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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Congress to look into drug prices

Rising drug prices have caught the attention of the Congressional Committee on Oversight and Reform, which announced it will open a “sweeping” drug price investigation.

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Hospitals deeply impacted by rising drug prices

Americans are concerned about higher drug costs impacting their wallets, but hospitals and health systems have also been feeling the pinch, according to a recent study from hospital groups including the American Hospital Association.

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Kaiser Permanente to invest in housing with $100M loan fund

Healthcare plans and providers are increasingly addressing social determinants of health that can impact patient outcomes and overall costs. Now, California-based Kaiser Permanente is looking at tackling housing insecurity with a $100 million loan fund for affordable housing.

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2018 M&A market brought out new competitors, strategies

In 2018, the hot M&A market showed no signs of slowing down, with 90 deals announced during the year, according to a recent report from Kaufman Hall.

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Walmart, CVS split over prescription drug price battle

Walmart and CVS Health will no longer be in the same network for filling prescription drugs after the two companies couldn’t come to a drug pricing agreement, CVS announced.

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ACA lawsuit on pause during government shutdown

The longest partial government shutdown in history has paused paychecks for roughly 800,000 workers and stalled the appeal process of a ruling that the Affordable Care Act is unconstitutional.

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Policy shifts likely to be top healthcare factor in 2019

Rising costs in healthcare was a top issue for voters in the 2018 election, and more emphasis on the industry is likely to come, according to a 2019 outlook from Avalere.

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ACOs should brace for new shared savings changes

The accountable care organization (ACO) industry is asking CMS for more time to apply for the reformed Medicare Shared Savings Program, but the new changes are likely to roll out whether ACOs are ready or not, according to a new report from Leavitt Partners.

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.