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. 

HeartFlow Plaque Analysis

CMS updates Medicare coverage for AI-powered coronary plaque assessments

The new policy goes into effect in November, improving Medicare coverage for a technology that has rapidly gained momentum in recent years.

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Teva settles with DOJ for $450M to resolve latest price fixing allegations

The world's largest generic drug manufacturer allegedly paid charities kickbacks to cover patient co-pays in an effort to inflate the price tag of its multiple sclerosis treatment.

Elizabeth Warren

Members of Congress introduce bill to halt private equity ‘looting’ of healthcare entities

The Stop Wall Street Looting Act closes regulatory loopholes and ends incentives that allow investors to “pillage” acquired businesses, Sen. Elizabeth Warren and colleagues note.  

pharmaceutical drug approval process

FDA’s tirzepatide decision creates uncertainty for patients—and leads to a lawsuit

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

money maze benjamin franklin reimbursement medicare

Radiologists and other physicians reject proposal to consolidate MAC jurisdictions

CMS sent out its request for information in September, mulling the possibility of reducing 4 Medicare Administrative Contractor districts down to 2. 

Money court lawsuit judge ruling scales of justice

Physicians, hospitals cry foul after court deems No Surprises Act decisions ‘unenforceable’

The ruling "gives insurers significant leverage to demand confiscatory discounts from out-of-network providers," the AMA, American Hospital Association and others contend. 

artificial intelligence in cardiology

FDA grants AI-powered ECG screening tool for aortic stenosis its breakthrough device designation

The FDA clearly sees significant potential in this new screening software from New York-based AccurKardia.

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Vaping with e-cigarettes linked to multiple cardiovascular risks

This study adds to growing evidence that e-cigarettes play a significant role in cardiovascular problems, similar to smoking. Researchers hope their work can help lead to new public health policies.