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. 

Medicare improper payments drop to lowest rate since 2010

Medicare fee-for-service improper payments dropped to their lowest level since 2010 this year, CMS Administrator Seema Verma announced on Nov. 16.

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Pfizer to raise prices on 41 drugs in 2019

Drug manufacturer Pfizer announced it would raise the prices of 41 drugs in January 2019, The Wall Street Journal reported.

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Have not-for-profit hospitals peaked financially?

Not-for-profit hospitals may have already reached their financial peak, according to an analysis from Fitch Ratings. Lower operating margins and lower reimbursement payments are causing many hospital systems to rethink care delivery, but not all providers are able to meet the challenges head on, particularly in a period of mass consolidation.

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GE Capital sells healthcare equipment business for $1.5B

GE Capital, the financial services division of GE, has sold is Healthcare Equipment Finance business to TIAA Bank for $1.5 billion.

California approves CVS Health-Aetna deal

Another regulator has cleared the way for the $69 billion deal between CVS Health and Aetna, as California approved the deal—with conditions.

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Housing reimbursement may be on the way for Medicaid

Expanded benefits could include paying for housing among Medicaid beneficiaries, according to HHS Secretary Alex Azar, who spoke about the impact of social determinants of health during a speech with the Hatch Foundation for Civility and Solutions on Nov. 14.

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Where Medicare Advantage will cost the least in 2019

Healthcare costs around the country vary across settings and services, and the same is true for Medicare Advantage, which is expected to grow to 22.6 million members in 2019.

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Mayo Clinic receives $200M gift

A philanthropist has given $200 million to Mayo Clinic in what is the largest-ever donation to the nonprofit hospital system.

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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