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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Healthcare AI today: Blind prior-auth pilots, sputtering healthtech romance, solo AI surgeons, more

Meet a robot surgeon who could operate on patients with no human in the room. 

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Radiology societies propose new imaging CPT billing codes for 2027

ACR on Wednesday touted the proposals, which were suggested at the September American Medical Association CPT Editorial Panel meeting. 

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Bipartisan bill would require Medicare Advantage plans to reimburse claims within 2 weeks

The newly introduced Medicare Advantage Prompt Pay Act would require insurance companies to have a 95% timely reimbursement rate or face a reoccurring $25,000 fine.

New GE HealthCare partnership expands access to prostate cancer imaging agent

The product, which is used to detect metastatic or recurrent prostate cancer, was approved by the FDA in 2021. 

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Expert panel develops new breast biopsy guidelines

The recommendations were designed to improve accuracy and safety in diagnosing breast lesions using multiple imaging methods, including DBT, ultrasound and MRI. 

FDA announces recall of biopsy device after 14 injuries and 1 death

The voluntary recall pertains to the ViziShot 2 FLEX from Olympus, which is used with ultrasound-guidance to help diagnose and stage lung cancer. 

Cigna

Cigna will cover CT imaging artificial intelligence software nationwide

The Bloomfield, Connecticut-based payer has committed to covering plaque analysis software offered by several competing vendors including Heartflow. 

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Medical marijuana company sued after 1M records leaked online

Ohio Medical Alliance, which operates in six states to help individuals obtain medical marijuana cards, is facing a class action lawsuit after a cybersecurity researcher discovered a 323 GB trove of patient data online.