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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Plastic surgeons question impact of patient satisfaction ratings

A topic article in the Journal of the American Society of Plastic Surgeons (ASPS) examines changing regulations on physicians and healthcare facilities. The move to a system of evaluation and ratings leaves the article's authors afraid that some might fear a one-star review as much as treating a patient incorrectly.

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ACA repeal battle: Dems plan rallies, Trump calls law ‘lousy healthcare’

Democratic leaders in Congress are encouraging their members to hold rallies against Republican plans for eliminating the Affordable Care Act (ACA) under President-elect Donald Trump on the final weekend before his inauguration.

Political divisions threaten AMA’s role in healthcare reform

As the next Congress and president debate how to repeal the Affordable Care Act (ACA), the American Medical Association finds itself in a weakened position to offer the physician's perspective to healthcare reform.

Healthcare.gov sets enrollment record despite repeal threat

400,000 more people bought health plans through the Affordable Care Act’s insurance marketplace in 2016 than 2015, according to the final open enrollment figures released by HHS for coverage beginning Jan. 1, 2017.

CMS finalizes cardiac, orthopedic bundles and MSSP ACO Track 1+

Additional opportunities for Advanced Alternative Payment Models (APMs) are now available, as CMS has finalized a number of policies on bundled payments and a new accountable care organization model.

AMGA to CMS: Limit MACRA transition, develop MSSP ACO Track 1+

In its comments to CMS on the final Medicare Access and CHIP Reauthorization Act (MACRA) rule, the American Medical Group Association asked the agency to limit the transition to new payment tracks to only one year and develop a new two-sided risk model in the Medicare Shared Savings Program (MSSP).

Researchers rushing to copy ACA data before Trump takes office

Groups with data-use agreements with HHS and CMS are scrambling to copy healthcare data and documents in case President-elect Donald Trump’s administration erases it once in office—a fear Trump-aligned groups call “paranoid.”

ACA exchange rules finalized for 2018 as repeal threat looms

CMS hopes to strengthen the risk pool on Affordable Care Act’s insurance marketplace for the 2018 plan year, even as insurers remain uncertain about the exchanges with the incoming Congress and President-elect promising to repeal the law.

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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.”