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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CMS speeds up Medicaid changes for states that apply

CMS is taking steps to streamline the review process for states that apply for section 1915 waivers and state plan amendments, CMS Administrator Seema Verma announced May 7.  

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Tennessee to ask for Medicaid block granting

Tennessee is poised to become the first state of the union to ask for Medicaid block granting from the Trump administration, Politico reported.

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CVS asks judge to block witness testimony in court battle over its $69B Aetna deal

CVS Health is still facing challenges from its $69 billion merger with health insurance giant Aetna, which closed in late 2018. While the deal was approved by all necessary state regulators and the Department of Justice, a federal judge is still mulling over the deal and looking at potential antitrust problems.

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Aetna to pay $86M in arbitration settlement to HCA Healthcare

One of the nation’s largest health insurers, Aetna, will pay $86 million to HCA Healthcare after a lawsuit stemming from 2015 led to an arbitration trial.

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Trump administration asks for ACA to be thrown out

The Department of Justice has formally asked an appeals court to throw out the Affordable Care Act in its entirety, a drastic change from the Trump administration’s previous stance that only certain provisions of the healthcare law should be tossed.

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Despite higher earnings, Wall St. wary of healthcare

While many of the largest healthcare companies have seen rising revenues and record profits at the start of 2019, stock prices aren’t reflecting their successes, Axios reported.

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CBO weighs in on Medicare for all costs

With more policymakers proposing, supporting and seriously considering various Medicare-for-all health plans, the Congressional Budget Office took a look at a possible design of such a healthcare system and published a highly anticipated paper.

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CMS finalizes rule to secure Medicaid provider payments

CMS has finalized a rule to ensure that states cannot divert portions of Medicaid provider payments to third parties beyond what is allowed in the statute.

Around the web

The FTC alleges that pharmacy benefit managers have set up a system where they get rich, while patients are forced to pay rising insulin costs. The agency also called out drug manufacturers such as Eli Lilly, Sanofi and Novo Nordisk, saying their own actions have raised serious concerns.

In the post-COVID era, wages for permanent RNs are rising, and wages for travelers are decreasing. A new report tracked these trends and more. 

Two medical device companies have announced a transaction that could shake up the U.S. electrophysiology market. 

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