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. 

APA warns psychiatrists against diagnosing public figures from afar

When public figures act or speak differently than usual—or differently than anyone else around them—some people (and the media that cater to them) look for medical or mental-health related explanations. But the American Psychiatric Association (APA) has issued a reminder to its members: Don’t engage in such public analysis diagnostics when you don’t actually know the person in question. 

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State news: Calif. insurer to close for one week; math mistakes cost hospitals in Mass, R.I. millions

Here’s a roundup of the latest state healthcare news, including a deadly bacteria closing down a Maryland neonatal intensive care unit and why one state lawmaker in Missouri has been blocking efforts to create a prescription drug monitoring database.

CMS updates team-based home care program

With enrollment in Programs of All-Inclusive Care for the Elderly (PACE) increasing by 60 percent in the past five years, CMS is proposing changes to “modernize” the team-based home care services program for Medicare and Medicaid beneficiaries.

Hospitals avoiding risky transplants to boost success rates

STAT News reports hospitals are increasingly reluctant to perform transplants involving extremely ill patients or less-than-perfect organs, fearing poor surgical outcomes could lead to reduced hospital ratings and Medicare funding.

ACA risk adjustment may be changed despite improvements in risk pool

In two separate announcements from HHS, the agency said while the risk pool for the health insurance exchanges has improved, it’s “exploring options” to adjust the Affordable Care Act’s risk adjustment program to account for sicker, more expensive enrollees.

CMS amends value-based model for Medicare Advantage for 2018

New conditions, participating states and telemedicine opportunities will be included in the second year of CMS’s Medicare Advantage (MA) Value-Based Insurance Model.

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Murthy, Durbin call for more opioid epidemic funding, visit Chicago treatment center

More than two million healthcare providers throughout the country will receive letters from U.S. Surgeon General Vivek Murthy, MD, MBA, later this month. It will include information for doctors about how to best help patients and families dealing with opioid addictions and how to prevent those at risk from becoming addicted in the first place. 

Thanks, Obama? ACA making Americans healthier, new studies suggest

New research suggests that, since the Affordable Care Act has launched, Americans are less likely to have medical debt and postpone care because of cost, and more likely to have a regular doctor and receive preventive health resources, such as vaccines and cancer screenings.

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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