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. 

Tripledemic shortages: Walgreens, CVS limit sale of children’s medications

A wave of infections across the United States has led to a run on certain over-the-counter medications, and some retailers are limiting purchases to deal with the seasonal demand.

Claire Ernst, director of government affairs, Medical Group Management Association (MGMA), explains the list of priorities for the association. These include staving off the large, planned 2023 Medicare reimbursement cuts, fighting for continuation of reimbursements for telehealth, and revamping prior authorizations.

VIDEO: Top priorities for the Medical Group Management Association in 2022

Claire Ernst, director of government affairs, Medical Group Management Association (MGMA), explains the list of priorities for the association, include staving off the large Medicare reimbursement cuts, continuation of telehealth reimbursements, and revamping prior authorizations. 

FDA adds diabetes medicine to drug shortage list

A diabetes treatment drug, Mounjaro, has been added to the Food and Drug Administration’s (FDA) list of drug shortages.

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Chicago physician indicted in $9.5M healthcare fraud conspiracy

Benjamin T. Toh, of Chicago faces up to 10 years in prison and a $250,000 fine.

coronavirus COVID-19 vaccine vaccination

Biden’s winter preparedness plan includes more free COVID-19 tests

The Biden administration plans to make more free, at-home COVID-19 tests available to Americans as part of its newly announced winter preparedness plan.

Congress dome capitol Washington

AMA, state associations urge Congress to avoid Medicare payment cuts

The American Medical Association is asking Congress to step in before new Medicare payment cuts go into effect in 2023.

insurance payer payment insurer

CMS proposes ACA expansion on behavioral health, special enrollment

 The revisions impact insurers operating on the Affordable Care Act marketplace.

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Millions will lose Medicaid coverage when COVID-19 PHE ends

The PHE has been in effect since the early days of the pandemic, and it has been reaffirmed every 90 days since. CMS has indicated it will give healthcare stakeholders at least 60 days’ notice before winding down the PHE.

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.”