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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U.S. health spending began soaring in 1980

Until 1980, the U.S. was similar to other countries in per capita spending and life expectancy. Princeton University sociology professor Paul Starr, PhD, said high inflation and sluggish economic growth in the late 1970s hurt countries’ abilities to afford healthcare. The difference was “other countries have been able to put limits on healthcare prices and spending” while the U.S. relied on market forces.

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Maryland all-payer model expands beyond hospitals

CMS has approved an extension of Maryland’s model of offering a fixed payment for most hospital services, allowing physician practices and nursing homes to voluntarily participate in a program that has saved Medicare hundreds of millions of dollars.

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CMS rejects Iowa’s plan to direct more Medicaid funds to private nursing homes

Iowa’s “supplemental payment plan” for nursing homes was rejected by CMS over concerns about having county hospitals assume the licenses of for-profit nursing homes.

MRI prices higher in the US

A data report released by the Kaiser Family Foundation and the Peterson Center on Healthcare showed the U.S. has higher prices for many healthcare services compared to other high-income countries, including on MRIs and joint replacements, and how some prices have risen faster than inflation.

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5 things to know about Trump’s plan to lower drug prices

As a candidate, President Donald Trump had criticized pharma companies for “getting away with murder.” In remarks on Friday, May 11, he did bash the industry’s lobbying power while also lumping in insurance companies, distributors and pharmacy benefit managers (PBMs) as part of the “broken system” that has sent drug prices soaring.

Health spending, prices growing even as insurance coverage falls

Year-over-year price growth was 2.2 percent in April 2018, which Altarum said was fractionally above the March rate, setting a six-year high for price growth in the sector. Hospital price growth fell slightly to 3.7 percent.

3 things to know about ‘healthcare voters’ in 2018 elections

Four states held primary elections on May 8, kicking off a busy election season that will see most Tuesdays from now until mid-September having one or more states’ voters casting ballots. Judging by the latest poll from the Kaiser Family Foundation, healthcare will be a major issue for many in the coming months.

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Trump’s pharma plan: Raise prices overseas to lower them in US

President Donald Trump is set to deliver a speech on pharmaceutical prices on May 11—but rather than matching his campaign rhetoric saying drug industry is “getting away with murder,” he’s expected to be cheered by pharma companies for calling for foreign countries to pay more for drugs, rather than bring down prices in the U.S.

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.”