderly, mobility-limited and in need of more healthcare services and specialized senior housing than they’ll be able to afford.

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Hospitals not neutral on ‘site-neutral’

Medicare’s site-neutral policy, which pays outpatient hospital sites like they’re independent doctors’ offices, is turning out to be as unpopular in practice as it was in theory—as least among hospitals.

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Not so fast with that massive nursing hire, says hospital group

A study backing a bill that would greatly increase nurse staffing in Illinois hospitals by mandating certain nurse-to-patient ratios has drawn heat from the Illinois Health and Hospital Association (IHA).

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.