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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More states considering legislation to help low-income patients pay high medical debt

The United States Census Bureau reports that 19% of U.S. households could not afford to pay for medical care right away.

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Kaiser Permanente's 'secret' Medicaid deal with California raises eyebrows

The five-year agreement would make Kaiser Permanente the only insurer with a statewide Medi-Cal contract in California.

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Oracle’s $28.3B deal to buy Cerner facing antitrust scrutiny, additional lawsuits

A filing submitted to the Securities and Exchange Commission listed seven civil actions brought forth by Cerner stockholders that suggest disclosure documents contain "insufficient or incorrect" information.

UnitedHealthcare subpoenaed over data breach impacting 22,000 people

The Rhode Island Attorney General's office said "one or more" entities may have diverted from standard information safeguards.

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Medicare patients will have access to free at-home COVID tests starting this spring

Under the Biden administration's new mandate, Medicare and Medicare Advantage beneficiaries will be eligible for eight free tests each month.

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Cardinal Health will pay $13M to settle kickback allegations

The Ohio-based drug distributor violated the Anti-Kickback Statute by offering to pay physician practices upfront discounts to buy pharmaceuticals paid for by federal health programs, according to the DOJ.

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UnitedHealth subsidiary must pay $20M after purposely denying claims to ‘protect its bottom line’

The ruling ends a more than six year class-action lawsuit against United Behavioral Health.

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New lawsuit alleges Duke is working to ‘destroy’ private physicians group

Meanwhile, representatives with the institution say the suit "has no basis in fact or law" and that the university plans to fight it.

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.”