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. 

CMS plans to take small business enrollment off HealthCare.gov

Enrollment in the small business version of the Affordable Care Act’s insurance exchanges, known as Federally Facilitated Small Business Health Options Program (FF-SHOP), will be moved off HealthCare.gov for 2018, CMS has announced.

Senators plotting Plan B on ACA replacement

While a Republican-only group of U.S. Senators is crafting a version of an Affordable Care Act (ACA) repeal-and-replace plan, another group of lawmakers is working on a backup plan—one that involves Democrats having a hand in the legislation.

CBO report on AHCA impact coming later in May

The Congressional Budget Office (CBO) will release an updated report on how the American Health Care Act (AHCA) could affect insurance coverage and federal healthcare spending, with the score expected to be released the week of May 22.

HHS criticized over ‘potentially illegal’ memo

Republicans in Congress were critical of a memo circulated to HHS employees instructing them not to speak to federal lawmakers or their staffs without first clearing it with department leadership, saying it may infringe on the rights of whistleblowers.

Blue Cross Blue Shield steps in as lone exchange insurer in some Tennessee markets

Blue Cross Blue Shield of Tennessee plans on selling individual market plans next year in the Knoxsville area, which had been in danger of having no participating insurer on the Affordable Care Act exchanges for 2018.

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Q&A: Healthcare lobbyist predicts AHCA will die due to House-Senate disagreement

Major medical organizations appeared united in opposition to the American Health Care Act (AHCA), yet House Republicans passed the bill without making any changes those groups wanted. Julius Hobson Jr., former director of congressional affairs for the AMA who now works for law firm Polsinelli, told HealthExec there’s an obvious answer: campaign promises.

Texas Emergency Care Providers Rally at State Capitol for Increased Health Insurance Transparency, Oversight

Healthcare providers from across Texas gathered today for a press conference at the State Capitol to highlight current negative trends in health insurance and protest harmful business practices by insurers to pay less for emergency care and shift healthcare costs directly to consumers.

HHS Secretary makes questionable claims on AHCA

The Washington Post gave HHS Secretary Tom Price, MD, its worst fact-check rating for his defense of the Republican-sponsored plan to replace the Affordable Care Act (ACA). 

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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