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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AMA, states sue Trump administration over Title X changes

The American Medical Association (AMA) filed suit against the Trump administration after it finalized changes to Title X that impact family planning providers.

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Free-standing ED prices substantially higher than other care settings

Consumers are more into convenient options when it comes to just about any industry, but in healthcare, the preference has led to national growth in freestanding emergency departments (FSEDs).

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Patients more likely to switch hospitals to give birth if they receive a surprise bill

Mothers who gave birth twice were more likely to switch to another hospital after the first birth if they received a surprise bill following care, according to a recent study published in Health Affairs.

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After pricing pushback, Eli Lilly will sell a half-price insulin drug

Drug manufacturer Eli Lilly plans to offer a half-priced version of its insulin medication Humalog, the company announced March 4.

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Blue Cross Blue Shield Association proposes health insurance improvements

The Blue Cross Blue Shield Association (BCBSA) published three proposals that would lower premiums by one-third for Obamacare insurance coverage and expand access to coverage for more than 4 million additional people.

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Marketplace insurers deny many claims—and enrollees seldom push back

Health insurers selling their services through Healthcare.gov denied nearly one-fifth of claims in 2017. And only a tiny fraction of the affected consumers—less than one-half of one percent—appealed the decisions.

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Uninsured rate remains below 10% as more choose high-deductible plans

Nearly 30 million individuals of all ages in the U.S. were uninsured during the first nine months of 2018. This figure represents a little over 9 percent of the population, and it’s similar to the uncovered headcount from 2017. Still, it’s a notable improvement from 2010, when the Affordable Care Act was nascent and 19 million more people lacked coverage.

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Medicare for all introduced in Congress

As more of the Democratic party comes on board with the idea of Medicare for all, a new bill was introduced in the House this week to make universal healthcare a reality. Rep. Pramila Jayapal (D-Washington) introduced the bill on Feb. 27. The bill has more than 100 co-sponsors.

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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