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. 

Amazon already tried—and failed—to disrupt pharmaceuticals

In 1999, Amazon bought a 46 percent stake in Drugstore.com and began marketing its products on the Amazon site. Once hailed as “a likely gold mine,” the venture never turned a profit after running into problems with regulations, logistics and the existing pharmacy benefit managers that already dominated the market.

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Hospitals largely supportive of 2019 IPPS proposed rule

Fewer quality measures, a shorter reporting period for Meaningful Use requirements and an increase in uncompensated rate payments were all positives in the eyes of hospitals in their initial reaction to the proposed 2019 Medicare Inpatient Prospective Payment System (IPPS) rule.

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FDA's Gottlieb: AI-based imaging device submissions expected to increase in coming years

FDA Commissioner Scott Gottlieb, MD, said his administration is working on an updated “new regulatory framework” to promote the use of artificial intelligence (AI) in healthcare, and he expects medical imaging to be at the forefront of AI-based healthcare devices, according to a report published by The Hill.

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Welltower partners with ProMedica to acquire Quality Care Properties

Healthcare real estate investor Welltower has announced it will acquire the outstanding shares of Quality Care Properties and form a joint venture with Toledo, Ohio-based health system ProMedica for the real estate holdings of QCP tenants HCR ManorCare and Arden Courts.

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Provider-sponsored Medicare Advantage plans seeing big growth in membership

The growth in Medicare Advantage membership has benefited hospitals and physician groups that operate their own plans, with total enrollment increasing by more than 20 percent to three million beneficiaries since 2015.

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Buyer be aware: CMS looks to require hospitals post prices online

A new CMS proposal will require hospitals to post their standard prices for treatments online and aims to increase patient access to electronic health records (EHRs).

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6 ways to rein in costs in the US healthcare system

An academic and insurance executive discussed innovations to control healthcare costs in the U.S., including pricing reforms and payment modifications.

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CMS asks for comment on direct provider contracting model for Medicare

In an April 23 release, CMS announce it is seeking input on an alternative payment model that would allow direct provider contracting (DPC) between payers and primary care or multi-specialty groups. CMS asked for comments to inform possible testing for such a model for Medicare Parts A and B, Medicare Advantage and Medicaid.