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 Tom Price did—and didn’t—answer at first hearing as HHS nominee

Replacing the Affordable Care Act (ACA), Medicare reform, malpractice lawsuits and differing definitions of “coverage” versus “access” were all discussed in the first Senate hearing of President-elect Donald Trump’s nominee to run HHS, U.S. Rep. Tom Price, MD, R-Georgia.

CBO: ACA repeal without replacement will send premiums, uninsured rates soaring

If the Affordable Care Act (ACA) is repealed without being replaced, 18 million people would lose health insurance and non-group market premiums would increase by as much 25 percent in the first year, according to a Congressional Budget Office (COB) analysis.

Physicians forced to deal with ‘doctor shopping’ patients thanks to new regulations

State-by-state, physicians will find differing standards on when they’re required to check prescription drug monitoring databases before prescribing opioids, even as their professional organizations continue to fight mandatory requirements. 

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Tom PriceCare? 5 healthcare reforms proposed by the HHS Secretary nominee

You don’t have to go back too far to find out what U.S. Rep. Tom Price, MD, R-Georgia, may favor as a replacement to the Affordable Care Act (ACA) if he’s confirmed as HHS Secretary under President-elect Donald Trump.

Trump promises ‘insurance for everybody,' offers no specifics

President-elect Donald Trump said his replacement for the Affordable Care Act (ACA) will be “insurance for everybody,” potentially putting him at odds with his own party’s healthcare proposals in Congress.

All-payer model to be tested by rural Pennsylvania hospitals

Some $25 million in funding from CMS will help implement a new model for rural hospitals in Pennsylvania designed to improve access to care in less-populated areas and put struggling hospitals on more solid financial footing.

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Q&A: Archway CEO Terry on bundles, how value-based care may thrive under Trump’s HHS

With a presidential transition bringing in a HHS Secretary opposed to mandatory bundled payment programs and other demonstrations at the agency, providers may be tempted to think the transition to value-based care may grind to a halt in the coming years. Not so, according to Archway Health CEO Dave Terry. 

5 strategic priorities for AHA from today to 2020

The American Hospital Association (AHA) has released its strategic plan for the next three years, a time which will be filled “opportunities and challenges” that are “amplified in light of a new presidential administration and shifts in legislative activity.”

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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