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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Interventional radiology chain under DOJ investigation for allegedly pushing unnecessary treatments

Modern Vascular has reportedly relied on referrals from physicians who are also investors in the company, according to a recently published report. 

Humana

‘More good news’: Humana reverses controversial coverage restrictions for PET/CT exams

The draft document expands payment for certain cardiac and neurologic indications along with SPECT/CT scans, SNMMI announced.

Lung cancer cigarettes

Radiologists and surgeons want CMS to eliminate ‘misguided’ payment barriers to lung cancer screening

Physician societies "strongly disagree" with criteria limiting LDCT screening to those who have quit smoking within 15 years.

Nanox

Nanox seeking FDA clearance for its multi-source 3D imaging machine

The Israeli startup hopes to receive clearance for its novel multi-source Nanox.ARC 3D digital tomosynthesis modality.

insurance payer payment insurer

Docs recommend fixing peer-to-peer prior authorization reviews to rein in problem plaguing radiology

Oftentimes, the payer representative has little knowledge of the imaging exam or other treatment under review, physicians charged.

UnitedHealthcare UHC UnitedHealth

UnitedHealthcare delays ED policy; ACR says ‘flawed’ rule may violate patient protection laws

The nation's largest commercial health insurer is pausing implementation until "at least the end of the national public health emergency period," the organization said recently.

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FDA renewal ensures federal committee oversees medical imaging drug safety until 2023

The Medical Imaging Drugs Advisory Committee reviews data on radiopharmaceuticals and contrast media, recommending best practices to the agency's commissioner.

UnitedHealthcare UHC UnitedHealth

UnitedHealthcare updates ‘onerous’ prior authorization process following ACR objections

The nation's largest commercial insurer recently started forcing physicians to jump through extra hoops before getting paid for certain outpatient services.