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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Despite regulatory uncertainty, healthcare M&A activity remains constant

More than 200 health services deals were reported in the second quarter of 2018, continuing the ongoing streak of mergers and acquisitions in the sector, according to PricewaterhouseCoopers.

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CMS finalizes $340M payment bump for hospices in 2019

Hospices will see a 1.8 percent, or $340 million, payment increase in 2019 after CMS finalized its annual payment update.

Health insurance marketplace enrollment drops in 1st quarter of 2018

The individual health insurance marketplace experienced a 12 percent decline in enrollment during the first quarter of 2018 compared to the same time period last year.

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‘Medicare for all’ would cost $32.6T over 10 years

Considering healthcare will be a central topic in the run up to the 2018 mid-term elections, “Medicare for all” is a concept that is gaining traction among left-leaning politicians. A recent study, though, found that implementation of such a program would cost $32.6 trillion over 10 years.

Texas hospital co-founder pleads guilty in $200M kickback scheme

Alan Andrew Beauchamp, Dallas-based Forest Park Medical Center’s co-founder and former manager, pleaded guilty in a $200 million healthcare fraud case. Beauchamp recruited high-volume specialty doctors and paid them $40 million in bribes and kickbacks to perform surgeries.

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GSK, 23andMe reach 4-year, $300M deal for sharing of genetic data

GlaxoSmithKline (GSK) announced a four-year, $300 million deal with 23andMe, a personal genomics and biotechnology company based in Mountain View, California. The British pharmaceutical company will have access to genetic information of 23andMe’s five million customers.

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CMS releases plan to streamline Medicare reimbursement

CMS released its plan to reduce paperwork and improve patient care on Friday, July 27, that could have implications for 40 percent of Medicare payments. The plan combines four levels of paperwork and four levels of reimbursement to be combined in a single form and one flat fee for each physician appointment.

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Trump administration still backs Medicaid work requirements after Kentucky setback

Despite hitting a bump in the road with Medicaid work requirements in Kentucky, the Trump administration will continue to approve applications from other states. HHS Secretary Alex Azar, in a speech to the Heritage Foundation on Thursday, July 26, reiterated a commitment to establishing such requirements for able-bodied people who receive Medicaid.

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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