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 to loosen ACA restrictions in state waivers

CMS and the Treasury Department have introduced new guidance on health insurance markets that will allow states to sell plans with looser restrictions.

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Trump contradicts stance on healthcare for patients with pre-existing conditions

President Trump tweeted Oct. 18 that all Republicans support patients with pre-existing conditions, “and if they don’t, they will after I speak to them”—a sentiment that directly contradicts the Trump administration’s efforts to strip the Affordable Care Act of its protections for such patients.

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One in six could be denied coverage under Anthem policy

A policy of denying emergency coverage by Anthem Blue Cross Blue Shield could leave nearly one in six patients vulnerable if it is adopted nationwide.

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Hospitals aren’t gaining much ground on reducing costs

Hospitals are inching toward reducing costs, but they are far from meeting the goals of executives, according to a recent report from Kaufman Hall.

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With revenue boom, UnitedHealth launches health record platform

With strong earnings for the quarter, UnitedHealth Group executives were bullish on the healthcare organization’s growth, and outlined its 2019 plan, including a new health record platform.

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Hospitals are leaving $25B in savings on the table

The savings opportunity for the hospital supply chain has jumped to $25.4 billion per year, meaning some hospitals are leaving millions in savings on the table, according to a recent study from Navigant.

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NY officials consider blocking $69B CVS-Aetna merger

Officials in New York state are reportedly considering blocking part of the ongoing merger between CVS Health and Aetna, according to Bloomberg.

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Connecticut Insurance Department approves CVS-Aetna merger

The Connecticut Insurance Department has approved CVS Health’s multibillion dollar merger with Aetna, Gov. Dannel P. Malloy announced this week. The decision was issued Wednesday.

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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