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.

Healthcare AI today: AI bubble may burst, AI hype and hope, agentic AI coming on strong
What do you get when you fall in love with AI in healthcare? A guy with a pin to burst your bubble.
New drug recall includes more than 140K bottles of popular statin
According to the FDA, the drugs are not dissolving correctly. This can impact their ability to lower a patient’s cholesterol as intended.
Court dismisses nurse practitioners’ lawsuit challenging definition of ‘doctor’
The court's ruling is backed by the American Medical Association, which submitted an amicus brief arguing that "scope creep" threatens patient safety.
Provider participation in Medicare rose 6.3% over 10 years, peaking in 2019
A new study published in JAMA, which looked at fee-for-service Medicare records from 2013–2023, found that overall participation has trended upward. However, the details paint a complicated picture.
Report: ACA premiums to jump 30%, CMS documents show
The Washington Post reported that it reviewed documents from the Centers for Medicare & Medicaid Services, confirming that the cost of medical coverage is set to spike for 17 million Americans. Open enrollment for coverage through Affordable Care Act exchanges begins on Nov. 1.

FDA approves updated standard related to breast density reporting

The American College of Radiology requested the update in June, with the changes now taking effect this month.

Uninsured stroke patient sues Maine Med over alleged denial of emergency care

Jamaica resident Edwin George Duffus, 65, claims the hospital discharged him after learning he didn’t have medical coverage. A federal court ruled his lawsuit can move forward.

prior authorization claim deny denial insurance insurer payer Medicare Advantage

House bill aims to bring parity to Medicare reimbursement

The Prompt and Fair Pay Act would require Medicare Advantage insurers to reimburse providers at traditional Medicare rates, effectively closing the payment gap between public and private plans.

Federal lawsuit in Texas marks first wrongful death case involving interstate abortion

A conservative lawyer is using the Comstock Act of 1873, which bans the mailing of obscene materials, to challenge the practice of sending abortion pills to states that have passed bans.

Alan Matsumoto, MD, FSIR, FACR, FAHA, chairman of the American College of Radiology Board, professor of radiology and chair of the Department of Radiology, University of Virginia, Charlottesville, explains ACR support for the Texas Medical Association lawsuit three (TMA3) against the Department of Health and Human Service, because insurance companies are using the provisions of the law to to underpay providers for patient care.

ACR says insurance companies gaming the No Surprises Act with ghost rates

Alan Matsumoto, MD, chair of the American College of Radiology, discusses rad support for a Texas Medical Association lawsuit against the federal government.

Society of Interventional Radiology opposes value-based care proposal

Under the proposal, Medicare would add an interventional radiology payment pathway, creating a new reporting framework for IRs as part of MIPS.

SEC subpoenas imaging agent developer Telix Pharmaceuticals

The publicly traded, Australia-based radiology vendor revealed news of the investigation in its second quarter earnings report.

VA redirects $800M to upgrade EHR systems, infrastructure

The Department of Veterans Affairs said the new funding was made possible by its cost-saving measures, including a reduction of 30,000 staff and the consolidation of call centers.

Policy & Regulations

Healthcare AI today: AI bubble may burst, AI hype and hope, agentic AI coming on strong

New drug recall includes more than 140K bottles of popular statin

Court dismisses nurse practitioners’ lawsuit challenging definition of ‘doctor’

Provider participation in Medicare rose 6.3% over 10 years, peaking in 2019

Report: ACA premiums to jump 30%, CMS documents show