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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Hospitals can only watch as big players move in on primary care

The primary care business is getting more crowded at the top, where the big money is.

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CMS proposes expanding national coverage indications for remote BP monitoring

CMS proposed to expand reimbursement for ambulatory blood pressure monitoring (ABPM) to patients with suspected masked hypertension while continuing to cover it for those with white coat hypertension.

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ACP experts offer 7 ways to improve Obamacare

The American College of Physicians (ACP) published a position paper April 16 in the Annals of Internal Medicine, voicing their discontent with recent federal actions to weaken the Affordable Care Act and offering seven recommendations on how to improve it.

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Healthcare is trending toward pricier outpatient services

An increasing share of hospital services have been performed in an outpatient setting in the past decade, according to a recent analysis from the Health Care Cost Institute—a trend that’s costing patients more every year.

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Death rates by opioid overdose tied to regional disparities in treatment capacity

Too often in the national opioid epidemic, the resources have seemed ample where the need is slim—and vice versa. The hunch has been confirmed by a study conducted at the University of Texas Health Science Center in Houston and published in the Journal of Addiction Medicine.

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Medicaid expansion linked to lower cardiovascular mortality rates

Amid a national debate over whether or not to dissolve the Affordable Care Act entirely or keep parts of the law intact, research presented at the American Heart Association’s QCOR Scientific Sessions on April 5 suggests Medicaid expansion contributed to a significant decline in cardiovascular-related deaths in recent years.

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New Cigna plan caps monthly out-of-pocket insulin costs at $25

Cigna and Express Scripts announced April 3 they’re launching a Patient Assurance Program that will ensure individuals with diabetes pay no more than $25 out-of-pocket for insulin each month.

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There’s a better way to score hospitals with 1 to 5 stars, researchers say

The creators of CMS’s Overall Hospital Quality Star Rating ratings system—aka “Hospital Compare”—intended to present healthcare consumers with an easy, user-friendly way to choose a hospital. However, since the ratings went live in 2016, the system has proven both confusing to consumers and confounding to hospitals.

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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