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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ACR updates Appropriateness Criteria, launches new online tool for feedback

The American College of Radiology (ACR) has released three new and nine revised topics to the ACR Appropriateness Criteria.

FDA raids California offices of e-cigarette maker

The Food and Drug Administration conducted a surprise inspection at the offices of Juul Labs—a large e-cigarette maker—last week and walked away with more than a thousand pages of documents related to the company’s marketing and sales practices, The New York Times reported.

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Humana and Heritage launch MA partnership

Humana is collaborating with Heritage Provider Network, a large physician-led value-based care organization, on a value-based agreement to offer coordinated, patient-centered care to Humana’s Medicare Advantage members in Southern and Central California.

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Trump says he’ll ‘always fight’ for people with pre-existing conditions; DOJ’s stance says otherwise

As the U.S. Department of Justice works to help nullify the Affordable Care Act, recent comments by President Donald Trump directly contradict his administration’s stance.

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Trump administration hoping to roll back regulations on radiation levels

The Trump administration’s efforts to roll back regulations that limit radiation levels could take a significant step forward this week.

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MA provider shells out $270M for False Claims Act settlement

Medicare Advantage (MA) provider HealthCare Partners Holdings has agreed to pay $270 million to resolve its False Claims Act liability after providing inaccurate information that caused MA plans to receive inflated Medicare payments, the Department of Justice announced this week.

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Baylor Scott & White, Memorial Hermann announce merger plans

Baylor Scott & White Health and Memorial Hermann Health System announced plans to merge their systems on Monday, Oct. 1.

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The Week: US edging toward ‘nursing crisis’

The U.S. is edging ever closer to a nursing crisis, news magazine The Week has reported, citing staffing shortages, security concerns and insufficient pay among the reasons American RNs are becoming restless.