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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Maryland all-payer hospital program saves $586M in 3 years

The global budgeting, all-payer program adopted for most of Maryland’s hospitals has succeeded in keeping the growth in hospital revenue and Medicare expenditures below the rest of the nation through its first three years, while also reducing readmissions and complications.

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Cigna CEO on CNBC: Express Scripts acquisition about ‘capabilities, reach, quality, affordability’

The proposed $67 billion acquisition of pharmacy benefits manager (PBM) Express Scripts by insurer Cigna isn’t just about acquiring a PBM, according to Cigna CEO David Cordiani, as he defended the deal from the lukewarm response from Wall Street on CNBC’s “Mad Money.”

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Partners-Care New England merger likely to raise premiums

A study from the Rhode Island Office of the Health Insurance Commissioner said the state’s residents would see increases in insurance premiums if Boston-based Partners Healthcare acquires Care New England, thanks to Partners likely using its regional market clout to gain better prices from insurers.

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What’s in, what’s out of Trump’s opioid plan

The goal of the opioid epidemic response plan announced by President Donald Trump will be to cut opioid prescriptions by 33 percent within three years, according to POLITICO.

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Design problems blamed for departures of Next Generation ACOs

The number of participants in the Next Generation ACO model has shrunk to 51 after seven accountable care organizations (ACOs) announced they’ll drop out of the program in the largest departure of providers since the model was introduced.

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New legislation would mandate healthcare workplace violence prevention plans

U.S. Representative Ro Khanna, D-California, recently introduced new legislation dubbed the Health Care Workplace Violence Prevention Act, which aims to reduce the risk of workplace violence in healthcare facilities utilizing comprehensive employer-mandated workplace violence plans.

UnitedHealth won’t buy Envision’s ambulatory unit after lawsuit

UnitedHealth Group has dropped its bid to acquire the ambulatory services unit of Envision Healthcare and isn’t interested in participating in any deals to scoop up parts or all of the company, according to Bloomberg.

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CMS’ Kate Goodrich: MACRA changes coming, but not on certified EHR

Easing clinician burden under the payment tracks implemented as part of the Medicare Access and CHIP Reauthorization Act (MACRA) will be a priority for CMS in this year’s rulemaking, according to Kate Goodrich, MD, the agency’s chief medical officer. What won’t be changing, however, is requiring providers to meet the 2015 edition of certified electronic health record technology (CHERT) standards.

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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