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. 

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UnitedHealthcare sued by 17 hospitals in $145M dispute over out-of-network reimbursement

The hospitals all belong to HCA Healthcare, which claims it is required by law to care for emergency patients regardless of their medical coverage status.

Cardiovascular societies support Medicare coverage for renal denervation

CMS is expected to release a proposed national coverage determination decision memo by July.
 

New FDA-cleared algorithm could improve fetal anomaly detection on ultrasound

The module helps automate the detection of eight common fetal anomalies using seven routine ultrasound views of the heart, brain and abdomen.

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Report: UnitedHealth under investigation by DOJ for Medicare Advantage upcoding

According to the Wall Street Journal, the DOJ is looking into whether the insurer is responsible for billing the Centers for Medicare & Medicaid Services for patient diagnoses not applicable to the actual care a patient will need, in an effort to boost monthly payments received by the agency. 

FDA approves first therapy for very rare lipid storage disorder

Ctexli (chenodiol) can now be prescribed to patients with cerebrotendinous xanthomatosis, a condition caused by a genetic mutation that leads to cholesterol buildup around vital organs. 

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Radiology societies demand moratorium on enforcement of ‘concerning’ Medicare decision

Societies representing neuro, interventional and spine radiologists are concerned 3 MACs do not understand the nuances of a key minimally invasive pain procedure. 

FDA announces Class I recall of Boston Scientific pacemakers—replacement may be necessary

These safety issues have been linked to more than 800 injuries and two deaths. It is possible, the FDA warned, that some patients may require a device to be removed and replaced. 

FDA ends semaglutide shortage, closing the door on compounded Wegovy, Ozempic

The years-long shortage of Wegovy and Ozempic, two popular prescription-only semaglutide injections, is officially over.