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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Medicaid work requirements will kick millions off coverage without much savings

As more states look to implement work requirements for the Medicaid program, millions of people could be in jeopardy of losing their healthcare coverage if they cannot comply. Even if some Medicaid beneficiaries lose their coverage, the savings to the federal program could be minimal, according to a pair of recent studies published in JAMA Internal Medicine.

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Industry report: ACOs saved twice as much as CMS estimates

Accountable care organizations generated $1.84 billion in savings for Medicare in 2013–2015, nearly twice as much as the $954 million estimated by CMS, according to a new report from the National Association of ACOs (NAACOS).

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HHS secretary supports more risk for ACOs

Health and Human Services Secretary Alex Azar said pushing ACOs to take on downside risk sooner is worth it even if some organizations choose to leave the voluntary Medicare Shared Savings Program as a result.

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Physician-led ACOs save more money than hospitals

Accountable care organizations saved the Medicare program $314 million last year, but physician-group organizations were the leaders in savings.

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Billionaire drugmaker granted patent for opioid addiction

In the midst of a devastating epidemic of opioid abuse and misuse, a billionaire pharmaceutical maker has been granted a patent to treat opioid addiction, the Financial Times reported.

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Obama supports 'Medicare for All' in speech

Speaking to a crowd at the University of Illinois, former President Barack Obama stated his support for "Medicare for All" last week.

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Pharma association blames hospitals for high healthcare costs

In a new report, an association for the pharmaceutical industry has blamed rising healthcare costs on hospitals jacking up prices for prescription drugs.

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Senate passes bill to ban ‘gag clauses’ in prescription drug purchases

A new bill unanimously passed by the Senate Wednesday would prohibit Medicare insurers from preventing pharmacies from telling consumers if their prescription drugs are cheaper if they pay out of pocket versus through their insurance.

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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