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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It’s Optum, not Amazon, that is ‘scaring the crap' out of hospitals

For all the attention given to forays from Amazon, Apple and Walmart into the healthcare space, traditional providers are more worried about the continued expansion of UnitedHealthGroup’s Optum into clinical care, according to an article in Bloomberg.

April 9, 2018

Bracco files patent complaint against Jubilant for rubidium-82 generators

Imaging giant Bracco Diagnostics has filed a complaint with the U.S. International Trade Commission against Jubilant DraxImage, a Canadian radiopharmaceutical firm, requesting the ITC halt imports of Jubilant’s Ruby-Fill rubidium-82 generators and related components.

April 9, 2018
California Assemblyman Ash Kalra

California would control healthcare prices for privately insured under new legislation

A new bill introduced in California’s state legislature would put the state in charge of setting rates for medical services covered by private insurers, setting up a battle between consumer groups and the lobbyists for the healthcare industry.

April 9, 2018
Scales of justice.

$2.6B collected from healthcare fraud cases by HHS, DOJ

In fiscal year 2017, HHS and the U.S. Department of Justice (DOJ) recovered nearly $2.6 billion from settlements and judgments in healthcare fraud cases, with $1.4 billion being transferred to the Medicare Trust Funds.

April 9, 2018

How Anthem may win by sitting out healthcare’s merger mania

Four of the five major health insurers in the U.S. are involved in major mergers and acquisitions discussed over the past few months. The lone exception has been Anthem, which may put the company in a stronger position, according to the Wall Street Journal.

April 6, 2018

VA: ‘There is no effort underway to privatize VA’

The U.S. Department of Veterans Affairs (VA) is fighting claims from fired VA Secretary David Shulkin, MD, that the agency is moving toward privatizing veterans’ healthcare, issuing a press release calling such talk “completely false and a red herring designed to distract and avoid honest debate on the real issues."

April 6, 2018
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2nd UPMC radiologist accused of healthcare fraud after illegally prescribing Vicodin to non-patients

A month after initial allegations, the second half of a UPMC radiology duo accused of prescribing illegal painkillers to patients is facing federal charges of healthcare fraud, the Pittsburgh Post-Gazette reported this week.

April 6, 2018
Patient in center of network of physicians.

The 10 largest ACOs

A new report from IQVIA has collected information on the largest accountable care organizations (ACOs) in the country based on the number of participating facilities, along with portions of organizational and professional rosters as well as the largest organizations in four of the ACO models offered by CMS.

April 5, 2018