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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Former Georgia insurance commissioner sentenced to prison for $3M fraud scheme

John Oxendine has been sentenced to three and a half years in prison for his involvement in a conspiracy to file claims for bogus lab tests.

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Insurers accused of $50B fraud connected to Medicare Advantage plans

According to a report, from 2019 and 2021, Medicare Advantage plans put taxpayers on the hook for dubious care services.

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CMS proposes 2.8% pay cut for providers in 2025

The average payment rate to physicians is suggested to be reduced by 2.93% in 2025 under the proposed fee schedule change, the agency noted. 

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State attorneys general send warnings of Change Healthcare breach, urge residents to respond

Several state attorneys general have issued notices to residents regarding the Change Healthcare breach, asking them to sign up for credit monitoring and identity theft protection.

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FDA and Medtronic issue recall on endotracheal tubes due to risk of death

All Medtronic EMG Reinforced Endotracheal Tubes are being recalled due to a risk of collapse that could lead to serious injury or death.

AMA graphic showing Medicare payment inflationary updates for most providers, but not physicians. #AMA #medicarereform

AMA: Community practices unsustainable with low Medicare and Medicaid physician payments

The American Medical Association says payment policies are challenging the viability of smaller physician practices, which will eventually cause healthcare access issues.

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Federal judge issues partial halt to FTC ban on noncompetes

A full court hearing to determine the fate of the FTC ban on noncompete clauses will be scheduled before Aug 31. For now, a judge has issued a preliminary injunction.

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Change Healthcare notifies patients their medical records may have been taken in breach

A HIPAA notification posted to the company’s website said details about patients’ diagnoses and treatments may have been stolen by hackers.

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Around the web

Cardiovascular Business
FDA says years-long tirzepatide shortage is resolved, will give limited leeway to compounders

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

AI in Healthcare
From Capitol Hill to a hospital near you? 5 federal recommendations for healthcare AI policy

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Cardiovascular Business
Merck spends up to $2B to license new weight loss drug with potential heart benefits

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.