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. 

Thumbnail

ACR, other doc groups call for quick end to latest surprise-billing suit in new court filing

Some physicians believe recent guidance from the federal government will make the mechanism for settling payment disputes with insurers “economically infeasible."

Thumbnail

Regional One hit by data breach

Reventics, a revenue cycle management company and a business associate of Regional One Health, detected a cyber-intruder who accessed the company’s servers in December 2022.

CMS not changing ALZ drug restrictions

The announcement comes as more Alzheimer’s drugs are being evaluated with hopes that some new treatments could be breakthroughs.

mammogram mammography breast cancer

Mammography guideline changes have produced a ‘harmful’ spillover effect

Mammography screening trends had remained flat, but they fell across all age groups after the USPSTF issued new guidelines in 2009.

Harmony transcatheter pulmonary valve

Medtronic relaunches Harmony TPV system after 2022 recall

The device, which gained FDA approval in 2021, was part of a voluntary recall in 2022 due to stability concerns. Medtronic worked with the FDA to address the issue, and the Harmony TPV is once again available throughout the United States. 

insurance payer payment insurer

New prior authorization policy coming down the pipeline, American College of Radiology warns

CMS first announced the change late last year via the 2023 Outpatient Prospective Payment System/Ambulatory Surgical Center Final Rule. 

Thumbnail

Cigna stops former executive from joining CVS Health

Cigna has blocked CVS Health from hiring Amy Bricker, a former Cigna executive, after a federal judge granted the company a temporary injunction.

 

More than 100 healthcare groups unite in support of prior authorization reform

The AMA and 118 other healthcare groups are urging CMS to finalize reforms that target prior authorization in Medicare Advantage plans that delay, deny and disrupt medically necessary care to patients.