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. 

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. 

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Congress votes to give U.S. service members, veterans permanent access to DBT screening

The 2021 National Defense Authorization Act now moves on to President Trump, who has indicated his plans to veto the bill for non-healthcare reasons.

Telehealth visits key to maintaining interventional radiology exam volumes, revenue during pandemic

At their peak, virtual consults accounted for 22.8 mean weekly visits at Mount Sinai Hospital in New York, physicians explained.

How CMS Grants New Technology Add-On Payments and Determines Substantial Similarity

Sponsored by Viz.ai

New Technology Add-On Payments (NTAP) are a class of reimbursement that are meant to help pay for new technology that is not included in the DRG bundled payment. Specifically, NTAP recognizes that current DRG payment rates can be a barrier to adopting new technology and represents an additional payment for hospital stays that use new technology determined by CMS to provide substantial clinical improvement and where the current DRG payment would be inadequate.