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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What healthcare groups want from ‘new direction’ on CMMI payment models

Fewer electronic health record requirements, smaller payment reforms and changing the definition of financial risk are some of the changes suggested by major healthcare groups in response to the CMS request for information on future models at the Center for Medicare and Medicaid Innovation (CMMI).

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Actuaries to Congress: Repealing individual mandate could threaten insurer solvency

If the Affordable Care Act’s individual mandate is repealed as part of a Republican tax cut plan, premiums will likely rise and insurers will exit the individual market, according to the American Academy of Actuaries.

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Insurers in Massachusetts have to cover birth control without copay under new law

Massachusetts Gov. Charlie Baker signed a law on Nov. 21 to require insurers cover birth control products without copays, allow women to obtain a year’s supply at once and prevent most employers from opting out of contraceptive coverage on moral or religious grounds.

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HHS nominee made millions in pharma

Alex Azar, President Donald Trump’s nominee for HHS Secretary, was paid nearly $2 million in his final year as an executive at pharmaceutical giant Eli Lilly and built a portfolio worth as much as $20.6 million in his nearly 10-year tenure at the company.

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Fighting opioid abuse, lowering drug prices, deregulation are goals of Medicare Part D rule

Several changes to Medicare Advantage and Medicare Part D prescription drug plans have been included in a proposed rule by CMS in an effort to fight opioid abuse among seniors while taking another step towards reducing regulations.

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ACA enrollment up in first weeks—and if it falls, poll says Trump will be blamed

Between Nov. 1 and Nov. 11, nearly 1.5 million people signed up for health insurance coverage on the Healthcare.gov exchange, an increase of almost 500,000 from the same period last year.

AMA Adopts New Policy to Increase Organ Donation Nationwide

HONOLULU – With the need for donated organs far exceeding the number available for transplantation in the U.S., the American Medical Association (AMA) adopted policy during its Interim Meeting this week aimed at increasing organ donation rates—particularly among minority populations with historically low donation rates.  

AMA warns of potential negative health effects of social media

While platforms such as Facebook, Twitter and Instagram give people the ability to connect with anyone in the world, the American Medical Association (AMA) has announced the adoption of new policies outlining the negative health effects of social media.

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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