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. 

Illinois providers could stop seeing Medicaid patients due to late state payments

Medicaid managed care organizations (MCOs) serving beneficiaries in Illinois said they may stop doing so unless the state government resumes regular Medicaid payments as previously ordered by a federal judge.

Defining single-payer healthcare a problem for its liberal proponents

The battles over the Affordable Care Act (ACA), health policy and how to bend the cost curve in healthcare have led to more support for a “Medicare for all,” single-payer system in the U.S. What its liberal advocates are ignoring, according to Health Affairs contributor Rob Cunningham, is whether the system would actually reduce the cost of care.

Statement on the American Health Care Act from Paul Markovich, President and CEO, Blue Shield of California

 As we consider the renewed effort to "repeal and replace" the Affordable Care Act (ACA), it is important to acknowledge both its successes and its flaws.

Republicans adding high-risk pool funding to save ACA replacement plan

House Republicans reportedly worked late into the night May 2 on further amendments to the American Health Care Act (AHCA) to address opposition from moderates about the bill’s lack of protections for people with pre-existing conditions. 

Leading Patient Advocacy Groups Stand Together to Oppose American Health Care Act

On behalf of more than one hundred million Americans battling chronic and other major health conditions, the following coalition of 10 patient organizations remains united in its opposition to the American Health Care Act (AHCA)

Healthcare groups trash new ACA replacement plan: ‘It’s simply bad policy’

The changes made to the American Health Care Act (AHCA), the Republican-sponsored legislation to replace the Affordable Care Act (ACA), have only strengthened opposition to the bill from groups representing hospitals, internists and emergency physicians. 

Budget deal adds $2 billion to NIH, going against Trump’s proposal

The federal spending deal Congress reached on April 30 includes $2 billion in additional funding for the National Institutes of Health (NIH) for the next five months of the fiscal year, going in the opposite direction of President Donald Trump’s proposed $5.8 million cut to the agency for 2018.

Reworked ACA replacement won't face House vote this week

While media debate the significance of President Donald Trump passing 100 days in office, one thing that won't be part of the discussion: reworked legislation for an Affordable Care Act (ACA) replacement.

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.