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. 

CMS has plan to end dual enrollment in exchange plans and Medicare

CMS has told members of Congress it will contact customers who are enrolled in both Medicare and a subsidized insurance plan purchased through the Affordable Care Act’s exchanges, and tell them to leave their exchange plan immediately.

Why lawmakers keep making ‘compassionate use’ requests for controversial doctor

Requesting access to experimental, unapproved treatments from the FDA can sometimes save a patient’s life when no other treatment has worked. But as STAT’s Sheila Kaplan writes, there is a dark side to “compassionate use.”

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NIH Director Collins preaches optimism and big ideas to medical researchers in Chicago

National Institutes of Health Director Francis Collins, MD, PhD, told a crowd of medical researchers in Chicago he has a “sense of optimism” about the ability to offer more grants through the agency, while encouraging them not to shy away from bold projects.

Ebola remained in semen for 565 days—far longer than previously thought possible

A study of Liberian men found previous estimates of how long the Ebola virus could remain in semen were significantly too low, as one man was found to still carry the virus 565 days after he recovered from the illness.

Congressmen want investigation of Purdue Pharma and other opioid makers

Two members of Congress from California, Democrat Reps. Ted Lieu and Mark DeSaulnier, are calling for a congressional investigation into manufacturers of opioid painkillers.

Mylan offers EpiPen generic in attempt to quell price controversy

Mylan, manufacturer of the allergic reaction treatment EpiPen, has announced it will sell a generic version of the autoinjector at half the price of the branded device after federal lawmakers and consumer groups questioned why its price has gone up 400 percent since Mylan acquired it.

Risk adjustment gets overhauled for 2018 under CMS proposal

CMS proposed a series of adjustments it intends to strengthen the Affordable Care Act’s insurance exchanges for 2018, including some initiatives insurers have been pushing for, such as pooling high-cost enrollees and adjusting for special enrollment customers. 

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Pediatricians want non-medical vaccination exemptions eliminated

The American Academy of Pediatrics (AAP) says states should get rid of laws which allow children to go unvaccinated for diseases like measles for non-medical reasons and advises individual physicians to consider excluding families who continually refuse immunizations from their practice.

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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