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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Former Aetna CEO cites ‘tension’ in CVS board changes

The former CEO of health insurer Aetna, which was acquired by CVS Health for $69 billion at the end of 2018, says he is being pushed off the board of the combined company.

 

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Surgeon sues health system claiming forced in-network radiology referrals

The Florida-based orthopedic surgeon filed a whistleblower lawsuit against Orlando Health, claiming he was fired for not referring patients to in-network imaging practices and performing surgeries at out-of-network facilities.

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Trump admin’s Medicaid block grants met with industry backlash

Medicaid block grants, which have been framed as an “opportunity” for states to better control their Medicaid spending and gain flexibility, have been harshly criticized by healthcare groups.

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Will AI be a part of Trump’s State of the Union address?

President Trump is scheduled to deliver his State of the Union address on Tuesday, Feb. 4, at a time when most Americans have been focused on impeachment, the 2020 election and the coronavirus outbreak.

Alzheimer’s, imaging advocates push for amyloid PET coverage on Capitol Hill

The Medical Imaging and Technology Alliance, among other agencies, hosted a briefing in D.C. Jan. 29, aimed at shining a spotlight on this issue. 

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Trump administration announces Medicaid block grants under new branding

The Trump administration has released its Medicaid block grant program under a new name that allows states to designate funding and put a cap on Medicaid spending. The program, dubbed Healthy Adults Opportunity, is an optional intervention initiative that fundamentally changes the way part of Medicaid is funded.

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CVS debuts insulin program with no out-of-pocket costs

CVS Health recently launched an insulin program for employers and health plan sponsors to offer diabetes medications with zero out-of-pocket costs for members. The program could help alleviate the rising costs of insulin for people managing diabetes.

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CMS expands coverage to genetic sequencing for cancer patients

CMS will now cover Next Generation Sequencing through FDA-approved or cleared lab diagnostic tests for patients with inherited ovarian or breast cancer.