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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Study: Health system margins dropped 40% after ACA

In a post-Affordable Care Act (ACA) insurance world, health systems have seen their operating margins deteriorate, according to a new study from Navigant Consulting—and the associated increases in scale haven't helped.

WSJ: Russians used health law to sow political discourse

New data from Clemson University revealed that nearly 600 Russian-linked Twitter accounts focused on healthcare to sow political divisiveness on the Internet, tweeting nearly 10,000 times about hot-button issues.

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Industry groups speak out against CMS's physician payment proposals

As CMS is proposing several changes to the physician payment schedule, some industry groups are speaking out about the proposals.

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Medicaid work requirements will kick millions off coverage without much savings

As more states look to implement work requirements for the Medicaid program, millions of people could be in jeopardy of losing their healthcare coverage if they cannot comply. Even if some Medicaid beneficiaries lose their coverage, the savings to the federal program could be minimal, according to a pair of recent studies published in JAMA Internal Medicine.

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Industry report: ACOs saved twice as much as CMS estimates

Accountable care organizations generated $1.84 billion in savings for Medicare in 2013–2015, nearly twice as much as the $954 million estimated by CMS, according to a new report from the National Association of ACOs (NAACOS).

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HHS secretary supports more risk for ACOs

Health and Human Services Secretary Alex Azar said pushing ACOs to take on downside risk sooner is worth it even if some organizations choose to leave the voluntary Medicare Shared Savings Program as a result.

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Physician-led ACOs save more money than hospitals

Accountable care organizations saved the Medicare program $314 million last year, but physician-group organizations were the leaders in savings.

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Billionaire drugmaker granted patent for opioid addiction

In the midst of a devastating epidemic of opioid abuse and misuse, a billionaire pharmaceutical maker has been granted a patent to treat opioid addiction, the Financial Times reported.

Around the web

Compensation for heart specialists continues to climb. What does this say about cardiology as a whole? Could private equity's rising influence bring about change? We spoke to MedAxiom CEO Jerry Blackwell, MD, MBA, a veteran cardiologist himself, to learn more.

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”