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. 

Thumbnail

MGMA: CMS late again on notifying clinicians of MIPS eligibility

Full-year quality reporting will be required in the Merit-based Incentive Payment System (MIPS) for the first time in 2018, but clinicians haven’t received word from CMS on whether they’re eligible to participate, according to the Medical Group Management Association (MGMA).

Thumbnail

MedPAC votes to recommend repealing MIPS

Following up on criticisms of the Merit-based Incentive Payment System (MIPS) at recent meetings, the Medicare Payment Advisory Commission (MedPAC) formally voted to recommend scrapping the payment system, arguing the program replicates flaws from those it was meant to replace.

Thumbnail

CMS push for Medicaid work requirements likely to be challenged in court

CMS has released guidance for how states can seek Medicaid waivers imposing requirements for beneficiaries to work in order to receive coverage, a move which some healthcare groups quickly condemned and threatened to sue in order to stop.

How the Trump administration planned to change the ACA

A never-before-released document shows the extent of plans within HHS and the Trump administration to alter the Affordable Care Act (ACA) through executive and regulatory action, many of which have since been enacted.

Thumbnail

Humana leaves AHIP

Humana has terminated its membership in America’s Health Insurance Plans (AHIP), the largest lobbying group for the health insurance industry, following the departures of other major insurers in recent years. 

Thumbnail

CDC recommends using ‘Obamacare’ over ‘ACA’

Brenda Fitzgerald, MD, director of the Centers for Disease Control and Prevention (CDC), again denied the agency has banned words such as “fetus,” “science-based” and “transgender” from official documents in a letter to Sen. Brian Schatz, D-Hawaii, but did reveal the style guide used by HHS recommends avoiding certain words and substituting others.

Thumbnail

Maryland considers individual mandate replacement

State lawmakers in Maryland have proposed an alternative means to encourage people to maintain health insurance following the repeal of the Affordable Care Act’s individual mandate through the Republican-supported tax cut legislation.

Thumbnail

HHS nominee Alex Azar supports mandatory CMMI models

Former Eli Lilly executive Alex Azar faced another grilling before members of Congress, being questioned by the Senate Finance Committee, which will decide whether to advance his nomination to the full Senate. The hearing highlighted one major difference between Azar and former HHS Secretary Tom Price, MD, when it came to mandatory payment models.

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. 

Trimed Popup
Trimed Popup