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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Congress pushes for TRICARE beneficiaries to receive DBT screening coverage

Members of Congress have urged the Military Health System (MHS) to cover digital breast tomosynthesis (DBT) for all active and retired military personnel who take part in the TRICARE health insurance program.

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Hospital use probably won’t rise due to Medicare for all

With Medicare for all on the lips of many Democratic presidential candidates and public support for universal healthcare coverage at its highest ever, concerns about healthcare usage under such a system have arisen. However, hospital use isn’t likely to rise under a Medicare-for-all plan, according to research published in the Annals of Internal Medicine.

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MITA backs push to include DBT screening coverage for TRICARE beneficiaries

U.S. Representative Chrissy Houlahan (D-PA), along with numerous other members of Congress, addressed a letter to the Military Health System (MHS) urging its leadership to provide DBT coverage to TRICARE health beneficiaries.

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Amazon’s fight over patient data could lead to lawsuit

Amazon is in a fight for patient health data after a pharmacy industry player worked to block the e-commerce giant’s online pharmacy business, PillPack, from accessing the information.

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Civica Rx partners with Hikma Pharma to launch 14 injectables

Civica Rx, the not-for-profit drug company startup created by hospital and healthcare organizations to reduce the impact of rising drug costs and shortages, has found another pharmaceutical partner to manufacture and supply 14 essential sterile injectable medications.

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Two-thirds of hospital visits are avoidable

Of the 27 million hospital emergency department visits annually by privately insured individuals, 18 million are avoidable, according to new figures from UnitedHealth Group. Systemwide, treating people in primary care settings instead of the ED represents a huge savings opportunity of $32 billion.

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Fewer ACOs sign up, but more are taking on risk

Changes to the accountable care organization shared savings program by CMS are having the desired effect, but fewer ACOs are participating in 2019. The declaration comes from CMS Administrator Seema Verma, who recently penned a blog post in Health Affairs outlining the recent outcomes of the ACO shared savings program.

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Short-term health plans expansion upheld in court

The Trump administration’s expansion of short-term limited-duration health plans has held up in court after a legal challenge.