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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House Speaker Paul Ryan opposes Medicare for all

As more democrats are jumping on board the Medicare-for-all train, House Speaker Paul Ryan (R–WI) slammed the idea, arguing that his colleagues across the aisle have “gone off the rails,” The Hill reported.

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CMS boosts transparency around accreditation organizations

CMS is increasing its oversight when it comes to accrediting organizations that survey Medicare certified healthcare providers, following a 2017 Wall Street Journal investigation that revealed accreditations were still given to facilities with ongoing patient care problems.

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Reuters: Civitas considering potential sale

Civitas Solutions, a home- and community-based healthcare services provider based in Boston, is considering a potential sale and strategic alternatives, according to Reuters, which cited people familiar with the matter.

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Kaiser: Employer-sponsored health plan premiums are rising

More than half of U.S. employers are offering their staffers health insurance, according to the 2018 Kaiser Family Foundation (KFF) Employer Health Benefits Survey—but annual family premiums are up 5 percent this year, and premiums for individual coverage rose a similar 3 percent.

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CVS will keep Aetna headquarters for next decade

CVS Health will keep Aetna’s headquarters in Hartford, Connecticut, for at least 10 years following the completion of its $69 billion merger with Aetna, The Hartford Courant reported.

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CMS’s aim to cut documentation will be a payment cut

When CMS proposed several changes to the Physician Fee Schedule and Quality Payment Program in July, it was under the guise that the agency was knocking off burdensome documentation requirements for physicians. However, the agency’s own proposal states documentation time won’t actually be reduced by much—but the changes will likely come with a payment rate cut.

FDA raids California offices of e-cigarette maker

The Food and Drug Administration conducted a surprise inspection at the offices of Juul Labs—a large e-cigarette maker—last week and walked away with more than a thousand pages of documents related to the company’s marketing and sales practices, The New York Times reported.

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Humana and Heritage launch MA partnership

Humana is collaborating with Heritage Provider Network, a large physician-led value-based care organization, on a value-based agreement to offer coordinated, patient-centered care to Humana’s Medicare Advantage members in Southern and Central California.

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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