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. 

Hospitals can expect 7.35% increase in drug prices

Between July 1, 2018, and June 30, 2019, health systems should expect pharmaceutical prices to jump up by 7.35 percent, a slightly lower increase than in recent years as fewer products see “exorbitant” price hikes and costs moderate for high-priced hepatitis C drugs.

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Wellmont, MHSA get final OK to merge into Ballad Health

The merger of Wellmont Health System and Mountain States Health Alliance (MSHA) cleared its last hurdle on Jan. 31, as the Tennessee Department of Health issued the Certificate of Public Advantage (COPA) allowing the deal to be completed.

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AMGA to CMS: ‘Synchronize’ Medicare programs to drive value-based care

Assessing value-based care will require streamlining Medicare regulations across its different programs, defining value and measuring for it, according to the American Medical Group Association (AMGA).

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5 things healthcare should know about Trump’s State of the Union

Healthcare policy was not the main focus of President Donald Trump’s first State of the Union address, though the Jan. 30 speech did include mentions of lowering prescription drug prices, fighting opioid addiction and an endorsement of “right-to-try” legislation being considered by Congress.

5 things to know about voters’ healthcare priorities, ACA awareness heading into 2018 elections

The Affordable Care Act’s (ACA) individual mandate to have health insurance was repealed through the tax cut legislation signed into law late in 2017—but according to a new poll from Kaiser Family Foundation, most Americans either weren’t sure it was repealed or incorrectly believe it remains in place.

HHS sued over work requirements for Medicaid recipients

Less than two weeks after Kentucky became the first state approved to implement work requirements for its “able-bodied” Medicaid beneficiaries, a lawsuit has been filed against HHS and CMS alleging the plan is “an abuse” of the agencies’ regulatory powers.

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Health policy priorities passed as part of shutdown deal

The stopgap spending measure funding the Children's Health Insurance Program (CHIP) for six years while delaying taxes on medical devices and health insurance. 

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CMS administrator may face ethics investigation on Medicaid waivers

Sen. Ron Wyden, D-Oregon, the top Democrat on the Senate Finance Committee, is asking for an investigation into allegations that CMS Administrator Seema Verma, MPH, has violated her ethics agreement by being involved with Medicaid waivers submitted by states she once counted as clients for her consulting firm.

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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