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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New Cigna plan caps monthly out-of-pocket insulin costs at $25

Cigna and Express Scripts announced April 3 they’re launching a Patient Assurance Program that will ensure individuals with diabetes pay no more than $25 out-of-pocket for insulin each month.

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Patient advocates, medical associations urge Congress to pass virtual colonoscopy bill

The bipartisan bill (HR 1969) was introduced into the U.S. House of Representatives Tuesday, April 2, by Reps. Danny Davis (D-IL) and Brad Wenstrup (R-OH) and would provide Medicare coverage for CT colonography screening.

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There’s a better way to score hospitals with 1 to 5 stars, researchers say

The creators of CMS’s Overall Hospital Quality Star Rating ratings system—aka “Hospital Compare”—intended to present healthcare consumers with an easy, user-friendly way to choose a hospital. However, since the ratings went live in 2016, the system has proven both confusing to consumers and confounding to hospitals.

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Legislation would help radiologists submit Medicare claims when RAs perform certain actions

New legislation has been introduced in the U.S. House of Representatives that would allow radiologists to submit Medicare claims for imaging services performed by radiologist assistants (RAs) in hospitals and non-imaging services performed in the hospital or an office setting.

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Advocacy groups, healthcare organizations push for Congress to pass virtual colonoscopy bill

Patient advocacy groups and healthcare organizations, including the American College of Radiology (ACR), are urging Congress to pass HR 1969, the CT Colonography Screening for Colorectal Cancer Act.

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Updated ACR Appropriateness Criteria includes 2 new topics

The American College of Radiology (ACR) published its latest updated Appropriateness Criteria to help radiologists improve care across 12 topic areas.

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Federal judge rejects expansion of association health plans

A federal judge rejected the Trump administration’s efforts to expand access to association health plans March 29, throwing small businesses that rely on those plans into a state of uncertainty, the Washington Post reported.

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Update to ACR Appropriateness Criteria released to public

The American College of Radiology (ACR) has released an update to its ACR Appropriateness Criteria.