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. 

sales commission

Medicare Advantage grows into a $10B-plus opportunity for go-getter brokers selling plans for private insurers

These third-party marketers earn commissions from their insurer clients not only upon initial signups but also every time “their” enrollees renew without changing plans.

President Trump

Trump’s SEC eliminates 50-year-old ‘gag rule’ for enforcement settlements

The agency cited free speech as its reasoning for rescinding the long-standing policy. While in place, the rule barred companies that agreed to settlements with the Securities and Exchange Commission from publicly denying allegations made by regulators.

ACR supports Nuclear Regulatory Commission's proposal to loosen security requirements for radioactive materials

The commission estimates that its proposed changes could save the industry more than $11 million annually. 

Samuel Jones, MD, MPH, director of inpatient electrophysiology at the Memorial Hospital, Chattanooga Heart Institute, discusses concerns over new heart failure Medicare Ambulatory Specialty Model payment model that starts on Jan. 1, 2027.

Cardiologists scramble to prepare for mandatory heart failure payment model

Samuel Jones, MD, reviews some of the biggest concerns about a new Medicare payment model focused on heart failure care that goes live in 2027. 

Acist Pro Diagnostic System from ACIST Medical Systems/Bracco

FDA clears next-gen contrast management system for the cath lab

The Acist Pro Diagnostic System provides real-time contrast tracking, customizable presets and on-screen troubleshooting.

patient education

ROI research: Community health workers are an unsung bargain

U.S. healthcare gets plenty of bang for its buck out of community health workers (CHWs), according to a systematic review of the relevant published research. 

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Despite 63% increase in mental health utilization, overdoses and suicides for men rise

No group fared particularly well in an analysis from Trilliant Health looking at publicly reported data. Most of the new utilization of mental health services was for anxiety, with women seeking care most often.

Optum UnitedHealthcare UnitedHealth Group HQ

Optum Rx outlines changes to PBM business model, promising price transparency

The company made the changes after its manufacturer rebates for insulin were challenged by the Federal Trade Commission. Among other shifts, Optum said 100% of all rebates will be distributed to customers by 2028.