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. 

New ACA market rule coming

CMS has indicated a new rule aimed at stablizing the Affordable Care Act (ACA)'s insurance exchanges for 2018 is coming, but it isn't offering many details. 

ACA repeal may be more like a ‘repair’

The rhetoric on healthcare reform is changing, as Republican majorities in Congress are beginning to shift away from fully eliminating the Affordable Care Act (ACA) to modifying it.

AMGA Encouraged by CMS Willingness to Modify Medicare Advantage Encounter Data Risk Scoring

AMGA is pleased that the Centers for Medicare & Medicaid Services (CMS) is not proposing to move forward with a more aggressive use of Medicare Advantage (MA) encounter data for risk adjustment as part of its Advance Notice of Methodological Changes for Calendar Year 2018 Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2017 Call Letter.

Trump’s HHS nominee advanced after Republicans change committee rules

A day after Senate Democrats boycotted a confirmation vote for President Donald Trump’s nominee for HHS Secretary, the Senate Finance Committee move the nomination to the full Senate anyway by suspending the typical committee procedures. 

Retired Navy commander appointed info security chief of HHS

HHS has appointed Christopher Wlaschin, a retired Navy commander, as its new chief information security officer.

Senate Dems boycott vote on Price as HHS Secretary

The Senate finance committee scheduled a hearing for Tuesday morning to vote on the confirmation of Tom Price, MD, as the next HHS Secretary. Democrats, however, did not show up.

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Q&A: Bill Lacy on implementing an effective enterprise imaging strategy

Enterprise imaging is one of the hottest topics in all of medicine, and healthcare and health IT leaders around the country are working hard to develop and carry out a successful enterprise imaging strategy. Bill Lacy, vice president of medical informatics at FUJIFILM Medical Systems U.S.A. Inc., talked to Health Exec about how Fujifilm is helping providers better understand the ins and outs of enterprise imaging. 

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5 things to know about the Patient Freedom Act

With the repeal and replacement of the Affordable Care Act (ACA) on the top of Republicans’ legislative to-do list in Congress, Sens. Susan Collins, R-Maine, and Bill Cassidy, MD, R-Louisiana, have proposed a plan that aims for a middle ground: allowing states that like or dislike the ACA to choose their own path.

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.