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. 

What’s on TV? Ads for expensive drugs to fight rare conditions

Americans who watch at least a few hours of TV each week are used to getting urged to ask their doctors about all sorts of medications that, chances are, they really don’t need.  

February 23, 2016

Coalition outlines 6 steps to innovate U.S. healthcare system

The Healthcare Leadership Council (HLC), a coalition of executives representing health providers, insurers, manufacturers and patient advocacy groups, has issued six recommendations it believes can be implemented today to improve healthcare in the U.S.

February 18, 2016

Scalia's death will affect ACA-related Supreme Court case

A recent question-and-answer article prepared by the Associated Press and published by the Chicago Tribune (and others) examined the impact Supreme Court Justice Antonin Scalia’s death  could have on existing cases in 2016. 

February 16, 2016

CMS publishes final rule on overpayments for Medicare Parts A and B

CMS has published a final rule that requires healthcare providers and suppliers receiving funds from Medicare Part A and Part B to report and return overpayments within 60 days of first identifying them. 

February 11, 2016

Burwell has faith remaining states will embrace Medicaid expansion

HHS Secretary Sylvia Mathews Burwell spoke to reporters last week about the Affordable Care Act’s 2016 open enrollment figures and the future of healthcare in the U.S. 

February 10, 2016

Longer hours show no significant impact on resident satisfaction or patient care

Surgical residents who are allowed to work longer hours than currently allowed so that they can stay with or stabilize patients do not show any signs of putting their patients at risk, according to a recent study published by the New England Journal of Medicine. 

February 4, 2016

State of California fines hospital more than $86,000 for towel left inside of a patient

The California Department of Public Health fined the Community Regional Medical Center $86,625 after a hospital employee left a towel inside a patient following abdominal surgery, the Fresno Bee reports. This is the hospital’s fourth penalty since 2007.

February 1, 2016
7 steps to clean claims

Examination of private insurance claims data offers new insights

A recent report examining employer-sponsored private insurance claims data found that basing healthcare decisions on Medicare data might not be the best practice. The researchers found that the correlation between total spending per Medicare beneficiary and total spending per privately insured beneficiary was 0.14 in 2011, while the correlation for inpatient spending was 0.267.

January 29, 2016

Around the web

Cardiovascular Associates of America, backed by Webster Equity Partners, currently includes practices in eight different states. Its partner cardiologists now have preferred access to multiple cloud-based services provided by Athenahealth. 

The American Society of Nuclear Cardiology (ASNC) supports an AMA policy that condemns the use AI to make prior authorization decisions rather than a doctor or clinician.

The past five years have been boom times for AI startups courting venture investors in healthcare, and the good times just keep rolling.

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