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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Hospital patients in outpatient settings are sicker, poorer

Medicare patients who receive hospital outpatient care are more likely to be poorer and have more severe chronic conditions compared to those treated in an independent physician office, according to a study commissioned by the American Hospital Association.

Medicaid spending hit $581B in 2016

In 2016, Medicaid spending reached $581 billion—the highest level ever for the federal program—and covered an estimated 72 million beneficiaries. Over the next decade, spending is projected to rise 5.7 percent a year, topping $1 trillion by 2026.

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PBMs blame insurers for high drug prices

Pharmacy benefit managers (PBMs)—the industry middlemen that negotiate drug prices—are passing on nearly all their savings to insurance providers, according to Terry Wilcox, co-founder and executive director of advocacy organization Patients Rising. His op-ed for The Hill placed the blame of high costs squarely on insurers.

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Another industry group speaks out against CVS-Aetna deal

The Association of American Physicians and Surgeons (AAPS) wrote a letter to Attorney General Jeff Sessions in opposition to the $69 billion merger of CVS Health and Aetna.

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More industry groups oppose changes to ACO program

Nine industry groups have joined in opposition to CMS’s proposed changes to the Medicare Shared Savings Program.

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Alzheimer’s and dementia cases will double by 2060

As the American population ages, the number of cases of Alzheimer’s disease and other forms of dementia is set to explode, according to the CDC.

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CVS in ‘home stretch’ of antitrust process to acquire Aetna for $69B

CVS Health is in the “home stretch” of the regulatory process with the Justice Department and state regulators for its $69 billion merger with Aetna, according to CEO Larry Merlo.

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Andy Slavitt’s Town Hall Ventures raises $115M

Town Hall Ventures, the investment firm started by former CMS administrator Andy Slavitt, has raised $115 million.

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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