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. 

Largest Medicaid insurer in Mass. stops taking new members

Neighborhood Health Plan (NHP), a Medicaid managed care subsidiary of Boston-based Partners Health Care, is suspending enrollment of new members after $241 million in losses since 2014.

How Purdue Pharma stopped insurer efforts to limit OxyContin prescriptions

In 2001, when West Virginia noticed a rise in deaths due to oxycodone, the active ingredient in OxyContin painkillers, it tried requiring prior authorization for the drug. But its manufacturer, Purdue Pharma, wrecked the plan by offering rebates to a pharmacy benefits manager.

Thumbnail

Vermont approves all-payer, ACO-like system

The state of Vermont is moving ahead with its first-in-the-nation all-payer model emphasizing value-based care.

Benchmark ACA premiums up 25% for 2017

The average monthly premium for the second-lowest cost silver plan on the Healthcare.gov marketplace will go up by 25 percent for 2017, according to HHS, the largest year-over-year jump in prices since the marketplace opened.

Fewer physicians, pharmacies faced DEA investigations as opioid addictions grew

A Washington Post investigation said the Drug Enforcement Administration (DEA) dropped its aggressive efforts against pharmacies, physicians, distributors and manufacturers to curb opioid abuse, mostly thanks to pressure from drug companies.

Hospital, insurer, pharma lobbyists push back against public option

The calls for a government-run insurance option on the Affordable Care Act’s insurance exchanges are being met with resistance from groups that had supported the law.

California’s ‘surprise’ medical bill law targeted by lawsuit

A new California law on out-of-network billing may be blocked by a lawsuit from a controversial medical association.

Thumbnail

President Obama defends ACA while calling premium increases ‘growing pains’

Ahead of the final open enrollment period of his presidency, Barack Obama made the case that the Affordable Care Act is working, but could be improved with additions like new tax credits and reviving the controversial public option.

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. 

Trimed Popup
Trimed Popup