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. 

Who’s the boss? Atrium-UNC Health merger killed over leadership structure

Discussions for a blockbuster merger between Atrium Health (formerly Carolinas Healthcare) and UNC Health Care have ceased, according to the Charlotte Observer, because executives were unable to solve disagreements on the structure of the joint operating company’s leadership.

HHS Secretary against using medical marijuana as alternative to opioid for treating pain

In a visit to the Dayton, Ohio area, HHS Secretary Alex Azar was asked by Yellow Spring News what role he’d envision for medical marijuana as an alternative to prescription opioids for pain relief.

Immigration status impacts Medicaid enrollment in non-ACA-expansion states

Does immigration status affect Medicaid enrollment through the Affordable Care Act (ACA), both in states that expanded services and those that did not? Recent research found no differences in Medicaid coverage between mixed-status households and non-mixed-status households. But in states that did not expand Medicaid, coverage rates were lower for individuals in mixed-status households compared to the non-mixed-status population. 

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HIMSS18: Alpha II’s Tim Mills on what providers will soon want from RCM software

This year, providers may be struggling with meeting deadlines on reporting for the Merit-based Incentive Payment System (MIPS) and avoiding a negative payment adjustment. In a few years, however, they’ll expect solutions to more complicated issues surrounding value-based reimbursement, according to Tim Mills, chief growth officer at revenue cycle, coding and billing software company Alpha II.

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Senators ask what’s holding up price transparency in healthcare

A group of U.S. senators has sent a letter to dozens of healthcare industry groups asking for more information on what price and quality information is available to consumers and what regulations may be getting in the way of greater price transparency.

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Association health plans could increase instability on ACA markets

The Trump administration’s plans to expand the availability of association health plans could siphon up to 4.3 million people from the individual and small group insurance markets over the next five years, raising premiums on those who remain in plans which are compliant with the Affordable Care Act (ACA).

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MGMA: Medical groups opposed to mandatory APMs

A large majority of medical group professionals responding to a poll from the Medical Group Management Association (MGMA) was opposed to mandatory participation in alternative payment models in Medicare, a policy CMS has been moving away from under President Donald Trump.

Rhode Island’s Lifespan in talks for collaboration with Partners HealthCare, Care New England

The previously proposed merger between Boston’s Partners Healthcare and Care New England, one of the largest systems in Rhode Island, may have a third partner: Lifespan, the operator of Rhode Island Hospital.

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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