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.

DOJ accuses doctor of illegally prescribing opiates in exchange for sex
Ritesh Kalra, MD, allegedly wrote 31,000 opioid prescriptions between 2019 and 2025, many of which were illegitimate. He is accused of inappropriately touching patients in exchange for oxycodone scripts as part of a five-count criminal indictment.
Assembly issue spurs FDA recall on manual resuscitators
A problem with the B/V filters on SunMed adult resuscitators can cause the devices to malfunction. Due to the high safety risk this poses to patients, the FDA has assigned this recall its most serious designation.
Bipartisan lawmakers seek to increase funding for mobile CT lung cancer screening
The Mobile Cancer Screening Act would offer grants to help imaging providers purchase mobile CT screening units through the federal government.
Healthcare AI today: Pittsburgh’s bonanza, Bay area’s superstars, Dr. Google’s followers, more
The numbers from Pittsburgh are staggering. And they’re all about blasting American-made AI into the stratosphere, if not to Infinity and beyond.
Two insurers dominate most Medicare Advantage markets, report finds
Over 97% of all counties in the U.S. see high or very high levels of consolidation in Medicare Advantage markets, with UnitedHealthcare and Humana owning the most plans nationwide.

Closing the coverage gap: How to empower patients in mammography

Radiology Business Management Association President Kit Crancer discusses the current coverage landscape for women's imaging and one promising national development.

Coverage is now available for new Alzheimer's drug

In a July 6 announcement, CMS shared that coverage is officially available for Leqembi for those who meet certain criteria.

President Biden cracks down on short-term health plans, calls them 'junk insurance'

The proposed rule would require that short-term plans are truly short-term and are active for just three months.

Billing claims for nonphysician image interpretation leapt 27% over a 5-year period

"Since several states are shifting toward granting NPPs more autonomy, this is something worth watching," the study's author told Radiology Business.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Imaging AI vendors’ marketing hype doesn’t always match materials submitted to the FDA

About 1 in 8 were discovered to have marketing materials that made claims differing from their premarket approval.

American Medical Association issues CPT code for AI-based brain MRI software

Icometrix said the current procedural terminology code covers its FDA-cleared quantification software, “creating a path to reimbursement.”

Cost of healthcare expected to increase by 7% in 2024

The estimated increase is driven by multiple factors, including labor shortages, provider contract negotiations and rising drug prices.

Policy & Regulations

DOJ accuses doctor of illegally prescribing opiates in exchange for sex

Assembly issue spurs FDA recall on manual resuscitators

Bipartisan lawmakers seek to increase funding for mobile CT lung cancer screening

Healthcare AI today: Pittsburgh’s bonanza, Bay area’s superstars, Dr. Google’s followers, more

Two insurers dominate most Medicare Advantage markets, report finds