An election year usually means little movement in Congress on major policies. That’s especially true for hot-button issues in healthcare, according to Tom Nickels, the American Hospital Association’s executive vice president of government relations, meaning major reforms may have to wait until after the midterm election—or perhaps after the next presidential race.

In the midst of threats to the Affordable Care Act and pushes for more dramatic shifts to single-payer healthcare, some Democrats in Congress and state legislatures have begun proposing a different option: allowing people to buy into Medicaid. But not all those proposals would achieve their goals in the same way, argue Duke University researcher David Anderson, MSPPM, and Harvard University PhD student and former CMS spokesperson Emma Sandoe.

The last few months in mergers and acquisition (M&A) activity in healthcare have been dominated by massive deals proposed across sectors—like drugstore chain CVS Health wanting to buy health insurer Aetna for $69 billion. What those companies should watch for, writes Morning Consult’s Jon Reid, is the result of the case challenging a merger with similar dynamics: the combination of AT&T and Time Warner.

For-profit hospital giant HCA has entered into discussions to acquire Mission Health, a nonprofit six-hospital system based out of Asheville, North Carolina, in a deal Mission admitted may result in some jobs being eliminated.

CMS Administrator Seema Verma, MPH, offered some hints at the agency’s priorities in its annual rulemaking for Medicare this year, suggesting a slew of new policies on price transparency, interoperability and physician self-referral laws.

In a proposed rule, CMS would loosen requirements for states with Medicaid managed care programs on analyzing and monitoring access to care, a move the agency said would provide additional relief on “burdensome” regulations finalized by the prior administration.

Downers Grove, Illinois-based Advocate Health Care and Milwaukee’s Aurora Health Care have gotten the final approval needed to close their merger, which will create the 10th largest nonprofit, integrated health system in the country.

The $1.3 trillion omnibus spending bill released on March 21 includes boosts in funding for HHS, the National Institutes of Health and efforts to fight opioid abuse. What was left out were measures aimed at stabilizing the Affordable Care Act (ACA) exchanges with funding for additional reinsurance and restoring the law’s cost-sharing reduction subsidies.