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. 

CMS proposes changes to Medicaid eligibility error rate programs

In order to implement parts of the Affordable Care Act (ACA), CMS has proposed a new rule to adjust programs for payment errors and eligibility quality control under Medicaid and CHIP.

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State news: Calif. opposes Anthem-Cigna merger, Ore. doctors’ union announces labor deal

Here’s a roundup of the latest healthcare news from California, Oregon, Illinois, Ohio and New York

Supreme Court sends mixed message on False Claims Act liability

A unanimous U.S. Supreme Court decision seemed to open the door to more False Claims Act lawsuits against healthcare organizations while simultaneously applying some limitations which would favor providers.

Should doctors on probation have to disclose their status to patients?

Patients aren’t likely to be told anything to about their physicians’ criminal history, even in cases where they’ve settled criminal charges related to their work, like sexual abuse of patients and performing operations while drunk.

Republicans dismissive of AMA’s gun violence health research resolution

The American Medical Association’s support of removing a 20-year-old restriction on federally funded research on the public health effects of gun violence doesn’t appear to be changing the minds of Republicans in Congress.

AMA wraps up meeting with resolutions on opioids, gun control

The final hours of the American Medical Association’s annual meeting in Chicago were busy, as its delegates adopted new policies on a variety of topics, including several aimed at slowing down the rise in opioid addiction.

Judge rules Advocate-NorthShore merger can proceed

A federal judge said June 14 Chicago-area Advocate Health Care and NorthShore University HealthSystem can merge, despite a formal complaint from the Federal Trade Commission (FTC) late last year and opposition from Illinois Attorney General Lisa Madigan.

AMA calls on Congress to lift ban on gun violence research

The American Medical Association’s delegates have passed a resolution labeling gun violence as “a public health crisis,” promising to lobby Congress to end a 20-year-old ban on federally funded gun violence research.

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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