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. 

Medicare spending hits $702B in 2017, will top $1T in 2026

The Kaiser Family Foundation released an issue brief June 22 that projected total Medicare spending to top $1 trillion by 2026, up from a total of $702 billion last year, according to Congressional Budget Office and CMS data.

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ACA marketplaces remain unstable—but insurers see profit potential

Prices continue to climb on the Affordable Care Act exchanges, with some estimates calling for 30 percent increases to typical silver-level plans in 2019. But despite the additional challenges faced by individuals on the marketplaces, insurers see clear skies ahead.

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House overwhelmingly passes anti-opioid legislation

In a 396-14 vote, the House of Representatives passed the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, or H.R. 6—bipartisan opioid legislation that aims to curb drug abuse.

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Kaiser: 10M US citizen minors with undocumented parents may face challenges accessing healthcare

While debates about immigration—and the controversial approach to separating families at the southwestern border of the U.S.—dominate the news, advocates warn that children may be at risk for losing healthcare coverage through Medicaid, according to a recent report from Kaiser Health News.

Legislators, advocates look to combat sharp increase in price of insulin

Diabetes advocates and legislators on both sides of the aisle are calling for more transparency and government oversight in the insulin market because of skyrocketing costs.

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CMS asks for public comment on regulatory burden of Stark Law

CMS is requesting input in hopes of “reducing the regulatory burdens” of the Stark Law, which prohibits physicians from referring Medicare or Medicaid beneficiaries to entities from which the physician or an immediate family member would financially benefit.

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2 state attorneys general file suit over Trump move on association health plans

New York and Massachusetts will sue the Trump administration following the announced expansion of association health plans, arguing the move will invite “fraud, mismanagement and deception.”

MGMA survey: Nursing staff see a 19% increase in total compensation

New data from the Medical Group Management Association (MGMA)’s DataDive Management and Staff Compensation highlights a 19 percent increase in total compensation for nursing staff between 2015 and 2017.

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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