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. 

University of Chicago, Humana partner to serve MA members

Health insurance and services provider Humana has teamed up with the University of Chicago Medicine in a value-based agreement to offer coordinated, patient-centered care to Humana’s Medicare Advantage (MA) members.

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Walgreens, CVS emphasize personal value as Amazon threat looms

Feeling the pressure from the ever-growing presence of Amazon in the healthcare space, CVS Health and Walgreens are emphasizing their abilities to connect with patients face to face, Forbes reported.

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Cigna deal with Express Scripts approved by shareholders

Shareholders of Cigna have approved a $67 billion acquisition of Express Scripts, a pharmacy benefit manager.

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CMS: Medicaid demonstrations will be budget neutral

CMS is cracking down on how it calculates budget neutrality in Medicaid demonstration projects, according to an update from the agency.

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Walmart eyes seniors in Medicare Advantage plans to fend off Amazon

With roughly a third of all Medicare beneficiaries, or 20 million people, enrolled in a Medicare Advantage (MA) plan, new entrants into the healthcare field are eyeing this hefty population. And retail giant Walmart is no exception, according to Forbes.

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Primary care group raises $350M

One Medical Group, a primary care group with offices in San Francisco, New York, Seattle and other cities, has closed a $350 million investment from the Carlyle Group, a private equity group based in Washington, D.C., TechCrunch reported.

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Medicare could save nearly $1B by buying generics over brand names

Medicare could be saving a lot of cash by switching to generic constituents for some drugs—maybe as much as a billion dollars.
A recent study estimated spending in 2016 on 29 brand-name combination products would have been $925 million more than spending for generic counterparts.

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Morgan Stanley: 20% of hospitals at risk of closure

Nearly 20 percent of U.S. hospitals are at risk of potential closure or are in weak shape, according to a recent report from Morgan Stanley.

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.”