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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Affordable Care Act dealt a blow in new judgment

The Affordable Care Act (ACA) was dealt a major blow after a federal judge ruled that employers don’t have to cover certain preventive services, including PReP, which prevents HIV.

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UnitedHealthcare to cut back on prior authorization paperwork

UnitedHealthcare announced it would remove 20% of its current prior authorizations starting with the third quarter of this year. 

 

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FDA approves OTC Narcan for the first time

The medication can reverse an opioid overdose and is a critical, life-saving product now able to be sold directly to consumers in places like pharmacies, convenience stores, grocers, gas stations and online, the FDA said.

 

Congress aims to crack down on ‘zombie drug’

Xylazine is a sedative intended for animals such as horses and cattle, but it is increasingly being found mixed with strong opioids such as fentanyl.

A list of cardiovascular drugs a patient is taking in a graphical format in the Cardioviso atrial fibrillation patient management application GE Healthcare showed at ACC.23.#ACC23 #ACC

Lawsuit slams PBMs Cigna, Humana as price-fixing ‘modern gangsters’

“Medications shouldn’t cost an arm and a leg, metaphorically or literally,” says Ohio Attorney General Dave Yost “Insulin is just a symptom of the problem; PBMs are the disease.”

 

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Healthcare groups ask CMS to create hybrid primary care payment option

Twenty-seven healthcare organizations signed the letter to CMS asking the agency to create a hybrid payment model, including the National Association of Accountable Care Organizations, AMGA, the American Academy of Family Physicians and the Primary Care Collaborative.

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Sen. Warren asks FTC to review CVS Health’s $10.6B acquisition of Oak Street Health

According to Warren, the FTC should scrutinize any healthcare deal that threatens competition, increases prices and reduces the quality of care.

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Feds may soon take action against Amazon’s monopoly status

Federal investigations that began in 2019 into Amazon’s potential abuse of power and consumer privacy violations may soon come to fruition with lawsuits to block the company's monopoly status, Politico reported. 

 

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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