Regulations - Health Care Quality Digest

FTC: PBMs may ‘urgently’ require ‘potential regulation’

Fierce Healthcare

JULY 9, 2024

. | The FTC turned its attention toward pharmacy benefit managers in a new report detailing the consequences of consolidation and vertical integration, warning legal action and regulation could follow.

Regulations

Regulations Integration

Industry Voices—Prior authorization regulations: Where they fall short, where we’re moving the needle

Fierce Healthcare

JULY 12, 2024

Regulations and policies are moving the industry in the right direction, but there is still room for improvement in key areas where regulations don't go far enough. Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers.

Regulations

Amedisys says Oregon regulators are reviewing its $3.7B acquisition by UnitedHealth

Fierce Healthcare

MARCH 20, 2024

Amedisys disclosed Tuesday that Oregon regulators are probing the company's potential acquisition by UnitedHealth Group. Amedisys disclosed Tuesday that Oregon regulators are probing the company's potential acquisition by UnitedHealth Group.

Regulations

As AI adoption in healthcare grows, Senate lawmakers weigh regulation, payment approaches

Fierce Healthcare

FEBRUARY 12, 2024

As the use of artificial intelligence technology in healthcare grows, federal lawmakers are weighing how to protect patients without hindering innovation and many in Congress are pushing for strong | As the use of artificial intelligence technology in healthcare grows, federal lawmakers are weighing how to protect patients without hindering innovation (..)

Regulations

Regulations Healthcare

Federal regulators, clinicians make their case against private equity in healthcare

Fierce Healthcare

MARCH 6, 2024

Federal regulators are weighing new safeguards against exploitative dealmaking by private equity firms within healthcare—and, so far, they aren't signaling any reprieve for the corporate investors | FTC, DOJ and HHS heads were receptive to testimonies given by providers and researchers Tuesday on the need for policy changes addressing private (..)

Regulations

Regulations Healthcare

New York State proposes new cybersecurity regulations for hospitals

Fierce Healthcare

NOVEMBER 14, 2023

New York has proposed a slew of new cybersecurity regulations for the state’s hospitals and plans to funnel $500 million from its FY24 budget to help facilities upgrade their technology systems, Go | Should its proposal be finalized, the Empire State will give hospitals a year and access to a $500 million fund to bring their facilities into compliance. (..)

Regulations

Regulations Hospitals

Why regulators didn’t challenge Amazon-One Medical deal, despite data concerns

Health Care Dive

MARCH 1, 2023

billion buy of primary care company One Medical closed last week without a challenge from the FTC, even as consumer protection groups and regulators aired worries about the tie-up. The ecommerce giant's $3.9

Regulations

Regulations Primary Care

Steward buy could add 3,000 doctors to Optum’s physician network, regulator says

Health Care Dive

APRIL 11, 2024

A Thursday board meeting among Massachusetts regulators shed more light on UnitedHealth’s proposed buy of Stewardship Health.

Regulations

Regulations Doctors

Elevance Health, BCBSLA press pause on $2.5B merger as regulators turn up the heat

Fierce Healthcare

SEPTEMBER 26, 2023

billion merger plans as state regulators raise concerns about the impact it could have on local competition. Elevance Health and Blue Cross and Blue Shield of Louisiana are pressing pause on $2.5

Regulations

Steward Health Care's physician group sale to Optum is off, regulator says

Fierce Healthcare

JUNE 28, 2024

. | Optum has informed the Massachusetts Health Policy Commission that it is "no longer working to finalize an agreement" with the bankrupt Steward Health Care, a spokesperson for the regulator said.

Regulations

Regulations Healthcare

'Devil in the details' for Biden's AI strategy but some experts are skeptical about efforts to regulate the technology

Fierce Healthcare

NOVEMBER 9, 2023

But, many industry experts are skeptical about how AI can be effectively regulated given the fast pace of innovation. President Joe Biden's sweeping Executive Order on art | President Joe Biden's sweeping Executive Order on artificial intelligence marks a significant move to set ground rules for safety, security and privacy.

Regulations

Regulators warn hospitals and telehealth companies about privacy risks of Meta, Google tracking tech

Fierce Healthcare

JULY 21, 2023

Federal regulators are warning hospital systems and telehealth providers about the data privacy risks of using third-party tracking technologies.

Regulations

Regulations Hospitals Integration

CMS tackles provider availability, exchange regulations in proposed rule

Health Care Dive

DECEMBER 13, 2022

The regulation comes as the ACA exchanges, spurred by financial incentives during the COVID-19 pandemic, reached record enrollment numbers.

Regulations

Zelis helps address new NSA and TiC regulations

Health Care Dive

OCTOBER 18, 2021

Learn more about innovative solutions that can help you comply with new regulations.

Regulations

FDA calls for ‘nimble’ regulation of ChatGPT-like models to avoid being ‘swept up quickly’ by tech

Health Care Dive

MAY 10, 2023

The head of the agency said the models are “ushering in the revolution that many of us were hoping for,” but cautioned that the sector will need to be regulated appropriately.

Regulations

Healthcare Dealmakers—Elevance to acquire BCBSLA; Regulators' request for Sanford and Fairview and more

Fierce Healthcare

FEBRUARY 1, 2023

Healthcare Dealmakers—Elevance to acquire BCBSLA; Regulators' request for Sanford and Fairview and more dmuoio Wed, 02/01/2023 - 14:41

Regulations

Regulations Healthcare

New York proposes ‘nation-leading’ hospital cybersecurity regulations

Health Care Dive

NOVEMBER 13, 2023

The rules, which would require facilities to develop response plans and hire a chief information security officer, aim to safeguard hospitals from growing threats and keep them operating during an attack.

Regulations

Regulations Hospitals

Antitrust regulators aim to revamp merger guidelines, signaling threat to health sector deals

Health Care Dive

JANUARY 19, 2022

The news sparked headlines about an attempt by regulators to target big tech, but it could have serious implications for the healthcare sector for years to come.

Regulations

Regulations Healthcare

Zelis helps address new NSA and TiC regulations

Health Care Dive

NOVEMBER 15, 2021

Learn more about innovative solutions that can help you comply with new regulations.

Regulations

Medical practices say regulations adding more red tape that hamstrings patient care

Fierce Healthcare

OCTOBER 26, 2021

Medical practices say regulations adding more red tape that hamstrings patient care. Tue, 10/26/2021 - 12:00.

Regulations

What state regulators can learn from Bright Health's financial woes

Fierce Healthcare

MAY 2, 2023

What state regulators can learn from Bright Health's financial woes fdiamond Tue, 05/02/2023 - 16:02

Regulations

From 340B to short-term health plans: Here are the top 4 regulations to watch for in 2022

Fierce Healthcare

DECEMBER 10, 2021

From 340B to short-term health plans: Here are the top 4 regulations to watch for in 2022. Fri, 12/10/2021 - 16:44.

Regulations

‘Revolving door’ between HHS and industry could influence regulation, study says

Health Care Dive

SEPTEMBER 7, 2023

Thirty-two percent of people appointed to positions at the HHS between 2004 and 2020 exited to the private sector, raising concerns about objectivity, according to new research.

Regulations

Limiting hospital price regulation to concentrated markets would miss the worst offenders

Fierce Healthcare

SEPTEMBER 13, 2021

Limiting hospital price regulation to concentrated markets would miss the worst offenders. Mon, 09/13/2021 - 12:28.

Regulations

Regulations Hospitals

Biden admin proposes new mental health parity regulations

Fierce Healthcare

JULY 25, 2023

Amid a worsening mental health crisis, the Biden administration is proposing a slew of regulatory changes aimed at improving access to critical care. Amid a worsening mental health crisis, the Biden administration is proposing a slew of regulatory changes aimed at improving access to critical care.

Regulations

Health cost regulator tells Mass General Brigham to clamp down on spending, critiques $2B expansion plan

Fierce Healthcare

JANUARY 26, 2022

Health cost regulator tells Mass General Brigham to clamp down on spending, critiques $2B expansion plan. Wed, 01/26/2022 - 15:23.

Regulations

Regulating International Commercial Surrogacy

Bill Of Health

MARCH 18, 2024

There is currently no regulation of international surrogacy. Creating such regulation is important to allow appropriate access to surrogacy services while mitigating its harmful consequences. there is no federal law on surrogacy, and state regulations are highly variable. For instance, surrogacy costs around $100,000 in the U.S.

Regulations

Regulations Accountability Medical Tourism

Washington state bill seeks to regulate hospital mergers, care access

Health Care Dive

FEBRUARY 13, 2024

The Washington state Senate advanced legislation Thursday that grants the state attorney authority to deny mergers that may limit healthcare access.

Regulations

Regulations Hospitals Healthcare

The ‘Strange Tension’ That Exists Between Consumer-Directed Models, Regulations Surrounding Them

Home Health Care

FEBRUARY 13, 2024

However, there is a tension that exists between the demand for those alternative care models and the regulations from the federal government that could drastically affect them. You get regulated based on that nurse registry licensure. Florida is a great example,” Spinola said. That’s what the model is.

Regulations

Regulations Home Care Law Firms Medicaid

Book Review: ‘The Truth Pill: The Myth of Drug Regulation in India’

Bill Of Health

NOVEMBER 18, 2022

The Truth Pill , authored by Dinesh Thakur and Prashant Reddy , is a monumental work that convincingly shows that drug regulation is but a myth in India. In their investigative style, the authors explain drug regulation in India through the lens of history, both Indian and global. By Aparajita Lath.

Regulations

Regulations Pharmaceuticals

Friday Health Plans to shut down as state regulators step in

Health Care Dive

JUNE 5, 2023

In a statement, the insurer said it was “unable to scale our financial infrastructure to match the pace of our growth and secure the additional capital required to run our business.”

Regulations

Brain and Machine Confluence Requires Multi-Sectoral Regulation To Maximize Gains

The Rand Blog

FEBRUARY 15, 2023

As the commercialization of brain-computer interface technology expands, it would be prudent for international policymakers to consider how this technology should be regulated, in order to reap its benefits and minimize its risks.

Regulations

Massachusetts lawmakers call on regulators to review Steward-UnitedHealth deal

Health Care Dive

APRIL 10, 2024

Antitrust agencies could be sympathetic toward the deal, given Steward’s financial distress and important hospital portfolio. But sympathy won’t shield the deal from scrutiny, an expert told Healthcare Dive.

Regulations

Regulations Hospitals Healthcare

Regulators Force Medical Device Manufacturers to Protect Against Cyberattacks

HIT Consultant

JUNE 11, 2023

Luckily for us consumers, regulators have decided to take matters into their own hands. Under the regulation, manufacturer car and truck sales would be prohibited in the EU unless proven that their vehicle types underwent rigorous cybersecurity measures.

Regulations

Regulations Life Sciences

FDA Announces Final Regulation Governing Laboratory Developed Tests

HKLaw

APRIL 30, 2024

Laboratory developed tests (LDTs) will be regulated as medical devices following the announcement of the U.S. Food and Drug Administration's final rule on LDTs.

Regulations

Texas judge rules to vacate more No Surprises Act regulations

Health Care Dive

AUGUST 28, 2023

The ruling, which targets guidance related to the independent dispute resolution process, prompted the CMS to again pause all federal disputes.

Regulations

Substance Use Disorder Confidentiality Regulations Modified to Align with HIPAA

HKLaw

FEBRUARY 25, 2024

After HHS OCR and SAMHSA issued the proposed changes to SUD Patient Records regulations, they have finalized such rules to better harmonize the Part 2 Regulations.

Regulations

OHCA’s Revised Regulations Following Comments from Industry Stakeholders

Sheppard Health Law

OCTOBER 24, 2023

As we anticipated in our previous blog article , the Office of Health Care Affordability (OHCA) made revisions to its proposed regulations following the public workshop hosted by the California Department of Health Care Access and Information (HCAI) in August. On October 9, 2023, HCAI and OHCA published a revised draft of the regulations.

Regulations

Regulations Primary Care Prevention Hospitals

Federal regulators nix contested language in surprise billing final rule

Health Care Dive

AUGUST 22, 2022

The final rule removes the earlier requirement that arbiters must first presume that the median in-network rate is the appropriate payment.

Regulations

Fall of SVB hits healthcare sector as federal regulators step in

Health Care Dive

MARCH 13, 2023

The major healthcare and life sciences lender closed Friday in the culmination of a rapid four-day nosedive that left some healthcare companies temporarily locked out of funds.

Life Sciences

Life Sciences Regulations Healthcare

It just got easier to navigate digital health product regulations

Health Care Dive

AUGUST 7, 2023

Learn how to navigate digital product regs and build a strong regulatory strategy with DiMe’s new course.

Regulations

Health spending spikes in Massachusetts amid high drug expenses, unprecedented patient cost sharing, regulator warns

Fierce Healthcare

MARCH 14, 2024

Pharmaceutical costs, non-claims payments and outpatient care fueled “unchecked” healthcare spending in Massachusetts that's increasingly being felt by its residents, according to new findings from | The Bay State's healthcare cost growth benchmark program is calling for policy action after a report showed per-person health spending well (..)

Regulations

Regulations Pharmaceuticals Healthcare

Zelis Helps Address New NSA and TiC Regulations

Fierce Healthcare

SEPTEMBER 23, 2021

Zelis Helps Address New NSA and TiC Regulations. Thu, 09/23/2021 - 15:54.

Regulations

The Biden Administration Should Resolve Cannabis Regulation Chaos

Bill Of Health

AUGUST 13, 2021

The Biden Administration has the opportunity to be the first administration to rid our legal system of cannabis regulation chaos. State laws governing medical or recreational cannabis conflict with federal regulations, leaving cannabis consumers, businesses, and the lawyers representing them caught in the middle. By Troy Sims.

Regulations

Regulations Accountability

FTC: PBMs may ‘urgently’ require ‘potential regulation’

Industry Voices—Prior authorization regulations: Where they fall short, where we’re moving the needle

Trending Sources

Amedisys says Oregon regulators are reviewing its $3.7B acquisition by UnitedHealth

As AI adoption in healthcare grows, Senate lawmakers weigh regulation, payment approaches

Federal regulators, clinicians make their case against private equity in healthcare

New York State proposes new cybersecurity regulations for hospitals

Why regulators didn’t challenge Amazon-One Medical deal, despite data concerns

Steward buy could add 3,000 doctors to Optum’s physician network, regulator says

Elevance Health, BCBSLA press pause on $2.5B merger as regulators turn up the heat

Steward Health Care's physician group sale to Optum is off, regulator says

'Devil in the details' for Biden's AI strategy but some experts are skeptical about efforts to regulate the technology

Regulators warn hospitals and telehealth companies about privacy risks of Meta, Google tracking tech

CMS tackles provider availability, exchange regulations in proposed rule

Zelis helps address new NSA and TiC regulations

FDA calls for ‘nimble’ regulation of ChatGPT-like models to avoid being ‘swept up quickly’ by tech

Healthcare Dealmakers—Elevance to acquire BCBSLA; Regulators' request for Sanford and Fairview and more

New York proposes ‘nation-leading’ hospital cybersecurity regulations

Antitrust regulators aim to revamp merger guidelines, signaling threat to health sector deals

Zelis helps address new NSA and TiC regulations

Medical practices say regulations adding more red tape that hamstrings patient care

What state regulators can learn from Bright Health's financial woes

From 340B to short-term health plans: Here are the top 4 regulations to watch for in 2022

‘Revolving door’ between HHS and industry could influence regulation, study says

Limiting hospital price regulation to concentrated markets would miss the worst offenders

Biden admin proposes new mental health parity regulations

Health cost regulator tells Mass General Brigham to clamp down on spending, critiques $2B expansion plan

Regulating International Commercial Surrogacy

Washington state bill seeks to regulate hospital mergers, care access

The ‘Strange Tension’ That Exists Between Consumer-Directed Models, Regulations Surrounding Them

Book Review: ‘The Truth Pill: The Myth of Drug Regulation in India’

Friday Health Plans to shut down as state regulators step in

Brain and Machine Confluence Requires Multi-Sectoral Regulation To Maximize Gains

Massachusetts lawmakers call on regulators to review Steward-UnitedHealth deal

Regulators Force Medical Device Manufacturers to Protect Against Cyberattacks

FDA Announces Final Regulation Governing Laboratory Developed Tests

Texas judge rules to vacate more No Surprises Act regulations

Substance Use Disorder Confidentiality Regulations Modified to Align with HIPAA

OHCA’s Revised Regulations Following Comments from Industry Stakeholders

Federal regulators nix contested language in surprise billing final rule

Fall of SVB hits healthcare sector as federal regulators step in

It just got easier to navigate digital health product regulations

Health spending spikes in Massachusetts amid high drug expenses, unprecedented patient cost sharing, regulator warns

Zelis Helps Address New NSA and TiC Regulations

The Biden Administration Should Resolve Cannabis Regulation Chaos

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