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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WSJ: Walmart in talks to buy Humana

In the latest example of an outside force making a move into healthcare, retail giant Walmart—the largest company in the world by revenue—is reportedly in preliminary discussions to acquire health insurer Humana, according to the Wall Street Journal.

AAMC: Med schools, teaching hospitals generate $562B, 3.1% of GDP

Not far from any policy debate is the oft-repeated fact that healthcare makes up one-sixth of the U.S. economy. Newly published research took a deeper dive to investigate the impact of medical schools and teaching hospitals. And, as one would guess, they contribute a lot of the American economy, accounting for 3.1 percent of gross domestic product.

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Upside-only ACOs increased Medicare spending

Accountable care organizations (ACOs) were supposed to result in savings for Medicare, but an analysis from Avalere said ACOs in the Medicare Shared Savings Program (MSSP) have instead increased federal spending—an evaluation a national group of ACOs called “rather simplistic," ignoring positive impacts they've made on quality.

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Inconsistencies in reporting may mean opioid deaths are undercounted

Drug-related deaths more than tripled between 1999 and 2015—and many of those can be attributed to opioids. But the numbers may be more alarming than previously thought, according to a new report from Kaiser Health News and Side Effects Public Media.

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Iowa pursues bill to allow insurers to offer non-ACA compliant insurance plans

Efforts from Republicans in Washington, D.C., failed to repeal the Affordable Care Act (ACA), but that hasn’t stopped some states from taking matters into their own hands. Iowa Gov. Kim Reynolds is expected to sign legislation that would allow insurers to sell certain plans that don’t meet ACA regulations.

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Philadelphia’s Jefferson, Einstein exploring merger into 17-hospital system

Jefferson Health and Einstein Healthcare Network, both based in Philadelphia, have announced they’ve signed a letter of intent to merge, the latest in a string of acquisitions by Jefferson.

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Ascension, Providence St. Joseph halt merger talks

Discussions to create the largest hospital system in the country by combining Ascension and Providence St. Joseph Health have ended, with the two companies deciding to focus on restructuring existing operations, according to the Wall Street Journal.

Consolidation in California has raised healthcare prices

Mergers and acquisitions that have consolidated healthcare markets in California have raised prices for procedures and insurance premiums, especially in the northern part of the state, according to a report from the University of California, Berkeley’s Petris Center on Health Care Markets and Consumer Welfare.

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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