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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Newly renamed Atrium Health to merge with Georgia’s Navicent

Just one day after announcing a name change from Carolinas HealthCare System, Charlotte, North Carolina-based Atrium Health has signed a letter of intent to merge with another system, Navicent Health, based in Macon, Georgia.

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What is—and isn’t—an Advanced APM in 2018

CMS has outlined which alternative payment models (APMs) qualify as Advanced APM under the Quality Payment Program (QPP) this year, thus giving participating providers a 5 percent payment bonus.

Georgia continues as a M&A hotspot with 4 combinations completed or near finished

2018 hasn’t seen a slowdown in mergers and acquisitions among hospitals and health systems in Georgia, with four major combinations now pending or recently completed across the state.

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5 things healthcare should know about House spending bill

The legislation to keep the federal government running past Thursday, Feb. 8, includes many provisions related to healthcare, including adjustments to the Merit-based Incentive Payment System (MIPS) and delaying Medicare cuts to hospitals while cutting billions from the Affordable Care Act’s Prevention and Public Health Fund.

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How successes, failures of early CMMI models can inform a 'new direction'

While not all models developed and tested through the Center for Medicare and Medicaid Innovation (CMMI) were successful, each provided valuable lessons for future experiments in care delivery and payment from both government and private payers, according to an article published by Health Affairs.

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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.

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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.”