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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CMS proposes to reform Medicaid managed care

CMS proposed regulatory reform of the Medicaid managed care program on Nov. 8, giving states more freedom over network-adequacy standards.

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Steve Ferrara loses race to become first radiologist elected to Congress

The interventional radiologist, and former chief medical officer for the U.S. Navy, Steve Ferrara, MD, lost to his Democratic challenger and former Phoenix Mayor, Greg Stanton in the race to represent Arizona’s 9th Congressional District, according to an ArizonaCentral report.

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FTC accuses Florida agency of selling $100M in fraudulent insurance plans

A federal judge has temporarily shut down Florida-based company Simple Health Plans after the Federal Trade Commission accused the agency of collecting more than $100 million in fraudulent insurance payments and leaving its enrollees with thousands of dollars in medical debt.

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PwC: What the midterm shakeup means for healthcare

After holding control of Congress for eight years and attempting to eradicate the Affordable Care Act dozens of times, Republicans lost the majority in the House on Nov. 6 during the midterm elections. The partisan shakeup could have several impacts on the nation's healthcare agenda.

Healthcare Leaders Merge to Accelerate the Promise of Value-Based Care

Mingle Analytics and SilverVue form Mingle Health to deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices, integrate the delivery network, and improve patient outcomes.

Highly-reimbursed cardiologists receive greatest Medicare payments from imaging

Non-radiologist performed imaging payments comprised substantial proportions of overall Medicare reimbursement for highly-reimbursed physicians in cardiology, vascular surgery and orthopedic surgery, according to research published online Nov. 2 in Current Problems in Diagnostic Radiology.

Medicaid work requirements in Arkansas jeopardize millions in funding

Hundreds of millions of dollars in federal funding may be in jeopardy as a result of Arkansas' Medicaid work requirement program, according to a recent analysis from the Commonwealth Fund.

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5 ways the FDA promises to regulate AI-related medical devices

As AI-related medical devices continue to saturate the healthcare market, regulatory agencies like the FDA are struggling to keep up with a new category of technology.