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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Kindred asks stockholders to approve Humana merger

In a proxy statement filed with the U.S. Securities and Exchange Commission, Louisville, Kentucky-based Kindred Healthcare urged its shareholders to follow the recommendation of Kindred board members and vote yes on the proposed $4.1 billion sale of the company to insurer Humana and two private equity firms.

Single-payer isn’t California’s only option for universal healthcare

A legislative committee in California is hearing proposals about how to achieve the goal of universal healthcare in the state, with advocates looking for inspiration in Canadian, British and German models.

Blue Cross Blue Shield: Reinsurance needed to bolster ACA markets

The Blue Cross Blue Shield Association said there’s an “urgent” need for Congress to fund additional reinsurance for companies offering coverage on the Affordable Care Act (ACA), saying with the individual mandate gone beginning in 2019, some action is required to keep premiums from increasing as insurers try to manage a sicker risk pool.

Indiana becomes 2nd state approved for Medicaid work requirements

Work requirements have been added to Indiana’s Medicaid program, making it the second state to mandate participation in “community engagement” activities since CMS issued guidelines to states on including those provisions in Section 1115 Medicaid waivers.

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ACA repeal not on Republican agenda for 2018

The priorities for Republicans in Congress this year don’t appear to include another attempt at repealing and replacing the Affordable Care Act (ACA), though some are publicly urging the party to take another shot after several failed attempts in 2017.

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Justice Department requests more info on CVS-Aetna merger

The $69 billion proposed acquisition of Aetna by CVS Health remains under review by the Department of Justice (DOJ), which requested the companies provide more information on their merger agreement.

How Idaho’s insurance plan would violate ACA

The Idaho Department of Insurance has announced it will allow insurers to sell plans which don’t comply with regulations established by the Affordable Care Act (ACA), which could mean the return of plans that deny coverage based on pre-existing conditions, charge higher premiums based on health status and place lifetime or annual caps on benefits.

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5 things to know about proposed MA rates, Part D changes for 2019

CMS has released its proposed rule covering rates in Medicare Advantage (MA) and changes to Medicare Part D for 2019, expanding the definition of health-related supplemental benefits and putting limits on opioid prescriptions for beneficiaries.

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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