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. 

NY officials are looking at CVS’ drug price swings

As the state of New York considers the pending $69 billion merger between retail pharmacy chain CVS Health and health insurance giant Aetna, CVS’ practices in drug pricing are coming under the microscope.

Americans delay medical care because it costs too much

More than half of Americans have delayed medical care for themselves over the last 12 months because of the high cost, according to recent surveys from Earnin, a mobile technology finance service.

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Most Republicans support Medicare for all

While many GOP leaders have demonized a Medicare for all policy popularized by Sen. Bernie Sanders (I-VT), many Republicans are actually supportive of such a proposal, according to a recent poll by HillTV and the HarrisX polling company.

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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.

Around the web

CMS finalized a significant policy change when it increased the Medicare payments hospitals receive for performing CCTA exams. What, exactly, does the update mean for cardiologists, billing specialists and other hospital employees?

Stryker, a global medtech company based out of Michigan, has kicked off 2025 with a bit of excitement. The company says Inari’s peripheral vascular portfolio is highly complementary to its own neurovascular portfolio.

RBMA President Peter Moffatt discusses declining reimbursement rates, recruiting challenges and the role of artificial intelligence in transforming the industry.