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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Journalists sue HHS for access to Medicare Advantage data

Last year, the U.S. Department of Health and Human Services (HHS) made Medicare hospital payment data public, followed this year by individual physician payment data. Now journalists want data on the private Medicare Advantage plans and have filed suit to get it.

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AHA and three hospitals sue Sebelius over appeals backlog

The backlog of appeals of recovery audit contractor (RAC) decisions “has reached a crisis point” says the American Hospital Association (AHA) and three hospitals who have brought suit against outgoing U.S. Department of Health and Human Services Secretary Kathleen Sebelius over the length of time it now takes to have an appeal of a reimbursement claim denial decided by an adiminstrative law judge.

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Ways and Means hearing focuses on controversial 2-midnight rule

Tuesday’s House Committee on Ways and Means Subcommittee on Health hearing on current hospital issues in the Medicare program demonstrated that there is broad agreement that last year’s “2-midnight rule” for determining hospital inpatient status in a more standardized way is not working as intended.

HHS, other agencies fail to meet IT goals

The Department of Health & Human Services and four other federal agencies have failed to meet incremental development requirements for their IT projects, according to a report from the Government Accountability Office.

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Burwell pledges to bring bipartisanism to CMS

Sylvia Mathews Burwell, nominee for Centers for Medicare & Medicaid Services commissioner, pledged her support to federal healthcare reform efforts and promised Congress she would foster positive relationships with all political parties during her confirmation hearing on May 8.

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Union drops controversial ballot initiatives in exchange for concessions from California Hospital Association

The Service Employees International Union-United Healthcare Workers West (SEIU-UHW) has dropped its campaign for voter-passed laws that would have limited what California hospitals could charge their patients and what they could pay their executives. In return, the SEIU-UHW got the California Hospital Association (CHA) and its member hospitals to agree to a code of conduct that should make it easier for the union to organize hospital workers.

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CMS cuts red tape to save providers millions

The Centers for Medicare & Medicaid Services (CMS), has issued a set of final regulatory changes that it says will save healthcare providers nearly $660 million annually, and $3.2 billion over five years.

AHA members bring long list of issues to the Hill

American Hospital Association (AHA) members and leaders were in Washington, D.C., this week for the AHA Annual Membership Meeting and lobbied their members of Congress on many of the top issues outlined in the association’s 91-page-long 2014 Advocacy Agenda.

Around the web

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.

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. 

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.