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.

Some reviewers opposed FDA's approval of new drug for life-threatening disease
When the FDA approved elamipretide for the treatment of Barth syndrome, not everyone agreed with the agency's decision.
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.

American College of Radiology loses fight with CMS over ultrasound payment restriction

Despite the denial, ACR said it will continue fighting “misguided proposed edits,” having scored victories a “significant” percentage of the time.

coronavirus COVID-19 vaccine vaccination

AHA asks Congress to provide more COVID-19 funds

The American Hospital Association (AHA) has asked Congress to provide more financial relief as the COVID-19 pandemic continues.

FDA approves new radioligand therapy for PSMA positive metastatic prostate cancer

In clinical trials, the therapy reduced patients' risk of death by 38%, along with significantly decreasing disease progression.

FDA approves new therapy, complementary imaging agent for treating metastatic prostate cancer

Provider advocates praised the decision, calling it “one of the greatest success stories in nuclear medicine history.”

Navigating a radiology malpractice lawsuit in 8 steps

Many members of the specialty will face such a suit during their careers, and it is wise to take steps to prepare, experts wrote Monday in JACR.

Radiology groups urge Congress to address scarcity of AI solutions in pediatric care

The Society for Pediatric Radiology and ACR want lawmakers to draft healthcare policies that encourage innovation in artificial intelligence to address this gap.

States move breast cancer screening bills forward

The bills update the ages at which insurance carriers are required to cover screening mammograms and add language that includes tomosynthesis in the definition of mammographic screening.

American College of Radiology issues call to action to stop ‘dangerous’ scope-of-practice bills

Wisconsin lawmakers recently passed the “APRN Modernization Act,” which would greatly expand such nurses' authority, ACR said.

Policy & Regulations

Some reviewers opposed FDA's approval of new drug for life-threatening disease

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