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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Medicare Physician Fee Schedule includes CPT code, $1,000 payment amount for imaging AI software

CMS is suggesting such reimbursement for coronary plaque analysis software, offered by vendors Cleerly, Elucid and HeartFlow. 

Blue Cross Blue Shield BCBS

Hospital sues insurer over use of AI to deny $2M in claims

AdventHealth Shawnee Mission is suing Blue Cross and Blue Shield of Kansas City over its AI claims audits, which have rejected some 350 incidents of patient care. The hospital claims the insurer is violating state and federal laws.

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FDA issues recall on defective cranial drills after 10 injuries

The devices are manufactured by Integra LifeSciences. Due to a manufacturing error where inadequate welding has caused bits to get stuck in patients’ skulls, this recall has been designated as the most serious type.

By Missouri State Archives - MO Attorneys General - 42 Joshua D. Hawley (2017-2019)

GOP senator introduces bill to repeal federal Medicaid cuts

Josh Hawley (R-MO) voted for the “One Big, Beautiful Bill Act,” which narrowly passed the Senate. Now he’s introducing legislation to increase funding for rural hospitals and roll back cuts to safety-net healthcare programs.

Alan Matsumoto, MD, chairman of Board for the American College of Radiology, explains Medicare cuts over the past 20 years lowered physician payments 33% and they can no longer cover expenses. The "Big Beautiful Bill" helps addressing this, but fails to make up decades of cuts to physician pay.

ACR says Medicare physician payments are unsustainable, urges congressional action

Alan Matsumoto, MD, chair of the American College of Radiology board, discusses how cuts over the past 20 years have lowered physician payments 33%. 

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American College of Radiology assembles experts to investigate economics of AI

Their mission is to address the lack of Medicare, Medicaid and private insurance reimbursement for AI tools used in medical imaging. 

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HHS formally lays off thousands of employees following SCOTUS ruling

After the Supreme Court lifted a lower court injunction, approximately 10,000 employees at the U.S. Department of Health and Human Services were officially terminated.

Suman Tandon, MD, FASNC, a cardiac imager at St. Francis Hospital and Heart Center, in Rosyln, New York, and an American Society of Nuclear Cardiology (ASNC) representative to the American Medical Association (AMA) House of Delegates (HOD), explains ASNC’s call on Congress for to reduce prior authorization, appropriate use mandates and to make Medicare payment reforms.

ASNC lobbies Congress to curb prior authorization, oppose AUC mandates and embrace payment reform

Suman Tandon, MD, an American Society of Nuclear Cardiology board member, explains the group's call on Congress to update a number of healthcare policies.