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. 

quality excellence star stethoscope

CMS approves 5 new Merit-Based Incentive Payment System measures, relieving radiology’s quality crunch

The specialty has seen a decline in available MIPS metrics in recent years, as the feds have "topped out" those with extremely high national performance, experts said. 

Mandating flu shot availability for healthcare workers saves patient lives

Hospitals required by state laws to offer healthcare workers flu shots can expect significantly reduced flu and pneumonia mortality compared with hospitals in states forgoing such mandates.

money maze payment reimbursement

Lawmakers delay RO model again as reps. seek to scale back ‘intensity’ of payment cuts

CMS had originally planned to kick off the mandatory bundled-payment effort in July, but will now punt the go-live date to Jan. 1, 2022. 

Hospital price transparency closing in

Is your organization ready to meet the new federal requirements on hospital price transparency? The policy is set to go live on New Year’s Day. 

Medicaid solidifies value-based drug payments

The revised system gives states greater leeway than they’ve had to cut value-based purchasing deals with pharma companies on innovative but expensive drugs.

COVID-19 congress coronavirus Washington

Congress mitigates radiologist pay cuts, passing year-end spending bill with $3B cash infusion

Lawmakers also finalized a long-discussed ban on surprise medical bills and pushed back the radiation oncology payment model's go-live date.

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Surprise medical billing ban nears finish line with inclusion in final government spending deal

Congress approved the measure on Dec. 21, targeting out-of-network radiology care with a new arbitration process. 

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Radiology providers see improvement, but continued concern in ‘No Surprises’ medical billing proposal

Lawmakers are pushing to include the measure in an end-of-year legislative package, but practice leaders are worried they're moving too fast.