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. 

HHS more optimistic on ACA enrollment than financial analysts

HHS has estimated 13.8 million people will purchase coverage on Affordable Care Act (ACA) insurance exchanges during the next open enrollment period.

Primary care physicians criticized for weak response to opioid addiction

The sharp increase in opioid abuse and the resulting deaths hasn’t led to a strong response from primary care physicians, even though they could recognize problems in patients earlier.

CMS sued over long-term care rule

The top trade group representing long-term care facilities is suing CMS for its new rule banning mandatory arbitration agreements in cases of patient harm.

Pinnacle-Penn State Hershey merger called off after loss in court

The Federal Trade Commission (FTC) has successfully blocked the merger of Pennsylvania’s Pinnacle Health System and Penn State Hershey Medical Center as the two nixed their consolidation plan after the courts sided with the FTC.

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New drug price transparency bill aimed at pharma ‘price gouging’

Drug manufacturers would have to justify price increases over 10 percent, along with disclosing research and development costs, under new legislation which the sponsors admitted is only the first step in reforming the pharmaceutical industry.

No thanks, Trump: Insurers show little interest in selling across state lines

Part of Donald Trump’s plan to replace the Affordable Care Act (ACA) is to allow insurers to sell across state lines in order to increase competition. One problem: States can already enable them to do so, but insurers don’t seem interested.

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The arrival: What's changed, what comes next with final MACRA rule

HHS has released the highly anticipated final rule, nearly 2,400 pages long, implementing the Medicare Access and CHIP Reauthorization Act (MACRA) to overhaul Medicare reimbursement, with the agency saying significant changes were made from the proposed rule.

NIH awards $5.5 million to expand precision medicine program

Four regional medical center groups will receive $5.5 million from the National Institutes of Health (NIH) to begin implementation of the Precision Medicine Initiative (PMI) Cohort program.

Around the web

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.

Mark Isenberg, executive vice president of Zotec Partners, discusses key developments that will reshape the specialty this year.