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. 

ACA risk adjustment may be changed despite improvements in risk pool

In two separate announcements from HHS, the agency said while the risk pool for the health insurance exchanges has improved, it’s “exploring options” to adjust the Affordable Care Act’s risk adjustment program to account for sicker, more expensive enrollees.

CMS amends value-based model for Medicare Advantage for 2018

New conditions, participating states and telemedicine opportunities will be included in the second year of CMS’s Medicare Advantage (MA) Value-Based Insurance Model.

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Murthy, Durbin call for more opioid epidemic funding, visit Chicago treatment center

More than two million healthcare providers throughout the country will receive letters from U.S. Surgeon General Vivek Murthy, MD, MBA, later this month. It will include information for doctors about how to best help patients and families dealing with opioid addictions and how to prevent those at risk from becoming addicted in the first place. 

Thanks, Obama? ACA making Americans healthier, new studies suggest

New research suggests that, since the Affordable Care Act has launched, Americans are less likely to have medical debt and postpone care because of cost, and more likely to have a regular doctor and receive preventive health resources, such as vaccines and cancer screenings.

CMS home care demo sees reduced savings in second year

A CMS analysis said its Independence at Home Demonstration program saved over $10 million in its second performance year, a decline from the $25 million in savings from its first year.

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Study: ACA stopped expansion of physician-owned hospitals

The Affordable Care Act’s restrictions on physician-owned hospitals (POHs) appear to have worked, as a new study published in Health Affairs said the law “effectively eliminated” the formation of new POHs.

NYT: Preliminary evidence says the ACA makes people healthier

Many in the Obama administration bemoan the fact that 19 states have opted out of Medicaid expansion under the Affordable Care Act. But the program’s patchwork implementation might have helped prove the law’s value, according to the New York Times. 

Carestream Reduces Energy Consumption, Boosts Recycling Efforts At Oregon and Colorado Manufacturing Facilities

ROCHESTER, N.Y., Aug. 9 — Carestream Health reduced energy consumption and enhanced recycling at its facilities in Oregon and Colorado as part of an ongoing effort to trim its environmental footprint.

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.