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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Court rules against insurers seeking $12B in ACA risk corridor payments

In a Thursday, June 14, ruling, a federal appellate court denied claims from health insurers who claimed they were owed billions of dollars from an Affordable Care Act (ACA) program. The court ruled 2-1 against two insurers who wanted the federal government to repay them for covering sicker, more expensive patients than initially expected.

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All quiet: Stryker says it's not discussing takeover of Boston Scientific

Medical device company Stryker filed a claim with the Securities and Exchange Commission on Wednesday saying it is not in discussions with Boston Scientific on a potential takeover.

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Millions of Americans could be affected by "work-for-Medicaid" ruling

A federal court hearing has been scheduled regarding the Trump administration’s decision to give states the power to enforce work requirements on Medicaid enrollees.

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AMA opposes non-ACA-compliant insurance plans without protections for preexisting conditions

Despite claims otherwise from President Donald Trump, the Affordable Care Act remains the law of the land—though federal actions have increased instability in the ACA’s marketplaces. Following last year’s repeal of the individual mandate, insurers are now offering short-term, non-ACA-compliant policies, which could leave a sicker, older population shopping on ACA marketplaces.

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HHS seeks voluntary drug price cuts from pharma companies

Officials from HHS are currently talking with pharmaceutical companies to pursue voluntary price cuts as part of President Donald Trump’s drug pricing plan, The Hill reports.

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Attack of single-payer could be winning strategy for California GOP

Five months before the 2018 midterm elections, California Republicans see their opponents’ embrace of exploring single-payer healthcare as an opportunity.

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CMS focuses on infants, IT solutions in guidance for battling opioid crisis

On Monday, June 11, CMS released guidance for states to leverage Medicaid in fighting opioid abuse and misuse—with the document making specific mention of efforts to reduce negative impact in infants and outlining potential benefits of health information technology.

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KKR & Co to acquire Tennessee's Envision in $9.9B deal

Private equity firm KKR & Co. announced its plan to buy Envision Healthcare for $5.57 billion and debt. The all-cash transaction will value Envision at $9.9 billion, according to Bloomberg.

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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