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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Top priorities for CMS include Stark law, ACA mandate changes

CMS Administrator Seema Verma, MPH, offered some hints at the agency’s priorities in its annual rulemaking for Medicare this year, suggesting a slew of new policies on price transparency, interoperability and physician self-referral laws.

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CMS would exempt 17 Medicaid managed care states from most access monitoring

In a proposed rule, CMS would loosen requirements for states with Medicaid managed care programs on analyzing and monitoring access to care, a move the agency said would provide additional relief on “burdensome” regulations finalized by the prior administration.

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Advocate-Aurora merger gets final approval

Downers Grove, Illinois-based Advocate Health Care and Milwaukee’s Aurora Health Care have gotten the final approval needed to close their merger, which will create the 10th largest nonprofit, integrated health system in the country.

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Why ACA stabilization funds were kept out of the omnibus spending bill

The $1.3 trillion omnibus spending bill released on March 21 includes boosts in funding for HHS, the National Institutes of Health and efforts to fight opioid abuse. What was left out were measures aimed at stabilizing the Affordable Care Act (ACA) exchanges with funding for additional reinsurance and restoring the law’s cost-sharing reduction subsidies.

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Utah governor signs breast density reporting legislation into law

Utah Gov. Gary Herbert recently signed legislation that requires facilities performing mammograms to notify women if they have dense breast tissue. The signature makes Utah the 32nd state to enact such a law.

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ACO enrollment associated with improved appropriateness of breast, colorectal cancer screening

Enrollment in a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) is associated with improvements in appropriateness of breast and colorectal screening, according to a new study published in JAMA Internal Medicine. It was also associated with a reduction in the number of patients being screened for prostate cancer.

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Breast density reporting legislation signed into law in Utah, Washington and Florida

Utah Gov. Gary Herbert, Washington Gov. Jay Inslee and Florida Gov. Rick Scott have all signed breast density reporting legislation into law this week. These laws require facilities that perform mammography to notify patients when it is determined they have dense breast tissue.

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Maryland all-payer hospital program saves $586M in 3 years

The global budgeting, all-payer program adopted for most of Maryland’s hospitals has succeeded in keeping the growth in hospital revenue and Medicare expenditures below the rest of the nation through its first three years, while also reducing readmissions and complications.