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. 

In marketplace, women may face more coverage gaps than men

Health plans purchased through the marketplace might be disproportionately damaging to women, according to a new study from the National Women’s Law Center. 

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Not everyone says new CMS star ratings deserves 5 stars

Despite CMS efforts to tout its new Medicare star ratings system as a transparency move and a consumer-benefiting action, not everybody is on board yet.

CDC issues warning about swine flu variant

The Centers for Disease Control and Prevention (CDC) are telling children younger than 5, adults over 65 and pregnant women to avoid close contact with pigs at agricultural fairs after four cases of swine influenza infecting people were confirmed in Michigan and Ohio.

Aetna leaving many ACA exchanges, reversing earlier plans

Aetna will exit 11 of the 15 state marketplaces where it currently offers coverage on the Affordable Care Act, citing the same “continued financial stress” as other large insurers that are scaling back exchange business in 2017.

Analysis: Insurers asking for 24 percent hike in premiums on ACA-compliant plans

Insurance companies offering coverage on the individual market have requested a 24 percent average increase in premiums for 2017, according to a new analysis.

ACA rate reviews being used by insurers in unforeseen way

The rate review mechanism enacted by the Affordable Care Act was intended to shame health insurers that asked for large premium hikes, but as the New York Times reports, insurers are trying to use it to their advantage for 2017.

Pathway Health to get a tech upgrade through Virtual Health partnership

Pathway Health, a post-acute consulting firm, and Virtual Health, a population health management technology provider, have entered into a partnership that will provide Pathway with strategic consulting services to improve technology and payment models.

APA warns psychiatrists against diagnosing public figures from afar

When public figures act or speak differently than usual—or differently than anyone else around them—some people (and the media that cater to them) look for medical or mental-health related explanations. But the American Psychiatric Association (APA) has issued a reminder to its members: Don’t engage in such public analysis diagnostics when you don’t actually know the person in question. 

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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