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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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. 

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Lawmaker ‘deeply concerned’ over $250M HHS contract for coronavirus-related PR work

Rep. Frank Pallone Jr., D-N.J., worries the agency is using taxpayer funds to fuel the commander-in-chief’s bid for a second term. 

New CPT code to help radiology practices report additional costs stemming from COVID care

Approved for immediate use beginning Sept. 8, code 99072 covers any additional supplies, materials or clinical staff time used during the pandemic. 

Alleged Stark violations, kickbacks to cost hospital $50M

A 223-bed acute care institution with a medical staff of nearly 300 physicians has agreed to pay $50 million over allegations it deliberately submitted ineligible claims to Medicare and profited handsomely by these actions.  

wallet purse broke bankrupt

75% of multiple sclerosis patients experiencing ‘financial toxicity,’ radiology experts warn

Researchers with Emory University and the Harvey L Neiman Health Policy Institute polled hundreds of patients to reach their conclusions.