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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For-profit hospitals will save up to $800M this year thanks to tax overhaul

The tax cut legislation signed into law late last year will help most for-profit hospitals in 2018, boosting their bottom lines at a time when several major chains are struggling with weak admissions and making acquisitions and capital investments more attractive.

Mystery provider behind plans for $1B hospital complex in Indiana

A healthcare real estate company is planning a $1 billion project for a large hospital and medical offices on a site in Carmel, Indiana, with signs pointing to St. Vincent Health as the group behind the property’s development.

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3 things to know about proposed expansion of short-term insurance plans

Under a newly proposed rule from HHS, short-term health insurance coverage that doesn’t comply with the Affordable Care Act (ACA) would be more widely available, which the agency admitted may lead to insurer losses on the ACA exchanges if younger, healthier customers leave that market to buy short-term plans.

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Ascension signs definitive agreement to acquire Chicago’s Presence Health

Three months after the transaction was first announced, St. Louis-based Ascension Health and Chicago’s Presence Health have signed a definitive agreement for Presence to join Ascension’s existing joint venture in Illinois, AMITA Health.

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HHS Secretary supports CDC researching gun violence

For two decades, the Centers for Disease Control and Prevention (CDC) has supposedly been blocked from conducting research into the health effects of gun violence by a budget amendment. HHS Secretary Alex Azar has a different opinion, telling members of Congress Thursday he would allow the CDC to conduct research which doesn’t veer into advocacy.

$1B Medicare Advantage fraud case against UnitedHealth can proceed

The U.S. Department of Justice (DOJ) can move forward with a lawsuit alleging UnitedHealth Group wrongly collected more than $1 billion through Medicare Advantage by finding conditions to increase a patient’s risk adjustment payment from CMS.

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FTC approves Advocate-Aurora merger

The proposed merger between Downers Grove, Illinois-based Advocate Health Care and Milwaukee’s Aurora Health Care now has the blessing of the Federal Trade Commission and regulators in Illinois, leaving regulatory approval in Wisconsin as the final hurdle for creating the 10th largest nonprofit health system in the U.S.

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AHA to CMS: Delay application deadline for new bundled payment model

Providers have until March 12 to apply for CMS’s new Bundled Payments for Care Improvement (BPCI) Advanced model, though the program was only unveiled on Jan. 9. Considering the details CMS has given about the model, that’s not enough time for hospitals to decide whether to participate, according to the American Hospital Association (AHA).

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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