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. 

How insurance markets could survive an ACA repeal

Supporters of the Affordable Care Act (ACA) have warned repealing the law could “unravel” the individual and small group insurance markets within months, but subsidies may be able to stabilize health plans in the short-term.

Specialty drugs tripled Part D catastrophic coverage spending in 5 years

Between 2010 and 2015, payments for Medicare Part D catastrophic coverage tripled to $33 billion, thanks to increased prices for drugs, according to a report from HHS’s Office of the Inspector General (OIG).

Biden forming nonprofit to focus on cancer issues after leaving White House

Outgoing Vice President Joe Biden will continue to advocate for changes in cancer research and treatment once he leaves political office by creating a new nonprofit organization.

Major med groups to Congress: Don’t roll back ACA protections

Five major medical organizations have written to congressional leaders warning a repeal of the Affordable Care Act (ACA) would have significant consequences on uninsured rates, coverage for low-income Americans and the affordability of health coverage. 

AHIMA Launches Enhanced Membership Model

Features new and expanded benefits and flexibility

How a new bill begins path to ACA repeal

On the day the new Congress was sworn in, U.S. Sen. Michael Enzi, R-Wyoming, introduced legislation which can begin the repeal of the Affordable Care Act (ACA).

Yes man? Trump’s HHS Secretary pick may face tricky confirmation

President-elect Donald Trump’s selection to run HHS is on a list of Cabinet appointees Senate Democrats plan to delay for months, according to the Washington Post.  

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Plastic surgeons question impact of patient satisfaction ratings

A topic article in the Journal of the American Society of Plastic Surgeons (ASPS) examines changing regulations on physicians and healthcare facilities. The move to a system of evaluation and ratings leaves the article's authors afraid that some might fear a one-star review as much as treating a patient incorrectly.

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.