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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Physicians sue Anthem over ER pay practices

A group of doctors filed suit against health insurance company Anthem for its pay practices over emergency room (ER) care.

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Trump administration looks at importing drugs to control prices

The Trump administration is taking a wide approach in its efforts to lower drug prices—even considering importing drugs from abroad. 

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OMB review underway to unfreeze $10B in ACA payments

The Office of Management and Budget (OMB) is reviewing a rule to unlock roughly $10 billion in payments for Affordable Care Act (ACA) insurance providers.

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Medicare competitive bidding process hurts patients

The Medicare bidding process is hurting patients, according to a new study from the Pacific Research Institute.

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Amid revenue growth, UnitedHealth considers acquiring $2B Tenet subsidiary

UnitedHealth Group is exploring an acquisition of Tenet Healthcare’s healthcare management subsidiary, Conifer Health Solutions, according to the The Wall Street Journal.

CMS opens comment period for Kentucky Medicaid work requirements

After a federal judge blocked work requirements for Medicaid beneficiaries in Kentucky, CMS has opened a pathway for the policy.

Facing pressure from Trump, another drug manufacturer drops price hikes

Novartis, one of the world’s biggest pharmaceutical companies, has paused any price hikes on its drugs for the remainder of 2018.

FDA unveils plan to lower prices, boost competition among drug-makers

The FDA unveiled a new plan to enable market competition for biologics and biosimilars Wednesday, July 18, as part of a larger shift to lower drug prices across the healthcare 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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