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. 

One-third of U.S. may be limited to one choice of insurer on exchanges in 2017

Nearly 36 percent of the exchange market rating regions in the U.S. may have only one insurance company participating in the Affordable Care Act’s exchanges, according to an analysis from Avalere.

Device and drug makers keep paying doctors disciplined for misconduct

Thousands of physicians who have been disciplined for serious misconduct, like having sex with patients, are still getting paid by pharmaceutical and medical device companies to act as advisers or promotional speakers, according to an analysis from ProPublica.

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Tenn. regulator says state exchange ‘very near collapse’

The head of Tennessee’s insurance department said the state’s health insurance exchange is “very near collapse” after approving large rate increases for the three insurers offering coverage in 2017, according to The Tennessean.

N.J. hospital accused of false advertising, questionable business practices

Meadowlands Hospital Medical Center (MHMC) in Seacaucus, New Jersey, has been the subject of an investigative series from NJ Spotlight, accusing the facility of lying about the quality of its services and having a long record of safety violations.

Former Aetna CEO suggests separating special enrollment customers on exchanges

A separate risk pool for customers who purchase insurance from the Affordable Care Act (ACA) exchanges during the special enrollment period could help stabilize the market, argued former Aetna CEO and chairman Ronald Williams.

Senators want information on increases in price for EpiPens

The price of EpiPens, an injectable treatment for serious allergic reactions, has increased by more than 400 percent in the last nine years, and two U.S. Senators are asking the device manufacturer and federal regulators to explain why.

EpiPen's 400 percent price increase has consumers and Congress confused and concerned

U.S. lawmakers are joining concerned parents in demanding to know: What is up with the sudden increase in the price of an EpiPen? 

FDA, medical device companies agree to $1 billion in user fees

Medical device companies will pay the FDA nearly $1 billion in user fees for five years beginning in October 2017 under the fourth reauthorization of the Medical Device User Fee & Modernization Act (MDUFA).

Around the web

Cardiovascular devices are more likely to be in a Class I recall than any other device type. The FDA's approval process appears to be at least partially responsible, though the agency is working to make some serious changes. We spoke to a researcher who has been tracking these data for years to learn more. 

Updated compensation data includes good news for multiple subspecialties. The new report also examines private equity's impact on employment models and how much male cardiologists earn compared to females.

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

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