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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CVS will keep Aetna headquarters for next decade

CVS Health will keep Aetna’s headquarters in Hartford, Connecticut, for at least 10 years following the completion of its $69 billion merger with Aetna, The Hartford Courant reported.

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CMS’s aim to cut documentation will be a payment cut

When CMS proposed several changes to the Physician Fee Schedule and Quality Payment Program in July, it was under the guise that the agency was knocking off burdensome documentation requirements for physicians. However, the agency’s own proposal states documentation time won’t actually be reduced by much—but the changes will likely come with a payment rate cut.

FDA raids California offices of e-cigarette maker

The Food and Drug Administration conducted a surprise inspection at the offices of Juul Labs—a large e-cigarette maker—last week and walked away with more than a thousand pages of documents related to the company’s marketing and sales practices, The New York Times reported.

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Humana and Heritage launch MA partnership

Humana is collaborating with Heritage Provider Network, a large physician-led value-based care organization, on a value-based agreement to offer coordinated, patient-centered care to Humana’s Medicare Advantage members in Southern and Central California.

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Trump says he’ll ‘always fight’ for people with pre-existing conditions; DOJ’s stance says otherwise

As the U.S. Department of Justice works to help nullify the Affordable Care Act, recent comments by President Donald Trump directly contradict his administration’s stance.

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MA provider shells out $270M for False Claims Act settlement

Medicare Advantage (MA) provider HealthCare Partners Holdings has agreed to pay $270 million to resolve its False Claims Act liability after providing inaccurate information that caused MA plans to receive inflated Medicare payments, the Department of Justice announced this week.

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Baylor Scott & White, Memorial Hermann announce merger plans

Baylor Scott & White Health and Memorial Hermann Health System announced plans to merge their systems on Monday, Oct. 1.

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The Week: US edging toward ‘nursing crisis’

The U.S. is edging ever closer to a nursing crisis, news magazine The Week has reported, citing staffing shortages, security concerns and insufficient pay among the reasons American RNs are becoming restless.

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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