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. 

The only heart failure treatment of its kind: Learn the latest billing recommendations for Barostim procedures

The Barostim device from CVRx continues to gain momentum as a go-to heart failure treatment. A free webinar is scheduled to examine the device's new CPT codes, which go into effect in 2026.

Gov. Kathy Hochul

Governor signs law requiring insurers to cover all lung cancer screening services

New York Gov. Kathy Hochul (D) formally signed S2000A/A1195A into law on Dec. 4, with it set to take effect in 2027. 

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Study finds big hospitals overpaid, rural facilities overlooked in Change Healthcare relief

Researchers from University of Minnesota found that more than 300 small, rural hospitals didn't even apply for relief. At the same time, many larger, for-profit systems received hundreds of thousands in overpayments. The findings are published in Health Affairs.

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CMS data shows 5.8M Americans enrolled in ACA coverage in November—more than last year

That number includes signups on both state and federal exchanges. To date, roughly 400,000 new plans have been sold on exchanges, year over year. But the still-unknown details will determine what exactly it all means.

Cybersecurity lock

Cardiologists join chorus of voices urging Trump administration to kill cybersecurity proposal

The proposal, first announced by the Biden administration, was developed to improve patient data security. Those opposed argue that it would significantly increase costs and create a logistical nightmare for hospitals and health systems throughout the country.

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How US healthcare can win over—or win back—the American people

The American public’s trust in healthcare institutions, long a matter of common courtesy, fell off a cliff after the COVID-19 crisis. Two academic physicians propose a treatment pathway for the injured patient—aka our healthcare system’s reputation for reliability. 

newborn baby vaccination

Kerfuffle continues over pending halt of hep B vaccine for babies

Reaction to the recommendation has been strong and mostly—but not entirely—negative. 

Medicare

Imaging advocates express frustration with final hospital outpatient payment rule

Medicare is reassigning one CPT code for SPECT scans, which will result in a 57% reduction in reimbursement for certain imaging exams.