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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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).

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In Illinois, a call to slash healthcare costs by hiring 20,000 nurses

Hospitals in the sixth most populous state stand to save $1.4 billion by collectively adding about 20,000 nurses.

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Medicare continues slide toward insolvency

Seven years from now, Medicare Part A will only be able to reimburse hospitals 89% of costs for hospital stays and related services. Twenty years later, the portion CMS can pay will fall to 77%.

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Healthcare payments pose challenges to all affected parties

More than 90% of healthcare consumers were surprised by a medical bill in 2018, while nearly three-quarters were confused by a bill’s content and more than half could not pay a bill in full if it totaled more than $1,000.

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Opioid epidemic cost federal government $26B in lost tax revenue over 16 years

America’s opioid crisis cost the federal government some $26 billion in lost tax revenue and state governments $11.8 billion in lost revenue between 2000 and 2016, according to a recent analysis.

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Hospitals can only watch as big players move in on primary care

The primary care business is getting more crowded at the top, where the big money is.

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CMS proposes expanding national coverage indications for remote BP monitoring

CMS proposed to expand reimbursement for ambulatory blood pressure monitoring (ABPM) to patients with suspected masked hypertension while continuing to cover it for those with white coat hypertension.

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ACP experts offer 7 ways to improve Obamacare

The American College of Physicians (ACP) published a position paper April 16 in the Annals of Internal Medicine, voicing their discontent with recent federal actions to weaken the Affordable Care Act and offering seven recommendations on how to improve it.

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.