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. 

Hospitals without competition have higher prices

When hospitals enjoy a monopoly in their market, their prices for privately insured patients are 12.5 percent higher on average, according to a study encompassing 88 million people covered by Aetna, Humana and UnitedHealthcare. The differences disappeared when consolidating facilities were located more than 25 miles apart.

May 9, 2018
Takeda logo

Japan pharma giant Takeda to buy Shire for $62B

Japan’s Takeda Pharmaceuticals has announced it will acquire Shire, an Ireland-based drug company, for $62 billion, making Takeda one of the 10 largest pharma firms in the world.

May 9, 2018
Sen. Lamar Alexander, R-Tennessee

ACA stabilization bill is dead, says Republican sponsor, as insurers propose major premium hikes

Sen. Lamar Alexander, R-Tennessee, has said he’s abandoning efforts to push a bipartisan bill meant to stabilize the Affordable Care Act (ACA) exchanges, putting the blame on Democrats’ resistance to making changes to the law. With no congressional action likely this far into an election year, exchange insurers are requesting some eye-popping hikes for 2019 premiums.

May 9, 2018

5 objectives in CMS’s rural health strategy

“For the first time, CMS is organizing and focusing our efforts to apply a rural lens to the vision and work of the agency,” CMS Administrator Seema Verma, MPH, said in a statement.

May 8, 2018

Can a radiologist be sued for failing to follow up with a referring physician?

In an imaging landscape where 64 percent of recommendations for supplemental screening are ignored by referring physicians, radiologists face a legal question: To what extent are they responsible for making sure colleagues follow through on their advice?

May 8, 2018

Why Trump’s proposed healthcare cuts may go nowhere

President Donald Trump is looking to a rarely-utilized process called “rescission” to cut $15 billion in federal spending he already signed into law earlier this year—with much of the reductions coming from programs like the Centers for Medicare and Medicaid Innovation (CMMI) and the Children’s Health Insurance Program (CHIP).

May 8, 2018

3 key takeaways from a new survey on California’s breast density law

California’s breast density law is scheduled to expire in January 2019. To gauge the feelings of people most affected by this possible expiration, Are You Dense and Are You Dense Advocacy surveyed more than 500 women between the ages of 40 and 74 who live in California and have had a mammogram within the last two years.

May 8, 2018

CMS draws line on reforms by rejecting lifetime limits in Medicaid

Kansas’s proposal to impose a three-year lifetime limit on Medicaid benefits has been formally rejected by CMS, with Administrator Seema Verma, MPH, saying the agency has to ensure the program “remains a safety net for those that need it most.”

May 8, 2018