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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CMS proposes 2.1% payment increase for MA plans in 2024

The plan, if finalized, increases payments for MA plans by 2.09%, or 1.03% after adjusting for star rating changes.

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Cigna sues CVS over executive’s move

According to Cigna, Amy Bricker left her role as an executive with the company just days before joining CVS Health.

Brent Savoie, MD, JD, vice chair for radiology informatics, section chief of cardiovascular imaging, Vanderbilt University, explains who will get sued when there is a misdiagnosis due to artificial intelligence (AI).

VIDEO: Who gets sued when radiology AI fails?

Brent Savoie, MD, JD, vice chair for radiology informatics, section chief of cardiovascular imaging, Vanderbilt University, explains who will get sued when there is a misdiagnosis due to artificial intelligence (AI).

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Fraud in Florida: Feds bust fake nursing diploma scheme

The scheme led to more than 7,600 fake nursing diplomas issued by three South Florida-based nursing schools.

GoodRx slapped with $1.5M fine by FTC over patient privacy

According to the FTC, the company failed to notify consumers it had disclosed personal health information to Facebook, Google and other companies.

Healthcare industry reacts to PHE ending in May

MGMA and AHA discuss how the end of the PHE will impact healthcare stakeholders.

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New rule aims to claw back overcharges from MA plans

The move could reclaim overpayments of an estimated $479 million from 2018 and $4.7 billion over 10 years.

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HHS proposes new rule to expand birth control access under the ACA

The Department of Health and Human Services (HHS) proposed a new rule that would expand access to contraception under the ACA “so that all women who need or want birth control are able to obtain it."

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Around the web

Cardiovascular Business
Q&A: Why are cardiovascular devices involved in so many recalls? FDA policies may be to blame

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. 

Cardiovascular Business
Cardiologist compensation still rising, especially in invasive and interventional cardiology

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.

Cardiovascular Business
FDA’s tirzepatide decision creates uncertainty for patients—and leads to a lawsuit

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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