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. 

US residents may soon be buying drugs from Canada—legally

The Trump Administration’s main aim is widening consumer access to lower prices.

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Washington implores parents, providers to catch kids up on regular doctor visits

So many parents have held children back from visiting clinicians’ offices during the COVID crisis that CMS is issuing an urgent call to action: Please hold them back no more.

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National Cancer Institute reportedly looking to kill high-profile $100M mammography trial

NCI has formed a work group to review funding for TMIST, which is comparing digital breast tomosynthesis with older 2D mammo technology.

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CMS’ mandatory Radiation Oncology Model ‘goes too far,’ say provider groups pushing for delay

Chief Seema Verma said the new bundled payment effort will reward results, rather than the number of services delivered. 

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Nursing homes using hospitals as middlemen to bounce low-reimbursement, high-maintenance residents

A common tactic is sending off Medicaid-covered seniors with dementia following emergency “psychotic” episodes. When psychiatric wards and hospitals quickly discharge the patients, the nursing homes refuse to take them back in.

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Rand study suggests hospitals are exorbitantly overpaid by private insurers; AHA reacts

In real dollars, these payers’ combined savings would have nearly reached $20 billion just in 2018, the analysis shows.

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Surgeon takes second stab at suing hospital for forced in-network radiology referrals

Fired Florida orthopedic surgeon Ayman Daouk, MD, claims Orlando Health violated the Stark Law in attempting to influence his actions. 

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Radiology practice must pay $5M after delivering contrast imaging without doc supervision

Whistleblower and former employee Syd Ackerman first surfaced the allegations and stands to collect $925,000 of the payout.