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. 

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

Does it impact performance metrics when DBT exams are interpreted right away?

There is “no statistically significant difference” in radiologist performance metrics when screening digital breast tomosynthesis (DBT) examinations immediately compared to screening them later when the patient has left the facility, according to a new study published by Academic Radiology.

May 8, 2018

CMS approves New Hampshire to impose Medicaid work requirements

New Hampshire will become the fourth state to impose work requirements on Medicaid beneficiaries, according to a May 7 joint statement from CMS, HHS and New Hampshire Governor Chris Sununu.

May 7, 2018

Trump claims ACA is dead—but IRS still plans to enforce employer mandate

At last week’s campaign-style rally in Michigan, President Donald Trump claimed he’d done away with the Affordable Care Act (ACA) when the 2017 tax bill repealed the individual mandate. But folks at the Internal Revenue Service (IRS), though, would disagree. A recent report from the New York Times examines IRS's plan to send out penalty notices to more than 30,000 businesses in the U.S.

May 7, 2018

Elliott makes $7B all-cash bid for Athenahealth

According to CNBC, Elliott Management made an all-cash deal for Athenahealth on Monday morning. Elliott’s bid is for $160 a share—a 27 percent premium to the Massachusetts-based healthcare technology company’s Friday afternoon price.

May 7, 2018
Partners HealthCare HQ

Partners HealthCare talking merger with insurer Harvard Pilgrim

One of Massachusetts’ largest health insurers, Harvard Pilgrim, has been discussing a merger with the state’s dominant healthcare provider, Partners HealthCare, in a move that could dramatically alter the increasingly consolidated market in and around Boston.

May 4, 2018
OCR director Roger Severino

HHS sued over failing to release communications on family planning grants, religious freedom

HHS is the target of new lawsuits by a watchdog group for failing to respond to requests to release emails and online messages—one regarding Office of Civil Rights (OCR) officials and launching of its “Conscience and Religious Freedom Division,” the other over HHS communications with outside groups on changes to a federal grant program that provides birth control and other reproductive health services to low-income Americans.

May 4, 2018