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.

GLP-1 weight loss drugs will now be covered by Medicare and Medicaid—and available at a discount through TrumpRx
Novo Nordisk and Eli Lilly have agreed to sell their popular Wegovy and Zepbound injectables through TrumpRx.gov for a discounted rate, as the White House promises that Medicaid and Medicare plans will begin covering the costs.
Ohio AG investigating business practices of nonprofit safety net hospital
Authorities said in a court filing that they received a complaint about Northeast Ohio Neighborhood Health Services’ business practices. The health system owes more than $12 million to creditors, and investigators are asking to see its financial records.
California chooses Innovaccer's AI to improve Medicaid outcomes for vulnerable populations
The company will analyze claims data from over 2 million people enrolled in Medi-Cal. The data will be used for compliance reporting and to improve patient care coordination.
Society of Interventional Radiology urges UHC to update policy on radioembolization treatment
SIR contends that payments toward transarterial radioembolization (TARE)/selective internal radiation therapy (SIRT) should extend beyond the current coverage limitations in patients with liver cancer and metastases.
Monitoring, reimbursement and transparency—ACR offers White House recs for AI regulation
ACR’s input is included as part of America’s AI Action Plan, which was created to help implement emerging AI technologies into everyday workflows.

Association exec: Proposed PFS stands to do ‘incalculable damage to the medical profession’

Last week the Centers for Medicare and Medicaid Services posted a tentative Physician Fee Schedule for 2023. Initial reactions from radiology were muted. That changed this Wednesday.

Industry leader rips into 'disastrous' proposed Medicare reimbursement cuts

“CMS couldn’t have picked a worse time to cut Medicare payments to physicians,” said RBMA Executive Director Bob Still.

Abortion care still protected in emergency situations for all Americans, Biden administration clarifies

The Biden administration has seemingly found a way to federally protect abortion care services in all states in some circumstances.

Philips seeks to reduce MRI scan times with new FDA cleared AI-powered software

The new AI addition is said to increase resolution by up to 65% and is compatible with 97% of current MRI protocols.

Medtronic recalls more than 1M dialysis catheters

This is a Class I recall, which means using the devices could cause "serious adverse health consequences or death."

FDA to consider OTC birth control application

The application comes just weeks after the Supreme Court overturned Roe v. Wade, which guaranteed the right to abortion care in the U.S. for nearly 50 years.

Proposed Medicare Physician Free Schedule would decrease cardiology payments, ACC calls it ‘the continuation of a troubling trend’

CMS also announced that the penalty phase of its Appropriate Use Criteria Program has been delayed yet again.

Theranos exec found guilty on 12 counts of fraud, conspiracy

The chief operating officer of the now defunct blood-testing company was found guilty of 12 counts of wire fraud and conspiracy.

Policy & Regulations

GLP-1 weight loss drugs will now be covered by Medicare and Medicaid—and available at a discount through TrumpRx

Ohio AG investigating business practices of nonprofit safety net hospital

California chooses Innovaccer's AI to improve Medicaid outcomes for vulnerable populations

Society of Interventional Radiology urges UHC to update policy on radioembolization treatment

Monitoring, reimbursement and transparency—ACR offers White House recs for AI regulation