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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AHA condemns Trump administration’s latest attack on ACA

The American Heart Association noted that the Affordable Care Act has provided “invaluable patient protections for millions of Americans with pre-existing conditions.”

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CDC expands list of populations at higher risk of developing severe COVID-19 illness

Its changes include removing the long-established guidance that individuals over age 65 are at a greater danger of outcomes such as hospitalization, ICU admission or death. 

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US judge upholds challenge to rule requiring hospitals to post prices

A challenge to a Trump administration rule that requires hospitals to post their prices for services online has been defeated after a U.S. judge granted a summary judgment to HHS.

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Hospitals see minor financial improvement in May

After a brutal two months of significant revenue losses, hospitals saw a slight improvement in margins during May, according to the latest Flash Report from Kaufman Hall.

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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.