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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Is it OK to delay follow-ups for 'probably benign' abnormalities on mammography screening?

Many were concerned that delays in care inflicted by COVID restrictions also would potentially delay diagnoses, causing undue harm for patients.

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Feds may soon take action against Amazon’s monopoly status

Federal investigations that began in 2019 into Amazon’s potential abuse of power and consumer privacy violations may soon come to fruition with lawsuits to block the company's monopoly status, Politico reported. 

 

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Imaging center, partner hospital agree to pay $2M to settle False Claims Act case

Diagnostic Imaging Associates billed CMS for both service components, but the hospital was ineligible for reimbursement, the DOJ said.

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CMS fully resumes dispute resolutions under No Surprises Act following pressure from radiologists

Delays in determinations were "harming members’ practices" by holding up payments for services, the ACR said. 

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Department of Justice drops bid to quash UnitedHealth-Change Healthcare merger

The DOJ first filed suit more than a year ago, arguing the $8B, all-cash deal would stifle competition in the claims-processing and health insurance marketplaces. 

Price for a brain MRI actually cheaper at for-profit hospitals than their nonprofit counterparts

“My takeaway: Commercial negotiated price reflects hospitals’ market power,” the JAMA study's author told Radiology Business

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Physician sentenced in $515M pain cream fraud scheme

Gregory Auzenne, MD, a pain management specialist from Meridian, Mississippi, has been sentenced in connection with a $515 million fraud scheme over pain cream.

Multispecialty physician groups oppose FTC proposal to ban noncompete clauses

Meanwhile, the commission called such agreements an “exploitative practice that suppresses wages, hampers innovation, and blocks entrepreneurs from starting new businesses."