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 issues ICD-10 maintenance toolkit

The healthcare industry transitioned to ICD-10 back on Oct. 1 with few problems. Despite the success, the Centers for Medicare & Medicaid Services has released a new toolkit designed to help providers track and improve their ICD-10 performance.

N.J. state senator calls out organizations opposed to Hepatitis C screening legislation

New Jersey’s Senate Health, Human Services, and Senior Citizens Committee has approved legislation requiring hospitals and physicians to screen patients born between 1945 and 1965 for Hepatitis C. It was a bill both the New Jersey Hospital Association and the Medical Society of New Jersey opposed, and committee chairman State Sen. Joseph Vitale said the organizations “ought to be ashamed of themselves,” according to a report from NJ.com. 

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More patients going to the doctor in wake of Medicaid expansion

A new analysis from the ACAView project, the joint effort between the Robert Wood Johnson Foundation and athenahealth to track the impact of the Affordable Care Act, has found a big bounce in primary-care visits in states that expanded Medicaid.

Federal appeals court: Hospitals can be both ‘urban’ and ‘rural’

Earlier this month, the 2nd U.S. Circuit Court of Appeals declared that the HHS “reclassification rule” was invalid and hospitals could be considered “rural” in some circumstances and “urban” in others. 

Patients receiving big discounts for paying in cash

A recent story in the Wall Street Journal examined this trend, providing numerous examples of patients saving more than $500 on procedures by simply paying in cash up front instead of going through insurance. 

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What’s on TV? Ads for expensive drugs to fight rare conditions

Americans who watch at least a few hours of TV each week are used to getting urged to ask their doctors about all sorts of medications that, chances are, they really don’t need.  

Coalition outlines 6 steps to innovate U.S. healthcare system

The Healthcare Leadership Council (HLC), a coalition of executives representing health providers, insurers, manufacturers and patient advocacy groups, has issued six recommendations it believes can be implemented today to improve healthcare in the U.S.

Scalia's death will affect ACA-related Supreme Court case

A recent question-and-answer article prepared by the Associated Press and published by the Chicago Tribune (and others) examined the impact Supreme Court Justice Antonin Scalia’s death  could have on existing cases in 2016. 

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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