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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Study: Immigrants are net contributors to Medicare, have lower expenditures than US-born population

With immigration certainly a central issue in the 2018 mid-term elections, a new study could fuel debates about the dollars and cents of policy proposals. Researchers from Harvard Medical School and Tufts University found that immigrants’ healthcare costs were significantly lower than those of individuals born in the United States.

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Citing competition, rebate concerns, AMA urges block of CVS-Aetna deal

The American Medical Association (AMA) has urged the U.S. Department of Justice to block the planned $69 billion merger between CVS Health and Aetna.

Insurer monopolies lead to higher health insurance premiums

Healthcare premiums have been rising rapidly over the past two years, but not all markets are seeing the same rates of inflation. Areas with fewer insurers are reporting higher premiums than other markets, according to a recent study published in Health Affairs.

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CMS proposes risk adjustment payments for 2018

After halting, then restarting, payments for the healthcare insurance risk-adjustment program, CMS has proposed keeping the payments for the 2018 benefits rule.

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Cigna strikes back against Carl Icahn over Express Scripts deal

Cigna executives are moving ahead with the planned acquisition of Express Scripts—despite objections by activist investor Carl Icahn.

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Tenet Healthcare shares drop 15% following earnings report

Tenet Healthcare, a Dallas-based healthcare services company, is struggling to offload its business services subsidiary, Conifer Health Solutions.

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Carl Icahn slams Express Scripts deal in public letter to Cigna

Investor Carl Icahn penned a public letter to shareholders of health insurance company Cigna in an effort to derail the acquisition of Express Scripts, a pharmacy benefits manager, for more than $60 billion.

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Healthcare continues to consolidate—and it isn’t helping patients

With several recent billion-dollar deals bringing together payers and providers, the U.S. healthcare market is consolidating—but the rising concentration isn’t improving quality of care or helping lower costs.

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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