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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June vote on AHCA possible, but bill could be destined to fail

Republican leaders in the Senate are aiming for a vote on their version of an Affordable Care Act replacement by the end of June, with the goal of ending the healthcare debate so it doesn’t get in the way of the rest of the party’s legislative agenda.

‘Medicaid for all’ bill heads to Nevada governor

State legislators in Nevada have passed a bill which would allow residents to buy into the state’s Medicaid program, offering a new public health insurance option.

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Q&A: Duke's Daniel on the challenges of moving pharma, device companies toward value-based payment

Finding a practical path for pharmaceutical and medical device manufacturers to enter value-based payment arrangements is the goal of a new policy consortium formed at the Robert J. Margolis, MD, Center for Health Policy at Duke University.

Succeeding in an ICD-10 World

In the ICD-9 era, there were universally accepted benchmarks to measure coding professionals’ productivity. Now, more than 18 months after the ICD-10 implementation date, the challenge is to do the same for the new coding system.

CMS chief: ‘Individual market was working much better’ prior to ACA

CMS Administrator Seema Verma said the blame for rising premiums and fewer insurers in the Affordable Care Act (ACA) exchanges fall on the prior administration, not the current one, while offering a mixed message on the American Health Care Act (AHCA), the ACA replacement that passed the House earlier in May.

Leaked regulation from HHS would roll back ACA’s contraceptive mandate

A draft rule from HHS would allow all employers to seek an exemption from the Affordable Care Act (ACA)’s mandate to cover contraceptives in their insurance plans, leading to many patients having to pay out-of-pocket for birth control, which is currently available at no cost. 

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CMS to begin replacing Medicare cards in 2018

New Medicare cards without Social Security numbers will be sent out starting in April 2018, according to CMS, meeting a deadline set by Congress to replace all cards by April 2019.

First look at Senate ACA replacment expected after recess

The U.S. Senate will be on break until June 3, but Senate Republican staff are expected to spend the recess drafting its own version of a bill to repeal and replace the Affordable Care Act (ACA).

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Around the web

Cardiovascular Business
Q&A: Why are cardiovascular devices involved in so many recalls? FDA policies may be to blame

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. 

Cardiovascular Business
Cardiologist compensation still rising, especially in invasive and interventional cardiology

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.

Cardiovascular Business
FDA’s tirzepatide decision creates uncertainty for patients—and leads to a lawsuit

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

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