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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California congressman proposes testing automatic enrollment in ACA plans

In states that choose to utilize federal grants for the pilot program, those who don’t want coverage would have to actively opt out of plans within 60 days.

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Hospital M&A activity expected to continue brisk pace in 2018

If the first quarter of the year is any indication, the frantic pace of mergers and acquisitions (M&A) among hospitals won’t be slowing down in 2018. Thirty transactions were announced between January 1 and March 31, an 11 percent increase over the same period in 2017, according to Kaufman Hall.

Amazon already tried—and failed—to disrupt pharmaceuticals

In 1999, Amazon bought a 46 percent stake in Drugstore.com and began marketing its products on the Amazon site. Once hailed as “a likely gold mine,” the venture never turned a profit after running into problems with regulations, logistics and the existing pharmacy benefit managers that already dominated the market.

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Hospitals largely supportive of 2019 IPPS proposed rule

Fewer quality measures, a shorter reporting period for Meaningful Use requirements and an increase in uncompensated rate payments were all positives in the eyes of hospitals in their initial reaction to the proposed 2019 Medicare Inpatient Prospective Payment System (IPPS) rule.

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Welltower partners with ProMedica to acquire Quality Care Properties

Healthcare real estate investor Welltower has announced it will acquire the outstanding shares of Quality Care Properties and form a joint venture with Toledo, Ohio-based health system ProMedica for the real estate holdings of QCP tenants HCR ManorCare and Arden Courts.

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Provider-sponsored Medicare Advantage plans seeing big growth in membership

The growth in Medicare Advantage membership has benefited hospitals and physician groups that operate their own plans, with total enrollment increasing by more than 20 percent to three million beneficiaries since 2015.

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Buyer be aware: CMS looks to require hospitals post prices online

A new CMS proposal will require hospitals to post their standard prices for treatments online and aims to increase patient access to electronic health records (EHRs).

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6 ways to rein in costs in the US healthcare system

An academic and insurance executive discussed innovations to control healthcare costs in the U.S., including pricing reforms and payment modifications.

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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