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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Trump to cut off ACA insurer subsidies ‘immediately’

Cost-sharing reduction subsidies, or CSRs, paid to insurers in exchange for keeping out-of-pocket costs low for lower-income Affordable Care Act (ACA) exchange enrollees will end, HHS announced Thursday night, with the agency saying it couldn’t legally continue making the payments.

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Trump signs executive order removing ACA regulations on small businesses

President Donald Trump signed an executive order on the morning of Oct. 12 to ease rules on small businesses buying health insurance. With Congress failing to act on Republican promises to repeal and replace the Affordable Care Act (ACA), Trump will make the unilateral move to reconfigure federal regulations.

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AHIMA17: Former congressional leaders think ACA fixes, not repeal, now more likely

Former House Speaker Newt Gingrich and former U.S. Sen. Barbara Boxer, D-California, were brought to the American Health Information Management Association (AHIMA) conference in Los Angeles to have a political-style debate on healthcare policy, but ended up agreeing on where short-term efforts may go now that repeal of the Affordable Care Act (ACA) failed to pass.

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ONC’s Don Rucker at AHIMA17: Blockchain ‘not there yet’ for regulation

Don Rucker, MD, head of the Office of the National Coordinator for Health IT (ONC) said his agency has been focused on improving usability and interoperability of electronic health records, adding that while blockchain technology may provide some interesting capabilities but it’s too soon to issue regulations on it.

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5 recommendations improving mHealth for adolescent use

A study published in JMIR mHealth and uHealth includes a list of five recommendations for improving mHealth utilization for adolescents with chronic conditions. The researched aimed at improving disease self-management in adolescents by utilizing mHealth technology for real-time care.

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Q&A with MGMA’s Anders Gilberg: Lasting healthcare reform ‘needs to start in the middle’

To call the last few months a busy time for healthcare lobbyists in Washington, D.C. would be quite an understatement. Rather than dwell on the failed attempts at repealing the Affordable Care Act, the Medical Group Management Association’s (MGMA) senior vice president of government affairs, Anders Gilberg, will look ahead to more immediate regulatory concerns and longer-term hopes for “lasting reform.”

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AHIMA17: MACRA is ‘tremendous opportunity’ for HIM

While clinicians may be confused or frustrated with the Medicare Access and CHIP Reauthorization Act (MACRA), professionals in health information management should see it as “nothing but positive” and embrace it, according to Bonnie Cassidy, MPA, principal of advisory services at nThrive and former president and chair of the American Health Information Management Association (AHIMA).

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FDA seeks speedier approval of generics

Food and Drug Commissioner Scott Gottlieb, MD, said the agency will tackle rising prescription drug costs by encouraging development of generic versions of complex drugs and drug-device combinations.

Around the web

CMS finalized a significant policy change when it increased the Medicare payments hospitals receive for performing CCTA exams. What, exactly, does the update mean for cardiologists, billing specialists and other hospital employees?

Stryker, a global medtech company based out of Michigan, has kicked off 2025 with a bit of excitement. The company says Inari’s peripheral vascular portfolio is highly complementary to its own neurovascular portfolio.

RBMA President Peter Moffatt discusses declining reimbursement rates, recruiting challenges and the role of artificial intelligence in transforming the industry.