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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Northwell Health is fundraising $1B

Northwell Health, a New York-based healthcare provider, has launched a seven-year effort to raise $1 billion that will support innovative initiatives.

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One-third of healthcare payments tied to alternative payment models

The shift toward value-based care is moving forward, as more than one-third of all U.S. healthcare payments in 2017 were tied to alternative payment models like shared savings and risk programs, bundled payments and population-based payments, according to Health Care Payment Learning & Action Network (LAN).

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CMS to loosen ACA restrictions in state waivers

CMS and the Treasury Department have introduced new guidance on health insurance markets that will allow states to sell plans with looser restrictions.

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Trump contradicts stance on healthcare for patients with pre-existing conditions

President Trump tweeted Oct. 18 that all Republicans support patients with pre-existing conditions, “and if they don’t, they will after I speak to them”—a sentiment that directly contradicts the Trump administration’s efforts to strip the Affordable Care Act of its protections for such patients.

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One in six could be denied coverage under Anthem policy

A policy of denying emergency coverage by Anthem Blue Cross Blue Shield could leave nearly one in six patients vulnerable if it is adopted nationwide.

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Hospitals aren’t gaining much ground on reducing costs

Hospitals are inching toward reducing costs, but they are far from meeting the goals of executives, according to a recent report from Kaufman Hall.

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With revenue boom, UnitedHealth launches health record platform

With strong earnings for the quarter, UnitedHealth Group executives were bullish on the healthcare organization’s growth, and outlined its 2019 plan, including a new health record platform.

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Hospitals are leaving $25B in savings on the table

The savings opportunity for the hospital supply chain has jumped to $25.4 billion per year, meaning some hospitals are leaving millions in savings on the table, according to a recent study from Navigant.

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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