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. 

Drug for debilitating disease skyrockets to $375K

The price for a drug that treats Lambert-Eaton Myasthenic Syndrome (LEMS), a rare neuromuscular disorder that impacts strength and impairs walking, went from cost-free to the price of a house—$375,000 to be exact. 

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Top vulnerabilities in revenue cycle management

Approximately two-thirds of U.S.-based hospitals and acute-care facility leaders believe diagnosis-related group (DRG) optimization is still a problem that needs to be solved in revenue cycle management, according to a recent survey conducted by BESLER and HIMSS Media.

Families with ACA subsidies 25% less likely to miss rent, mortgage payments

Families with subsidized health insurance through the Affordable Care Act (ACA) may experience indirect financial benefits that go beyond health costs—to housing, according to new research published in the Journal of Public Economics. 

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Hospitals are driving up healthcare costs

The growth in hospital prices is driving up healthcare costs for private insurance more than the rise in physician prices, according to a recent study in Health Affairs.

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Baylor Scott & White, Memorial Hermann won’t merge

After signing a letter of intent to explore a merger in October 2018, Baylor Scott & White Health and Memorial Hermann Health System have dissolved the plan.

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Industry support gathers for expanding MA benefits in 2020

Since CMS proposed expanding supplemental benefits for Medicare Advantage for the 2020 plan year, several industry groups have voiced their support, seeing opportunities to improve care for individuals with chronic illnesses and lower costs.

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HHS proposal tackles drug rebates

HHS has proposed lowering drug costs by targeting the rebate system, which has recently come under scrutiny as an opaque setup that keeps drug prices high.

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Zuckerberg Hospital pauses balance billing practice after media reports

Zuckerberg San Francisco General Hospital has temporarily halted its “aggressive” billing practices after media reports brought backlash against the trauma center named after Facebook founder and CEO Mark Zuckerberg, the San Francisco Chronicle reported.

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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