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.

ACC raises red flags over telehealth, payment reform and the cardiologist shortage
"We need telehealth the way we had it for COVID," Cathie Biga told Cardiovascular Business at TCT 2025. "We don't want to go back to having it so restricted."
Radiologists remain dominant specialty for key clot-busting procedure, with opportunity for expansion
Cardiologists recorded the biggest overall uptick in claims at roughly 185%, according to research published Thursday in the Journal of the American College of Radiology.
Healthcare AI today: Rusty clinical skills, AI growing up so fast, AI for the malnourished
Clinicians who come to rely on AI for decision support risk the dulling of their skills. The concern is not new. But now comes a pointed call to researchers: Inquire about the particulars of the peril.
Hospital lobby strongly urges Medicare to delay model targeting ‘wasteful’ radiology services
The American Medical Association also recently held a webinar about WISeR to share key details with physicians.
Married couple in New York arrested for stealing $3M from Medicaid
Rohail Raja, 45, and his wife, Sharma Alam, 45, are charged with first-degree grand larceny which carries a possible penalty of 25 years in prison. The duo are accused of submitting fraudulent bills to Medicaid for transportation services they never delivered.

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Medical marijuana company sued after 1M records leaked online

Ohio Medical Alliance, which operates in six states to help individuals obtain medical marijuana cards, is facing a class action lawsuit after a cybersecurity researcher discovered a 323 GB trove of patient data online.

Anders Gilberg, MGA, Senior Vice President, Government Affairs at Medical Group Management Association (MGMA), said the rapid fire changes in healthcare policy under the Trump administration has been a whirlwind with a mix of reactions by stakeholders to policies based on reality and and also perception of possible impacts. #MGMA

MGMA weighs in on Washington’s political turmoil, Medicaid cuts and healthcare policy uncertainty

“It’s been a whirlwind,” Anders Gilberg, senior vice president of government affairs at MGMA, told HealthExec. “Rarely do we have an administration come in and do so much in such a short period of time.”

Healthcare AI today: major breast screening AI trial, AI’s appetite for data, AI prior auth: wise and WISeR, more

CMS is prepping to pilot AI for prior authorization of Medicare claims in six states. Critics say the Trump Administration is acting hypocritically.

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Controversial Medicare cost-cutting initiative may kill seniors, radiology society warns

The Society of Interventional Radiology on Monday formally announced its opposition to the Wasteful and Inappropriate Service Reduction (or “WISeR”) Model.

Experts call for greater scrutiny around conflicts of interest between radiologists, AI developers

"Manufacturers of radiology devices may be less likely to disclose payments because many fall outside current reporting requirements," researchers write in JAMA.

CMS grants pass-through payment status for new prostate imaging agent Gozellix

This enables separate reimbursement for the radionuclide diagnostic agent under the Hospital Outpatient Prospective Payment System, manufacturer Telix says.

Medicaid cuts force healthcare-for-homeless program to close shelter, lay off staff

The nonprofit Boston Health Care for the Homeless Program said it expects to lose $7 million in revenue next year, thanks to provisions of the One Big, Beautiful Bill Act that reduce federal spending on safety-net healthcare programs.

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FDA investigating Johnson & Johnson medical devices again after 5 injuries

To address this latest safety concern, the third in three months, the company is updating each device and then returning it to the customer.

Policy & Regulations

ACC raises red flags over telehealth, payment reform and the cardiologist shortage

Radiologists remain dominant specialty for key clot-busting procedure, with opportunity for expansion

Healthcare AI today: Rusty clinical skills, AI growing up so fast, AI for the malnourished

Hospital lobby strongly urges Medicare to delay model targeting ‘wasteful’ radiology services

Married couple in New York arrested for stealing $3M from Medicaid