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. 

Omnibus spending bill includes vital mammography protections

The $1.3 trillion bill, signed by President Donald Trump March 23, included critical protections granted by the Consolidated Appropriations Act, which ensures women who want to get regular mammograms keep insurance coverage with no copay.

March 26, 2018
The U.S. Congress is working on healthcare legislation to fix medicare reimbursements and end annual cuts to physicians.

ACR applauds spending bill’s extension of rule that recognizes 2002 USPSTF breast cancer screening recommendations

When President Trump signed the $1.3 trillion spending bill into law on March 23, it included an extension of a rule first passed in 2015 that recognizes 2002 U.S. Preventive Services Task Force (USPSTF) breast cancer screening recommendations as opposed to 2009 or 2016 recommendations.

March 26, 2018
Legislation

How to evaluate Medicaid buy-in proposals

In the midst of threats to the Affordable Care Act and pushes for more dramatic shifts to single-payer healthcare, some Democrats in Congress and state legislatures have begun proposing a different option: allowing people to buy into Medicaid. But not all those proposals would achieve their goals in the same way, argue Duke University researcher David Anderson, MSPPM, and Harvard University PhD student and former CMS spokesperson Emma Sandoe.

March 23, 2018
Scales of justice.

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.

March 23, 2018
Mission Health logo

‘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.

March 23, 2018

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.

March 23, 2018
united states map

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.

March 22, 2018

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.

March 22, 2018