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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CMS: Fewer insurer sign-ups on exchange show ACA is ‘failing’

The number of applications for insurers planning to participate in the Affordable Care Act’s exchanges for 2018 has fallen by 38 percent, according to CMS.

Even if Medicaid expansion survives, states will likely seek waivers on enrollment

At the core of both the House and Senate Republicans’ proposals to replace the Affordable Care Act (ACA) has been rolling back the law’s expansion of Medicaid. Whether or not the expanded eligibility stays in place, enrollment rules are likely to be changed by states with encouragement from HHS and CMS.

Political battles brewing over single-payer healthcare

Democrats in Congress are facing increasing pressure to support plans for a government-funded, single-payer healthcare system—and Republicans have noticed.

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Senate unlikely to vote on ACA repeal until week of July 17

After failing to meet their self-imposed June 30 deadline to vote on the Better Care Reconciliation Act (BCRA), Senate Republicans now say they’ll need another week in Washington before the bill may advance.

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Value-based care doesn’t have to end independent practices

The transition to value-based care has led to consolidation and increased physician employment, but smaller practices may find a different option in pursuing alignments with other organizations which don’t involve giving up their independent status.

Congress could stop IRS from enforcing individual mandate

Even if Republican-led efforts to repeal and replace the Affordable Care Act fail, the party’s members of Congress have a way to stop the Internal Revenue Service from enforcing one of the law’s most unpopular provisions: the individual mandate penalizing people who remain uninsured.

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HFMA 2017: Hospital finance execs have ‘significant lack of knowledge’ around MACRA

Nearly halfway through the first year of Medicare Access and CHIP Reauthorization Act’s (MACRA) new payment tracks and hospital, a majority of hospital finance executives and professionals say understand the requirements of the new Quality Payment Program (QPP) but, in reality, still seem to be confused.

CBO: Senate healthcare bill would cut Medicaid more deeply over 20-year period

If the Better Care Reconciliation Act (BCRA) became law, Medicaid spending would be 35 percent lower by 2036 compared to levels under the Affordable Care Act, according to a Congressional Budget Office (CBO) report.

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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