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. 

artificial intelligence AI engineer

Industry Watcher’s Digest

This is the week of DeepSeek. 

Tembo Embolic System

New interventional embolotherapy system lands FDA clearance

The bioresorbable agent is made from small irregularly shaped, dry gelatin particles designed for the embolization of hypervascular tumors and blood vessels. 

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Following announced funding freeze, White House confirms Medicaid portals are down

The White House denies that payment systems were impacted and has not given a reason for the outage. The issue only came to light due to various posts on social media from lawmakers. 

lung cancer screening

New data highlight ‘urgent need’ to expand access to lung cancer screenings

Experts estimate there are about 1.4M veterans eligible for LDCT screening, a rate three times higher than the general U.S. population. 

Department of Justice DOJ

DOJ settles $17M kickback case with catheter supplier

Liberator Medical Supply was accused of offering doctors kickbacks, such as discounted and free supplies, in exchange for filling prescriptions with its products.

Optum UnitedHealthcare UnitedHealth Group HQ

Number of Americans impacted by Change Healthcare breach nears 200M

The last count submitted to HHS in October pegged the number at 100 million. Now that figure sits at 190 million, and the company continues its investigation. 

Medicare Advantage Part C clipboard payment

CMS drops lawsuit against UnitedHealth over Medicare Advantage star rating

The Centers for Medicare & Medicaid Services appealed a court ruling that ordered the agency to change the star rating for UnitedHealthcare's Medicare Part D plans, which had been reduced due to a disputed phone call. CMS has now dropped the appeal.

value quality value-based care

MGMA's perspective on CMS’s 2030 shift to value-based care

Anders Gilberg, Senior Vice of Government Affairs at Medical Group Management Association, explains the issues that will complicate moving Medicare from fee-for-service to value-based care models in five years.