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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Payment cuts to 340B drug program put on pause

A federal judge has intervened in the planned payment cuts to the 340B drug pricing program that enables outpatient facilities to purchase certain drugs at a lower cost.

Obamacare lawsuit appeals process to launch

Several Democratic states have filed notice to appeal the recent court ruling that declared the Affordable Care Act unconstitutional, The Hill reported.

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Judge: ACA to stay in place during appeals process

The Affordable Care Act will remain in place after a judge declared the healthcare rule was unconstitutional in late December. The judge, U.S. District Court Judge Reed O'Connor, has since stated the ACA will remain in effect while the case goes through an appeals process.

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CMS finalizes changes to the ACO program

CMS has finalized changes to the Medicare Shared Savings Program (MSSP) that “dramatically redesigns and sets a new direction” for Medicare accountable care organizations (ACOs). The final rule, as outlined in the proposed rule announced in August, will force ACOs to take on more risk at a quicker pace.

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Cigna, Express Scripts close $67B merger

After a delay, Cigna has closed its $67 billion acquisition of Express Scripts, the company confirmed on Dec. 20.

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Value-based care made major headway in 2017

The shift to value-based care made significant headway in 2017, according to a new survey from the Health Care Transformation Task Force that found nearly half of their business was in value-based payment arrangements by the end of the year.

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3 in 10 Americans delay healthcare due to high costs

Roughly 3 in 10 Americans don’t seek medical care because they can’t afford it, according to a recent Gallup poll.

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CMS to scrutinize conflicts of interest among accrediting organizations

CMS wants to take a closer look at the financial relationships of accrediting organizations (AOs) that survey Medicare-certified healthcare providers.

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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