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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New Senate healthcare bill allows insurance plans with fewer benefits, keeps Medicaid cuts

Senate Republicans have released a new version of their Affordable Care Act (ACA) replacement plan, adding new funding for stabilizing the individual market and keeping more of the ACA’s taxes, while also including a controversial proposal to allow insurance plans which don’t comply with ACA regulations on benefits and community rating.

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House passes FDA user fee reauthorization, Senate schedule unclear

The House has passed legislation to reauthorize user fee programs through the Food and Drug Administration (FDA) affecting medical devices, prescription and generic drugs.

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AHIP: Market instability, higher premiums for sicker enrollees under Cruz amendment

America’s Health Insurance Plans (AHIP), health insurers’ largest lobbying group, has been largely silent on Senate Republicans’ version on an Affordable Care Act (ACA) replacement plan, but now is warning against a conservative amendment to allow insurers to now offer plans which don’t comply with ACA regulations.

HHS approves Alaska reinsurance program to shore up ACA market

Alaska will receive $323 million from HHS from 2018 to 2022 for a reinsurance program to offset claims from high-cost patients for the lone insurer offering coverage on its Affordable Care Act exchange.

Senate delaying August recess to work on healthcare bill

Senate Majority Leader Mitch McConnell, R-Kentucky, has taken the unusual step of delaying the Senate’s August recess, announcing the chamber will stay in session during the first two weeks of the month to address legislative priorities like the replacement of the Affordable Care Act.

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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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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.”