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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Second opinions after breast imaging are worth the time, resources

For patients without a breast cancer diagnosis, receiving second-opinion interpretations of breast imaging exams relieve anxiety while reducing patient morbidity and healthcare costs, according to a study published May 19 in the Journal of the American College of Radiology.

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HCA eyeing purchase of Envision with private equity partner

Reuters reports HCA’s proposal would essentially reverse Envision’s 2016 merger with AmSurg. The rest of the $5.1 billion Envision would be taken over by KKR.

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UnitedHealth: Medicaid more cost-effective than ACA plans

UnitedHealth said it costs an average of $9,400 annually to cover a low-income, subsidized enrollee on the marketplace with $7,000 of that cost falling on the federal government. For someone eligible for Medicaid thanks to the Affordable Care Act (ACA), the overall cost is $5,400—with $5,100 coming from federal funds.

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HHS proposing stripping Title X funding from clinics providing, referring abortions

Direct federal funding for abortions has been prohibited by Congress for decades, but conservative lawmakers have sought to deny all federal funding to groups like Planned Parenthood for having any involvement in abortion services.

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Medicare Part D consolidation will only get worse with proposed megamergers

Three sponsors of Medicare Part D plans—UnitedHealth Group, Humana and CVS Health—account for more than half the program’s total enrollment. If proposed mergers involving smaller players like Aetna, Express Scripts and Cigna move ahead, the market would become even more concentrated.

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Illinois Senate passes breast density reporting legislation

Could Illinois become the 36th state that requires mammography providers to notify patients when it is determined they have dense breast tissue?

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Vermont’s drug importation plan meets opposition from HHS, PhRMA

Vermont has become the first state to pass a law to allow prescription drugs to be imported from Canada, but the plan still has to be approved by HHS—a tall order considering HHS Secretary Alex Azar’s comments that pharmaceutical imports are a “gimmick” and may be unsafe.

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NEMA VP testifies about potential harm of proposed tariffs on Chinese imports

Kyle Pitsor, vice president of government affairs for the National Electrical Manufacturers Association (NEMA), testified this week about the potential impact tariffs proposed by the Office of the United States Trade Representative (USTR) could have on NEMA member companies and the electrical and medical imaging industries.