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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ACA repeal battle: Dems plan rallies, Trump calls law ‘lousy healthcare’

Democratic leaders in Congress are encouraging their members to hold rallies against Republican plans for eliminating the Affordable Care Act (ACA) under President-elect Donald Trump on the final weekend before his inauguration.

Political divisions threaten AMA’s role in healthcare reform

As the next Congress and president debate how to repeal the Affordable Care Act (ACA), the American Medical Association finds itself in a weakened position to offer the physician's perspective to healthcare reform.

Healthcare.gov sets enrollment record despite repeal threat

400,000 more people bought health plans through the Affordable Care Act’s insurance marketplace in 2016 than 2015, according to the final open enrollment figures released by HHS for coverage beginning Jan. 1, 2017.

CMS finalizes cardiac, orthopedic bundles and MSSP ACO Track 1+

Additional opportunities for Advanced Alternative Payment Models (APMs) are now available, as CMS has finalized a number of policies on bundled payments and a new accountable care organization model.

AMGA to CMS: Limit MACRA transition, develop MSSP ACO Track 1+

In its comments to CMS on the final Medicare Access and CHIP Reauthorization Act (MACRA) rule, the American Medical Group Association asked the agency to limit the transition to new payment tracks to only one year and develop a new two-sided risk model in the Medicare Shared Savings Program (MSSP).

Researchers rushing to copy ACA data before Trump takes office

Groups with data-use agreements with HHS and CMS are scrambling to copy healthcare data and documents in case President-elect Donald Trump’s administration erases it once in office—a fear Trump-aligned groups call “paranoid.”

ACA exchange rules finalized for 2018 as repeal threat looms

CMS hopes to strengthen the risk pool on Affordable Care Act’s insurance marketplace for the 2018 plan year, even as insurers remain uncertain about the exchanges with the incoming Congress and President-elect promising to repeal the law.

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5 of the top issues for the healthcare industry in 2017

The annual health issues report from PricewaterhouseCooper’s (PwC) Health Research Institute predicted the coming year will be one of “uncertainty and opportunity” in the industry, both because of the potential repeal of the Affordable Care Act and the continuing transition to value-based care.

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.