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. 

Thumbnail

Following announced funding freeze, White House confirms Medicaid portals are down

The White House denies that payment systems were impacted and has not given a reason for the outage. The issue only came to light due to various posts on social media from lawmakers. 

lung cancer screening

New data highlight ‘urgent need’ to expand access to lung cancer screenings

Experts estimate there are about 1.4M veterans eligible for LDCT screening, a rate three times higher than the general U.S. population. 

Department of Justice DOJ

DOJ settles $17M kickback case with catheter supplier

Liberator Medical Supply was accused of offering doctors kickbacks, such as discounted and free supplies, in exchange for filling prescriptions with its products.

Optum UnitedHealthcare UnitedHealth Group HQ

Number of Americans impacted by Change Healthcare breach nears 200M

The last count submitted to HHS in October pegged the number at 100 million. Now that figure sits at 190 million, and the company continues its investigation. 

Medicare Advantage Part C clipboard payment

CMS drops lawsuit against UnitedHealth over Medicare Advantage star rating

The Centers for Medicare & Medicaid Services appealed a court ruling that ordered the agency to change the star rating for UnitedHealthcare's Medicare Part D plans, which had been reduced due to a disputed phone call. CMS has now dropped the appeal.

value quality value-based care

MGMA's perspective on CMS’s 2030 shift to value-based care

Anders Gilberg, Senior Vice of Government Affairs at Medical Group Management Association, explains the issues that will complicate moving Medicare from fee-for-service to value-based care models in five years. 

technology of unknown purpose

Industry Watcher’s Digest

When Larry Ellison talks about healthcare AI, people invest. At least, that’s what happened after the Oracle chairman enthused over AI’s potential to cook up vaccines for cancer. 

artificial intelligence AI healthcare

Nat’l Academy of Medicine sets ‘priorities for action’ as healthcare mulls next moves with AI

Given the precarious excitement of the moment—or is it exciting precarity?—policymakers and healthcare leaders must set directives guiding not only what to do with AI but also when to do it.