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 legislative, regulatory priorities for hospitals in 2018 and beyond

The failure to pass funding for reinsurance and cost-sharing reduction subsidies for the Affordable Care Act (ACA) exchanges and the potential for pharmaceutical-backed changes to the 340B drug discount program are just some of the major issues on the American Hospital Association’s radar this year, according to executive vice president of government affairs Tom Nickels.

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WSJ: Walmart in talks to buy Humana

In the latest example of an outside force making a move into healthcare, retail giant Walmart—the largest company in the world by revenue—is reportedly in preliminary discussions to acquire health insurer Humana, according to the Wall Street Journal.

AAMC: Med schools, teaching hospitals generate $562B, 3.1% of GDP

Not far from any policy debate is the oft-repeated fact that healthcare makes up one-sixth of the U.S. economy. Newly published research took a deeper dive to investigate the impact of medical schools and teaching hospitals. And, as one would guess, they contribute a lot of the American economy, accounting for 3.1 percent of gross domestic product.

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Upside-only ACOs increased Medicare spending

Accountable care organizations (ACOs) were supposed to result in savings for Medicare, but an analysis from Avalere said ACOs in the Medicare Shared Savings Program (MSSP) have instead increased federal spending—an evaluation a national group of ACOs called “rather simplistic," ignoring positive impacts they've made on quality.

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Inconsistencies in reporting may mean opioid deaths are undercounted

Drug-related deaths more than tripled between 1999 and 2015—and many of those can be attributed to opioids. But the numbers may be more alarming than previously thought, according to a new report from Kaiser Health News and Side Effects Public Media.

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Iowa pursues bill to allow insurers to offer non-ACA compliant insurance plans

Efforts from Republicans in Washington, D.C., failed to repeal the Affordable Care Act (ACA), but that hasn’t stopped some states from taking matters into their own hands. Iowa Gov. Kim Reynolds is expected to sign legislation that would allow insurers to sell certain plans that don’t meet ACA regulations.

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Philadelphia’s Jefferson, Einstein exploring merger into 17-hospital system

Jefferson Health and Einstein Healthcare Network, both based in Philadelphia, have announced they’ve signed a letter of intent to merge, the latest in a string of acquisitions by Jefferson.

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Ascension, Providence St. Joseph halt merger talks

Discussions to create the largest hospital system in the country by combining Ascension and Providence St. Joseph Health have ended, with the two companies deciding to focus on restructuring existing operations, according to the Wall Street Journal.