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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Governors to Congress: ‘Make a clear commitment’ to value-based care

A group of eight governors—five Democrats, two Republicans and one independent—have proposed a series of reforms they hope congressional leaders use in crafting legislation to stabilize the Affordable Care Act (ACA) markets.

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Trump cuts ACA advertising budget by 90%

Last year, CMS spent more than $100 million on advertising the Affordable Care Act exchanges (ACA). Under President Donald Trump, it will only spend $10 million, while also cutting 41 percent from outreach activities meant to boost enrollment on the exchanges.

Trump admin may do bare minimum necessary to comply with ACA

Beyond stabilizing the individual insurance market, a Trump administration official refused to say whether HHS would promote open enrollment on the Affordable Care Act exchanges, pay for navigators who help customers purchase coverage or offer assurances on cost-sharing reduction payments to insurers.

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What major medical groups want in regulatory relief

The American College of Physicians (ACP), the American Hospital Association (AHA) and the Federation of American Hospitals (FAH) submitted comments to the House’s health subcommittee suggesting options for rolling back healthcare regulations on quality measures, hospital ratings and physician self-referral laws.

ACA taxes still on Congress's radar

Republican hopes to repeal and/or replace the Affordable Care Act (ACA) petered out in July, but healthcare industry groups still want Congress to delay the law’s health insurance and medical device taxes. The problem, according to Axios report Caitlin Owens, is finding the legislative vehicle to do so.

Iowa seeks changes to ACA subsidies, benefits

Iowa has submitted a plan to CMS to change Affordable Care Act regulations in the state, which would create a new reinsurance program, eliminate the metal-tiered benefit structures of ACA plans as well as end payment of cost-sharing reduction (CSR) subsidies to insurers.

Medicaid buy-in proposal would raise payment rates to match Medicare

U.S. Sen. Brian Schatz, D-Hawaii, is preparing to introduce legislation to allow Affordable Care Act (ACA) exchange customers to buy into Medicaid, offering a government-run “public option” similar to ones discussed but ultimately left out of the law.

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More MIPS exemptions ‘relief’ to some, counterproductive to others

More than 1,100 organizations and individuals offered comments on proposed changes for the second year of the Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program (QPP), and some questioned the reasoning behind exempting more clinicians from the new payment tracks.

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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