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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Why the House may have to vote on the AHCA again

Two weeks after the U.S. House of Representatives narrowly passed an Affordable Care Act (ACA) replacement plan, the bill hasn’t been sent to the Senate because potential procedural problems may force the House to amend the legislation and then vote on it again.

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CMS could boost ACA enrollment by letting consumers skip Healthcare.gov

Customers on the Affordable Care Act exchanges will be allowed to enroll directly on sites run by third-party brokers and insurers, rather than be redirected to Healthcare.gov, raising concerns from some group about privacy and choice for those shoppers.

New York Assembly passes single-payer bill for third straight year

The New York Assembly passed a plan to create a single-payer healthcare system in the state, as it had in 2015 and 2016, but it’s likely to die in the state’s senate, where Republicans control the majority.

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6.3 million with pre-existing conditions face higher premiums under ACA replacement

If the current version of the American Health Care Act (AHCA) became law, 6.3 million people with pre-existing conditions could be charged more by insurance companies, according to an analysis from the Kaiser Family Foundation.

Gains in insurance coverage stalled in 2016

For the first time since the Affordable Care Act (ACA) was signed into law in 2010, there wasn’t an improvement in the number of people with health insurance last year.

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.

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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.”