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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5 things to know about the final ACA rule for 2019

In a final rule that CMS said would help customers “suffering from high Obamacare premiums,” the agency’s 2019 rule for the Affordable Care Act (ACA) exchanges would give states more power on how plans cover required benefits and widen exemptions to the law’s individual mandate in the final year customers can be penalized for not having ACA-compliant insurance.

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Insurance leaders warn big ACA premium hikes coming for 2019

Insurance companies are beginning to decide what they’ll charge and whether to participate on the Affordable Care Act (ACA) exchanges for 2019, with Matt Eyles, the next CEO of America’s Health Insurance Plans (AHIP), saying it’s “not a pretty picture right now” for individual market insurers.

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Bracco files patent infringement complaint against Jubilant for rubidium-82 generators

Bracco Diagnostics has filed a complaint with the U.S. International Trade Commission (ITC) against radiopharmaceutical firm Jubilant DraxImage and two affiliates, citing patent infringement on its rubidium-82 generators.

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It’s Optum, not Amazon, that is ‘scaring the crap' out of hospitals

For all the attention given to forays from Amazon, Apple and Walmart into the healthcare space, traditional providers are more worried about the continued expansion of UnitedHealthGroup’s Optum into clinical care, according to an article in Bloomberg.

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Bracco files patent complaint against Jubilant for rubidium-82 generators

Imaging giant Bracco Diagnostics has filed a complaint with the U.S. International Trade Commission against Jubilant DraxImage, a Canadian radiopharmaceutical firm, requesting the ITC halt imports of Jubilant’s Ruby-Fill rubidium-82 generators and related components.

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California would control healthcare prices for privately insured under new legislation

A new bill introduced in California’s state legislature would put the state in charge of setting rates for medical services covered by private insurers, setting up a battle between consumer groups and the lobbyists for the healthcare industry.

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$2.6B collected from healthcare fraud cases by HHS, DOJ

In fiscal year 2017, HHS and the U.S. Department of Justice (DOJ) recovered nearly $2.6 billion from settlements and judgments in healthcare fraud cases, with $1.4 billion being transferred to the Medicare Trust Funds.

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How Anthem may win by sitting out healthcare’s merger mania

Four of the five major health insurers in the U.S. are involved in major mergers and acquisitions discussed over the past few months. The lone exception has been Anthem, which may put the company in a stronger position, according to the Wall Street Journal.