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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MGMA: Medical groups opposed to mandatory APMs

A large majority of medical group professionals responding to a poll from the Medical Group Management Association (MGMA) was opposed to mandatory participation in alternative payment models in Medicare, a policy CMS has been moving away from under President Donald Trump.

Rhode Island’s Lifespan in talks for collaboration with Partners HealthCare, Care New England

The previously proposed merger between Boston’s Partners Healthcare and Care New England, one of the largest systems in Rhode Island, may have a third partner: Lifespan, the operator of Rhode Island Hospital.

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New opioid legislation includes 3-day limit on initial prescriptions

A group of senators has introduced a new bill aimed at fighting opioid abuse and addiction, including limits on initial prescriptions for acute pain and an expanded role for non-physician practitioners in prescribing buprenorphine.

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Why MIPS should be replaced

In an article for Health Affairs, a group of fellows at the Brookings Institution made the case for replacing the Merit-based Incentive Payment System (MIPS) with “stronger incentives” to move into alternative payment models (APMs).

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20 states sue to end ACA after mandate repeal

In 2012, the U.S. Supreme Court upheld the constitutionality of the Affordable Care Act (ACA)’s individual mandate. With the mandate’s penalty now eliminated under President Donald Trump, 20 states are using the earlier ruling as the basis for a new lawsuit seeking to “effectively repeal Obamacare.”

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Warren Buffett: Healthcare venture with Amazon, JPMorgan not aimed at small savings

In an interview on CNBC, billionaire Warren Buffett said the healthcare-focused venture formed by his Berkshire Hathaway along with Amazon and JPMorgan has greater aims than trimmed some healthcare costs or cutting out middlemen.

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InstaMed’s Deirdre Ruttle: ‘Very little tolerance’ for inefficiency as Apple, Amazon make waves

Patients are getting fed up with healthcare organizations who haven’t made their payment processes and communications as convenient as other industries. With Silicon Valley giants like Apple and Amazon eyeing the healthcare space, the time to ditch old, inefficient methods is now, according to Deirdre Ruttle, vice president of strategy at payment networks company InstaMed.

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Expanding short-term insurance would increase premiums, uncompensated care

Premiums on the Affordable Care Act (ACA) exchanges could be in for another double-digit increase if HHS moves ahead with a proposed rule to expand the availability of short-term insurance plans which don’t comply with the ACA.

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Around the web

Cardiovascular Business
Q&A: MedAxiom CEO explores key trends in cardiologist, cardiovascular surgeon compensation

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.

Cardiovascular Business
Payment cuts and beyond: Key takeaways for cardiologists from the 2025 Medicare Physician Fee Schedule

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. 

AI in Healthcare
A modest proposal to rally AI regulators around a simple game plan

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.”