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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Inmates in five states, including minors, to be granted Medicaid coverage

Inmates in Illinois, Kentucky, Oregon, Utah and Vermont will be granted access to patient care services, including behavioral health and drug abuse interventions.

AMA will aggressively support permanent telemedicine reimbursement

The American Medical Association said it will lobby for an indefinite extension of Medicare reimbursement for telemedicine services, fighting a Dec. 31, 2024, sunset date.

Department of Justice DOJ

DOJ arrests 193 during nationwide crackdown on $2.75B in healthcare scams

The arrests include doctors, nurses and other licensed medical professionals accused of various schemes to defraud patients, insurers and Medicare.

scale money prices shopping transparency reimbursement dollar coins

CMS discounts dozens of drugs to thwart price hikes

Dozens of drugs are seeing price cuts that could save Medicare enrollees as much as $4,593 per day, CMS said.

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Federal judge strikes down HHS ban on tracking cookies

Providers argued the HHS overstepped its regulatory authority. A federal court in Texas agreed.

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Research shows hospital mergers contribute to overdoses, suicides

A new paper from the National Bureau of Economic Research found the rise in care costs from mergers contributes to layoffs that have economic ripple effects.

Medical staff must have a say in what AI is adopted for patient care, says AMA

The American Medical Association adopted a policy calling for medical staff to be involved in decisions about adopting AI that may impact patient care.

UnitedHealthcare UHC UnitedHealth

Change Healthcare begins sending breach notifications

UnitedHealth Group has said it will begin notifying patients directly in July. There’s still no evidence medical records were exposed to hackers.

Around the web

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.

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

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