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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Q&A: Duke's Daniel on the challenges of moving pharma, device companies toward value-based payment

Finding a practical path for pharmaceutical and medical device manufacturers to enter value-based payment arrangements is the goal of a new policy consortium formed at the Robert J. Margolis, MD, Center for Health Policy at Duke University.

Succeeding in an ICD-10 World

In the ICD-9 era, there were universally accepted benchmarks to measure coding professionals’ productivity. Now, more than 18 months after the ICD-10 implementation date, the challenge is to do the same for the new coding system.

CMS chief: ‘Individual market was working much better’ prior to ACA

CMS Administrator Seema Verma said the blame for rising premiums and fewer insurers in the Affordable Care Act (ACA) exchanges fall on the prior administration, not the current one, while offering a mixed message on the American Health Care Act (AHCA), the ACA replacement that passed the House earlier in May.

Leaked regulation from HHS would roll back ACA’s contraceptive mandate

A draft rule from HHS would allow all employers to seek an exemption from the Affordable Care Act (ACA)’s mandate to cover contraceptives in their insurance plans, leading to many patients having to pay out-of-pocket for birth control, which is currently available at no cost. 

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CMS to begin replacing Medicare cards in 2018

New Medicare cards without Social Security numbers will be sent out starting in April 2018, according to CMS, meeting a deadline set by Congress to replace all cards by April 2019.

First look at Senate ACA replacment expected after recess

The U.S. Senate will be on break until June 3, but Senate Republican staff are expected to spend the recess drafting its own version of a bill to repeal and replace the Affordable Care Act (ACA).

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CBO report bolsters industry opposition to AHCA, worries some Republicans

Organizations representing hospitals and specialties reacted negatively to an estimate the Affordable Care Act (ACA) replacement passed by House Republicans would result in 23 million fewer people having insurance by 2026.

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Health IT groups oppose $22M cut to ONC in Trump’s budget

Reducing funding to the Office of the National Coordinator for Health IT (ONC) from $60 million to $38 million, as the Trump administration has proposed, may hamper advancements in interoperability and the goals of 21st Century Cures Act, according to several leading health IT groups.

Around the web

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.

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. 

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.”