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. 

FTC loss on blocking Hershey-Pinnacle hospital merger reversed on appeal

The merger of Penn State Hershey Medical Center and Pinnacle Health System in Pennsylvania can be blocked by the Federal Trade Commission, according to a ruling by a federal appeals court judge, reversing a decision in May that went against the FTC.

FDA approves drug biosimilar to Humira

The FDA approved a new drug called Amjevita Sept. 23. The drug, adalimumab-atto, is made by the California-based company Amgen and is biosimilar to the AbbVie drug Humira (adalimumab). 

Sylvia Burwell discusses ACA, provider success on podcast

Health and Human Services (HHS) Secretary Sylvia Burwell doesn’t have much time left in her position. Her boss’s second presidential term is almost over, so her role as steward of his hallmark policy, the Affordable Care Act (ACA), will be over too. 

Last-minute exchange decisions: Nebraska loses BCBS, Highmark stays in 3 states

Sept. 23 was the final day for insurers to confirm their health insurance exchange participation in the states relying on the federal Healthcare.gov marketplace. Last-minute decisions by two insurers will affect coverage options in Delaware, Nebraska, Pennsylvania and West Virginia. 

Trump falsely claims ACA open enrollment could be delayed

Donald Trump has been telling supporters and reporters that President Barack Obama is trying to delay open enrollment on health insurance exchanges until after Election Day—but the start date has been set in stone for months.

Medicare Advantage premiums will drop slightly for 2017

The average monthly premium for Medicare Advantage enrollees will drop about 4 percent, or $1.19, to $31.40, according to a new estimate released by CMS.

How the presidential race could affect uninsured rates, out-of-pocket costs

The state of health care would look dramatically different under a Hillary Clinton presidency than it would under Donald Trump, according to a new report from the Commonwealth Fund and the RAND Corporation.

Doctors might need to up their patient load during opioid epidemic

Only some doctors are qualified to prescribe certain drugs that help patients deal with withdrawal symptoms or overdose dangers from opioids. But they might not be treating as many patients as possible to make a dent in the nation’s opioid crisis.

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.