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. 

Health insurance marketplace enrollment drops in 1st quarter of 2018

The individual health insurance marketplace experienced a 12 percent decline in enrollment during the first quarter of 2018 compared to the same time period last year.

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TSA rolling out CT scanners for carry-on luggage at airports throughout the US

The Transportation Security Administration (TSA) announced this week that it is unveiling CT scanners at airports throughout the United States to scan carry-on luggage and improve the detection of “critical explosives and other threat items.”

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‘Medicare for all’ would cost $32.6T over 10 years

Considering healthcare will be a central topic in the run up to the 2018 mid-term elections, “Medicare for all” is a concept that is gaining traction among left-leaning politicians. A recent study, though, found that implementation of such a program would cost $32.6 trillion over 10 years.

Texas hospital co-founder pleads guilty in $200M kickback scheme

Alan Andrew Beauchamp, Dallas-based Forest Park Medical Center’s co-founder and former manager, pleaded guilty in a $200 million healthcare fraud case. Beauchamp recruited high-volume specialty doctors and paid them $40 million in bribes and kickbacks to perform surgeries.

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Study examines breast density policy’s effect on follow-up imaging

A new study funded by the Harvey L. Neiman Health Policy Institute in Virginia found that dense breast notification policies were associated with an increase in follow-up ultrasound.

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GSK, 23andMe reach 4-year, $300M deal for sharing of genetic data

GlaxoSmithKline (GSK) announced a four-year, $300 million deal with 23andMe, a personal genomics and biotechnology company based in Mountain View, California. The British pharmaceutical company will have access to genetic information of 23andMe’s five million customers.

CMS pushes for site-neutral payments with 2019 HOPPS proposed rule

CMS released the 2019 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule and 2019 Ambulatory Surgical Center (ASC) Payment System proposed rule this week, pushing for site-neutral payments and updating OPPS payment rates by 1.25 percent.

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CMS releases plan to streamline Medicare reimbursement

CMS released its plan to reduce paperwork and improve patient care on Friday, July 27, that could have implications for 40 percent of Medicare payments. The plan combines four levels of paperwork and four levels of reimbursement to be combined in a single form and one flat fee for each physician appointment.