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 new Medicare prescription drug rules

CMS proposed several new policies for 2020 that aim to lower prescription drug prices by revising how Medicare plans can cover medicines and negotiate prices.

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CVS-Aetna deal approved by all regulators

CVS Health received the final approval for its $69 billion merger with the nation’s third-largest health insurance provider, Aetna, on Nov. 26. CVS expects the deal to close Nov. 28, according to a new public filing.

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CMS reapproves Medicaid work requirements in Kentucky

After a federal judge blocked Kentucky’s Medicaid work requirements from going into effect earlier this year, CMS reapproved the program on Nov. 20.

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Health insurer based benefits on sleep habits

Health insurers are using new methods to monitor consumers enrolled in their plans, as one person discovered when his sleep habits unknowingly played a role in the benefits he received from his provider, ProPublica reported.

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Lawmakers to introduce bill to lower drug prices

Senator Bernie Sanders (I-Vt.) and U.S. Representative Ro Khanna (D-Calif.) are planning to introduce a bill that aims to “drastically” lower prescription drug prices once Congress is back in session.

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CVS-Aetna deal now likely to close after Thanksgiving

While the $69 billion merger between CVS Health and Aetna has moved through the regulatory review process, CVS executives now expect the deal to close after Thanksgiving, according to a new public filing. Executives previously anticipated the transaction would be completed before the holiday.

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Wildfires lead HHS to declare public health emergency in California

Several wildfires in California led HHS Secretary Alex Azar to declare a public health emergency in the state on Nov. 13. The announcement allows CMS providers, suppliers and beneficiaries flexibility to meet emergency needs.

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LifePoint finalizes $5.6B merger with RCCH HealthCare Partners

LifePoint Health, a healthcare services company based in Tennessee, and RCCH HealthCare Partners completed their $5.6 billion merger on Nov. 16. The deal was originally announced in July.

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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