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 Administrator doesn’t ease insurers’ concerns on subsidies

Insurance companies that are members of America’s Health Insurance Plans (AHIP) made their case to CMS for billions in cost-sharing reduction subsidies under the Affordable Care Act to continue—but left with no promises the administration would maintain funding.

EMS Professionals Will Appeal to Congress to Support Life-saving Services and Patient Access to Emergency Medications at EMS On The Hill Day

Hundreds of emergency and mobile healthcare professionals, representing emergency medical services (EMS) in almost every U.S. state, will assemble on Capitol Hill to request support from congressional leaders on issues vital to the health and safety of every community in our nation.

Insurers still jittery about ACA market after CMS rule

The final rule aimed at stabilizing the Affordable Care Act’s health insurance exchanges doesn’t appear to have won the perception battle with insurers debating whether to participate in the marketplace.

South Carolina hospitals check off 'reduce post-surgical deaths' with safety checklist

Having a checklist for chores or exercise goals help in lining up what needs to be completed and the same should go for safety in hospitals. A recent study, set to be published in August in the Annals of Surgery, found that having a safety checklist program implemented in hospitals in South Carolina reduced post-surgical deaths by 22 percent. 

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Hospitals give mixed reaction to IPPS proposed rule despite $3.1B boost

CMS released the 2018 Medicare Inpatient Prospective Payment System (IPPS) proposed rule on April 14, promising “transparency, flexibility, program simplification and innovation to transform the Medicare program” in the first IPPS rule under a new CMS and HHS administration.

HHS Secretary wants physicians’ ideas for new payment models

HHS Secretary Tom Price, MD, is encouraging physicians to submit more suggestions on new Medicare payment models to move away from fee-for-service payments.

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5 things to know about the final ACA marketplace rule for 2018

CMS has issued its final rule aimed at stabilizing the Affordable Care Act (ACA) health insurance exchanges, checking many items off insurers’ wish lists while leaving the most pressing issue—whether cost-sharing reduction subsidies will be funded—unsettled as insurers decided whether to participate in the individual market next year.

Trump puts healthcare back on top of his agenda

When his first push to repeal and replace the Affordable Care Act (ACA) failed to garner enough support, President Donald Trump initially said he would move onto other issues, namely changes to the tax code. He appears to have changed his mind in an interview on the Fox Business Network. 

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.”