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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Have not-for-profit hospitals peaked financially?

Not-for-profit hospitals may have already reached their financial peak, according to an analysis from Fitch Ratings. Lower operating margins and lower reimbursement payments are causing many hospital systems to rethink care delivery, but not all providers are able to meet the challenges head on, particularly in a period of mass consolidation.

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GE Capital sells healthcare equipment business for $1.5B

GE Capital, the financial services division of GE, has sold is Healthcare Equipment Finance business to TIAA Bank for $1.5 billion.

California approves CVS Health-Aetna deal

Another regulator has cleared the way for the $69 billion deal between CVS Health and Aetna, as California approved the deal—with conditions.

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Housing reimbursement may be on the way for Medicaid

Expanded benefits could include paying for housing among Medicaid beneficiaries, according to HHS Secretary Alex Azar, who spoke about the impact of social determinants of health during a speech with the Hatch Foundation for Civility and Solutions on Nov. 14.

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Where Medicare Advantage will cost the least in 2019

Healthcare costs around the country vary across settings and services, and the same is true for Medicare Advantage, which is expected to grow to 22.6 million members in 2019.

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Mayo Clinic receives $200M gift

A philanthropist has given $200 million to Mayo Clinic in what is the largest-ever donation to the nonprofit hospital system.

NYT: Hospital mergers lead to higher costs for patients

On the surface, hospital mergers may seem like an opportunity to create benefits for consumers, including more resources for top-notch care and lower costs. However, cheaper prices aren’t a likely outcome, according to an analysis by The New York Times.

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CMS to allow Medicaid mental health demonstrations

CMS sent state Medicaid directors an email on Nov. 13 announcing new opportunities to design service delivery systems for treating mental health. The announcement eases previous prohibitions against using Medicaid funding to pay for short-term residential treatment in an institution for mental disease.

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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