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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Why merging healthcare organizations should pay attention to AT&T and Time Warner

The last few months in mergers and acquisition (M&A) activity in healthcare have been dominated by massive deals proposed across sectors—like drugstore chain CVS Health wanting to buy health insurer Aetna for $69 billion. What those companies should watch for, writes Morning Consult’s Jon Reid, is the result of the case challenging a merger with similar dynamics: the combination of AT&T and Time Warner.

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‘Inevitability of consolidation’ motivated nonprofit Mission Health to open talks with HCA

For-profit hospital giant HCA has entered into discussions to acquire Mission Health, a nonprofit six-hospital system based out of Asheville, North Carolina, in a deal Mission admitted may result in some jobs being eliminated.

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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.