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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Docs slam prior authorization inertia, with hundreds claiming it’s led to patient harm

A recent survey of 1,000 physicians released found that nearly one-quarter reported that these utilization-management techniques have led to adverse events for their patients. 

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CMS adds office to review regulatory and administrative burdens

CMS has announced the formation of the Office of the Burden Reduction and Health Informatics, an organized effort to reduce regulatory and administrative burden and part of the agency’s Patients over Paperwork initiative.

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More medical groups join push asking Congress to prevent $10B in cuts to imaging

Altogether, 53 organizations are now asking lawmakers for relief from changes to evaluation and management codes set to take effect Jan. 1, 2021. 

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CMS proposes value-based payment on prescription drugs

CMS has proposed a new rule that aims to enable value-based purchasing agreements across states with drug companies to bring down Medicaid drug prices.

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Walmart acquires health management app CareZone

Walmart has expanded its digital health services by acquiring CareZone, a technology platform and mobile app that allows individuals and families to manage medicine and chronic disease.

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Physicians estimate return to normal in August 2021

It will be more than a year for the U.S. healthcare industry to return to normal, with physicians expecting the new normal to be sometime around August 2021once a vaccine for COVID-19 has been distributed.

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HHS finalizes rule repealing Obama-era protections for trans patients

The rule eliminates provisions of a 2016 rule from the Obama administration that attempted to protect trans patients from discrimination.

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Imaging groups request regulatory relief from in-person nuclear training during the pandemic

Those include the Society of Nuclear Medicine and Molecular Imaging and American College of Radiology, which want a reprieve from training for imaging and localization studies until after the public health crisis.