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 policy to reduce hospital-acquired infections has minimal impact on reimbursement

New research published in Infection Control & Hospital Epidemiology suggests the 2008 CMS’ policy, Hospital Inpatient Prospective Payment System (IPPS), which penalizes hospitals for hospital-associated conditions (HAC) present at the time of the patients’ admission to the hospital has had a minimal impact on hospital reimbursement.

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ACR opposes ‘surprise bill’ regulation in proposed Medicare IPPS rule

The American College of Radiology (ACR) submitted written comments to CMS, taking issue with its proposed Inpatient Prospective Payment System (IPPS) rule for 2019.

Medicaid benefits could be cut if work requirements aren't fixed, implemented quickly

On Friday, a federal judge denied Kentucky’s move to impose work requirements on some Medicaid recipients. Now, one Kentucky official claims benefits will be cut if this policy isn't fixed and implemented quickly.

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Kentucky Medicaid work requirements shot down by federal judge

Kentucky was set to become the first state in the U.S. to impose work requirements on Medicaid recipients. But a federal judge blocked the move, which was set to take effect on Sunday—claiming the Trump administration didn’t properly consider the policy’s effect on the program’s intended aim to provide medical coverage to at-risk populations.

9 accused of submitting $950M in fraudulent health insurance claims

Federal prosecutors in California announced charges against nine individuals—including orthopedic surgeons, chiropractors and a C-suite executive—for allegedly running a 15-year scheme that submitted nearly $1 billion in fraudulent health insurance claims to the federal government, California and private insurers.

Woman awarded $15M after Indiana physician misses life-threatening tumor on CT

A federal jury awarded a patient and her husband $15 million after Carmel, Indiana, physicians reportedly failed to identify a life-threatening tumor during a CT scan, the Indianapolis Business Journal has reported.

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Updated AMA osteoporosis guidelines help women, but could they hurt men?

The American Medical Association (AMA)’s updated osteoporosis guidelines, published this week in JAMA, encourage cancer screening in women but ignore recommendations for men, the Chicago Tribune has reported.

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Healthcare top priority for 25% of voters; 66% back protections for pre-existing conditions

Just over four months away from the 2018 midterm elections, healthcare promises to be a major topic of discussion as campaigns head toward the finish line. According to a recent poll, 25 percent of registered voters said healthcare was the No. 1 issue for this election cycle.