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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Envision reaches contract agreement with Cigna

Envision Healthcare has reached a new statewide agreement with Cigna Healthcare of Arizona. The multiyear agreement ensures Envision’s clinicians are in-network.

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FDA will strengthen expanded access program for non-approved treatments

FDA Commissioner Scott Gottlieb, MD, has signaled that the agency will strengthen its expanded access (EA) program to enable more patients to access investigational medical products and treatments for serious or life-threatening diseases.

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CMS proposes to reform Medicaid managed care

CMS proposed regulatory reform of the Medicaid managed care program on Nov. 8, giving states more freedom over network-adequacy standards.

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FTC accuses Florida agency of selling $100M in fraudulent insurance plans

A federal judge has temporarily shut down Florida-based company Simple Health Plans after the Federal Trade Commission accused the agency of collecting more than $100 million in fraudulent insurance payments and leaving its enrollees with thousands of dollars in medical debt.

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PwC: What the midterm shakeup means for healthcare

After holding control of Congress for eight years and attempting to eradicate the Affordable Care Act dozens of times, Republicans lost the majority in the House on Nov. 6 during the midterm elections. The partisan shakeup could have several impacts on the nation's healthcare agenda.

Healthcare Leaders Merge to Accelerate the Promise of Value-Based Care

Mingle Analytics and SilverVue form Mingle Health to deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices, integrate the delivery network, and improve patient outcomes.

Medicaid work requirements in Arkansas jeopardize millions in funding

Hundreds of millions of dollars in federal funding may be in jeopardy as a result of Arkansas' Medicaid work requirement program, according to a recent analysis from the Commonwealth Fund.

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CVS earnings outpace expectations as Aetna deal chugs along

On the cusp of completing a $69 billion merger with the nation’s third-largest health insurance provider, Aetna, CVS Health reported strong earnings that beat analysts’ expectations.

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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