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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Optum buys specialty pharmacy for $300M

OptumRx, the pharmacy care services business of UnitedHealth Group’s Optum, is acquiring a specialty pharmacy and infusion services provider, Diplomat.

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Surprise billing ban agreement reached in Congress

Lawmakers have come to an agreement to stop surprise medical billing in new legislation that would also enact a number of other healthcare initiatives. The bipartisan agreement could put an end to the legislative stalemate on Capitol Hill in light of President Trump's impeachment proceedings. 

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Consumers think AI will be good for patient care—but some worries persist

A majority of U.S. consumers are confident AI will have a positive impact on both patients and healthcare providers, according to a new report from Blumberg Capital.

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US healthcare spending grew 4.6% in 2018

National healthcare expenditures rose 4.6% in 2018, according to new figures from the CMS Office of Actuary.

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ACOs saved $3.5B over 5 years

Accountable care organizations (ACOs) saved Medicare more than $3.53 billion from 2013 to 2017, according to a report from industry group the National Association of ACOs (NAACOS).

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Hospital groups file lawsuit to block price transparency rule

A group of prominent hospital associations have filed a lawsuit against HHS to stop the implementation of a rule that requires hospitals to post their prices for services online and update it regularly.

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Trump may loosen drug patent protections to push trade pact

The pharmaceutical industry could be in for a loss as the Trump administration considers easing patent protection rules in order to garner support from Democrats for a new trade pact between the U.S., Mexico and Canada­––USMCA, The Wall Street Journal reported.

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HHS to make HIV prevention medication free for uninsured

HHS has announced a new initiative to make a medication taken to prevent HIV, pre-exposure prophylaxis, or PrEP, available for free to those without prescription drug insurance coverage.

Around the web

If passed, this bill would help clinician-led clinical registries explore Medicare data for research purposes. The Society of Thoracic Surgeons and American College of Cardiology both shared public support for the bipartisan legislation. 

Cardiologists and other physicians may soon need to provide much more information when ordering remote patient monitoring for Medicare patients.

Why are so many cardiovascular devices involved in Class I recalls? One possible reason could be the large number of devices hitting the market without undergoing much premarket clinical testing. 

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