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. 

Immigrants’ private insurance premiums exceed amount they receive in benefits

Immigrants to the U.S. accounted for nearly 13 percent of premiums paid to private insurers in 2014, according to a study published Oct. 1 in Health Affairs. But they’re spending more on those premiums than they’re receiving in benefits, creating a deficit that’s hard to ignore as the country wrestles with immigration policy.

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UnitedHealth Group acquires Genoa Healthcare for $2.5B

UnitedHealth Group, the U.S.’s largest health insurer, bought pharmacy company Genoa Healthcare for $2.5 billion, Bloomberg reports.

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HHS Sec. Azar slams Medicare for All

Despite growing support for a Medicare for All system among Democrats, HHS Secretary Alex Azar blasted such an idea during a speech in Tennessee this week, The Hill reported.

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GAO report: HHS didn’t violate laws by lobbying against ACA

The U.S. Department of Health and Human Services did not violate certain legal provisions when it reduced public outreach to alert people to healthcare enrollment periods and put out social media posts that blasted Obamacare, according to the Government Accountability Office.

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Medicaid expansion pays off the most for rural states

Small towns and rural areas saw the biggest benefits of Medicaid expansion under the Affordable Care Act, according to a recent report.

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Readmission penalties reduced for safety-net hospitals

Hundreds of hospitals will see penalties on patient readmissions ease up after Congress instructed Medicare to change its policy, NPR reported.

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Verma defends Medicaid work requirements after thousands lose coverage

CMS Administrator Seema Verma went to bat for Medicaid work requirement programs, which have been implemented or approved in a handful of states, even as thousands of beneficiaries are on course to lose healthcare coverage as a result of these rules.

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WellCare to buy Aetna’s Part D biz in CVS deal divestiture

CVS Health’s $69 billion acquisition of health insurance giant Aetna is not going to complete without divestments. WellCare Health Plans, a Tampa-based managed care company, has agreed to acquire Aetna’s entire Medicare Part D prescription drug plan business, which encompassed 2.2 million members as of June 30.

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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