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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Healthcare groups want MIPS changes on measures, reporting period

The Medical Group Management Association (MGMA), American Medical Association (AMA) and the American College of Physicians (ACP) are asking for changes to the Merit-based Incentive Payment System (MIPS), with a wide group of stakeholders wanting the quality reporting period reduced to 90 days and ACP releasing a study determining many MIPS measures aren’t valid.

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DOJ will examine Cigna-Express Scripts deal

The U.S. Department of Justice (DOJ) will review Cigna’s $67 billion proposal to acquire Express Scripts, the results of which are likely to have major ramifications on other vertical integrations being explored across healthcare.

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Procter & Gamble buying Merck’s health brands for $4.2B

Procter & Gamble has announced it will acquire the consumer health business of Germany-based Merck in a $4.2 billion deal, adding more over-the-counter medications to P&G’s existing product offerings.

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Dem senators introduce plan for ‘public option on steroids’

Millions more Americans could pick Medicare as their health insurer under a bill introduced by Sens. Chris Murphy, D-Connecticut, and Jeff Merkley, D-Oregon, by making it a public insurance option on the Affordable Care Act (ACA) exchanges and for employers.

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Piedmont, Georgia BCBS settle contract dispute after governor gets involved

One of the largest health systems in Atlanta and one of Georgia’s biggest insurers have settled a months-long dispute over a new contract after Georgia Gov. Nathan Deal threatened to take executive action to push the sides to negotiate.

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FDA releases plan for improving medical device safety

“Although medical devices provide great benefits to patients, they also present risks,” said FDA Commissioner Scott Gottlieb, MD. “And we are focusing equal attention on advancing new frameworks for identifying risks and protecting consumers.”

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Hospitals have the most to lose from healthcare’s blurring lines

The wave of megamergers involving health insurers could place the greatest pressure on both not-for-profit and for-profit hospitals, according to a report from Moody’s Investors Service, if these new combinations steer patients away from hospital-owned facilities.

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What pharma fears about Trump’s upcoming speech on drug prices

President Donald Trump will deliver a speech on April 26 focused on ways to lower prescription drug prices, but the pharmaceutical industry doesn’t expect it to include the more dramatic reforms Trump espoused on the campaign trail.

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.”