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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UnitedHealth subsidiary must pay $20M after purposely denying claims to ‘protect its bottom line’

The ruling ends a more than six year class-action lawsuit against United Behavioral Health.

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Physicians exploring options to speed up legal timetable in surprise-billing suit against feds

The government has until early March to respond, but 3 professional organizations including the ACR want a faster resolution since the No Surprises Act took effect Jan. 1. 

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American College of Radiology says recent advocacy efforts will save physicians more than $1B

Avoiding such Medicare reductions, despite a "bitterly partisan Congress" and ongoing pandemic, is "simply remarkable," one ACR leader said Thursday. 

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No Surprises Act takes effect, leading to a mix of cheers and jeers from heart specialists

Many healthcare groups remain concerned about the law's potential long-term impact on providers and patients alike. 

Xavier Becerra

Amid lawsuits, radiologist opposition, Biden administration touts start of surprise medical bill ban

HHS Secretary Xavier Becerra believes this marks the “most critical consumer protection law” since the Affordable Care Act of 2010.  

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American College of Radiology sues federal government to halt controversial piece of surprise billing rule

ACR is joined by similar groups representing anesthesiologists and emergency physicians, hoping to fix a new process aimed at settling disputes between providers and payers. 

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New lawsuit alleges Duke is working to ‘destroy’ private physicians group

Meanwhile, representatives with the institution say the suit "has no basis in fact or law" and that the university plans to fight it.

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Cash cost for imaging often lower than payer-negotiated price, with widespread variation across hospitals

Providers are less likely to reveal prices for more expensive services, which might suggest "strategic disclosing decisions," experts wrote in JAMA