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. 

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Liability for following AI treatment recommendations not so clear-cut, but emerging patterns suggest safe pathways

‘We find that two factors reduce lay judgment of liability: following standard care and following the recommendation of AI tools.’

September 29, 2020
Cybercrime

Primera Blue Cross hit with $6.85M penalty, corrective action plan for HIPAA violations

The resolution represents the second largest payment to resolve a HIPAA investigation in OCR history. It also includes a robust corrective action plan that calls for, among other things, two years of monitoring.

September 29, 2020
Canada

US residents may soon be buying drugs from Canada—legally

The Trump Administration’s main aim is widening consumer access to lower prices.

September 25, 2020
Seema Verma WaPo

Washington implores parents, providers to catch kids up on regular doctor visits

So many parents have held children back from visiting clinicians’ offices during the COVID crisis that CMS is issuing an urgent call to action: Please hold them back no more.

September 24, 2020

Nursing homes using hospitals as middlemen to bounce low-reimbursement, high-maintenance residents

A common tactic is sending off Medicaid-covered seniors with dementia following emergency “psychotic” episodes. When psychiatric wards and hospitals quickly discharge the patients, the nursing homes refuse to take them back in.

September 21, 2020
Hospital Costs

Rand study suggests hospitals are exorbitantly overpaid by private insurers; AHA reacts

In real dollars, these payers’ combined savings would have nearly reached $20 billion just in 2018, the analysis shows.

September 21, 2020

Lawmaker ‘deeply concerned’ over $250M HHS contract for coronavirus-related PR work

Rep. Frank Pallone Jr., D-N.J., worries the agency is using taxpayer funds to fuel the commander-in-chief’s bid for a second term. 

September 14, 2020
Twenty-three percent of cardiologists have a net worth of more than $5 million, No. 5 among all specialties, according to a new report. A majority of cardiologists also said they have had no significant financial losses in the last year. What are cardiologists paid? How much do cardiologists make?

Alleged Stark violations, kickbacks to cost hospital $50M

A 223-bed acute care institution with a medical staff of nearly 300 physicians has agreed to pay $50 million over allegations it deliberately submitted ineligible claims to Medicare and profited handsomely by these actions.  

September 10, 2020

Around the web

In addition, cardiologists average an additional $75,000 per year in incentive-based bonuses. That number is only higher for two other specialties. 

CMS has issued its proposed rule for the 2025 Medicare hospital inpatient prospective payment system, suggesting a payment increase of 2.6%. According to the American Hospital Association, this update would not be enough at a time when hospitals are already struggling to stay open. 

The rumors, it seems, were true. Once the deal is finalized, Shockwave Medical will operate as a business unit within Johnson & Johnson MedTech.

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