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. 

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Nearly 9 million people sign up for coverage through health insurance marketplace

During the open enrollment period that ended on Feb. 22, more than 8.8 million people signed up for coverage through HealthCare.gov.

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CMS updates hospital outpatient rates and ambulatory surgical center payments

The Centers for Medicare & Medicaid Services made changes to outpatient rates and ambulatory surgical center payments for 2015, Healthcare Finance reports.

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All systems go for ICD-10?

ICD-10 was in the news this week with the Centers for Medicare & Medicaid Services (CMS) reporting a successful week of end-to-end claims testing and survey results that most practices are ready for the transition.

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HHS provides nearly $200 million to hospitals, states to deal with Ebola virus

Hospitals and states will receive nearly $200 million in funds from the Department of Health and Human Services to prepare for and respond to the Ebola epidemic.

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Companies barred from offering plans without hospital coverage

The Department of Health and Human Services revealed that health plans without hospital benefits do not qualify as satisfying the minimum value requirement, Kaiser Health News reports.

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CMS proposes decreasing payments to Medicare Advantage plans

CMS is proposing to decrease payments per beneficiary to Medicare Advantage organizations in 2016 by an average of 0.95 percent.

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Special enrollment period for health insurance marketplaces

The Centers for Medicare & Medicaid Services announced on Friday a second enrollment period for people to purchase insurance coverage through the health insurance marketplaces.

IPC The Hospitalist facing federal charges

A judge in Chicago upheld a government lawsuit against IPC The Hospitalist, a firm that employs physicians and acute-care specialists in 27 states, Bloomberg reports.

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Around the web

Cardiovascular Business
FDA says years-long tirzepatide shortage is resolved, will give limited leeway to compounders

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

AI in Healthcare
From Capitol Hill to a hospital near you? 5 federal recommendations for healthcare AI policy

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Cardiovascular Business
Merck spends up to $2B to license new weight loss drug with potential heart benefits

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.