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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Survey says strong optimism for healthcare M&A in 2019

Healthcare M&A isn’t expected to slow down next year, according to a survey of healthcare executives by Capital One.

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CMS cuts hospital outpatient rates in final rule

CMS plans to cut $380 million in 2019 by establishing site-neutral payments to hospitals. The change, which was outlined in CMS’ Outpatient Prospective Payment System final rule on Friday, will lower out-of-pocket costs for beneficiaries but also reduce payments for hospital-owned outpatient settings.

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CMS finalizes physician fee schedule, delaying controversial coding change

CMS finalized the Physician Fee Schedule and Quality Payment Program, delaying a controversial coding change that would have resulted in a payment cut for doctors.

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CMS finalizes new payment model for home health, boosts reimbursements for 2019

CMS finalized the 2019 home health prospective payment system, cementing a new payment model for the post-acute care space in 2020 and increasing payments for 2019.

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FDA clears 23andMe genetic testing to market on drug metabolism

The FDA will allow genetic testing company 23andMe to market personal genome reports as a direct-to-consumer test of a person’s ability to metabolize some medications to help inform discussions with healthcare providers.

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Maine health systems to combine into $3B entity

The hospital and other healthcare provider members of MaineHealth in Portland, Maine, will combine into one nonprofit entity beginning Jan. 1.

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38% of Americans unaware ACA is still in effect

A large chunk of the American population doesn’t know when the open enrollment period is to purchase healthcare insurance, according to a recent study by insuranceQuotes. And recent political moves have contributed to confusion among Americans.

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$5.6B acquisition of LifePoint Health approved by shareholders

A $5.6 billion merger between LifePoint Health and RCCH Healthcare Partners, which is owned by private equity firm Apollo Global Management, has been approved by LifePoint’s shareholders.

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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