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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Zika could be harmful to adult brains, spread to other Gulf states

The U.S. should brace itself for even more Zika headaches, according to the National Institutes of Health (NIH), because the virus could be around for a while and spread to even more areas. One study found it could be even more harmful than scientists originally believed.   

OIG: States may be pocketing federal funds meant for hospitals

State governments may be profiting off Medicaid funds meant for hospitals that are publicly-owned but managed privately, according to a report from HHS’s Office of Inspector General (OIG).

One patient’s story of being uninsured in Texas

Although the Affordable Care Act provided health insurance to many people throughout the country, some are still stuck without insurance, particularly those in southern states.

CMS may punish providers that steer patients into ACA plans to boost reimbursement

CMS is asking for comments on what it should do about healthcare providers that steer Medicare and Medicaid-eligible patients towards marketplace plans in order to receive higher reimbursement.

Study: Latinos, low-income adults most likely to remain uninsured post-ACA

While the Affordable Care Act (ACA) and its expansion of Medicaid lowered the number of Americans without health coverage, millions are still uninsured, and a new study from the Commonwealth Fund aimed to identify who they are and why they aren’t covered.

Arizona, Southeast US will feel greatest impact from ACA exits

The effects of major insurers—such as UnitedHealth, Humana and, most recently, Aetna—departing from some state health insurance exchanges will depend largely on where consumers live.

Duke professors argue ACOs haven’t worked

Duke University professors Kevin Schulman, MD, and Barak Richman, JD, PhD, called on the CMS Innovation Center to focus on telemedicine and wearable devices, rather than accountable care organizations (ACOs) which integrate hospitals, to reduce the cost of care.

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Aetna threatened to leave ACA exchanges if DOJ tried to block Humana deal

A letter from Aetna CEO Mark Bertolini obtained by the Huffington Post appears to contradict the insurer’s stance that pulling out of 11 Affordable Care Act (ACA) exchanges wasn’t connected to the government’s antitrust lawsuit against its proposed merger with Humana.

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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