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.

Dexcom issues new recall for CGM apps due to safety risk—users urged to update immediately
The FDA has categorized this as a Class I recall. If patients update their phone or watch apps as needed, they can continue to use these devices like normal.
Why all heart patients should be vaccinated against the flu, COVID-19, RSV
The American College of Cardiology has shared new recommendations highlighting the protective benefits of a variety of vaccines. The new guidance also examines how to speak with patients who are hesitant to be vaccinated.
Medicare has denied $16M worth of radiology artificial intelligence claims
The federal payment program first started paying for AI in 2018 and has denied about 53% of claims (or 53,857) submitted by radiologists since then, experts detail in JACR.
Members of Congress propose tapping foreign-born physicians to relieve radiology workforce shortages
Lawmakers in both chambers have reintroduced the Healthcare Workforce Resilience Act, touting support from the American Hospital Association and several physician societies.
Medicare opts not to make CT radiation-related quality measure mandatory in 2027
The measure evaluates the proportion of scans that exceed certain thresholds for image noise or radiation dose across 18 categories.

National Cancer Institute reportedly looking to kill high-profile $100M mammography trial

NCI has formed a work group to review funding for TMIST, which is comparing digital breast tomosynthesis with older 2D mammo technology.

CMS’ mandatory Radiation Oncology Model ‘goes too far,’ say provider groups pushing for delay

Chief Seema Verma said the new bundled payment effort will reward results, rather than the number of services delivered.

Nursing homes using hospitals as middlemen to bounce low-reimbursement, high-maintenance residents

A common tactic is sending off Medicaid-covered seniors with dementia following emergency “psychotic” episodes. When psychiatric wards and hospitals quickly discharge the patients, the nursing homes refuse to take them back in.

Rand study suggests hospitals are exorbitantly overpaid by private insurers; AHA reacts

In real dollars, these payers’ combined savings would have nearly reached $20 billion just in 2018, the analysis shows.

Surgeon takes second stab at suing hospital for forced in-network radiology referrals

Fired Florida orthopedic surgeon Ayman Daouk, MD, claims Orlando Health violated the Stark Law in attempting to influence his actions.

Radiology practice must pay $5M after delivering contrast imaging without doc supervision

Whistleblower and former employee Syd Ackerman first surfaced the allegations and stands to collect $925,000 of the payout.

Lawmaker ‘deeply concerned’ over $250M HHS contract for coronavirus-related PR work

Rep. Frank Pallone Jr., D-N.J., worries the agency is using taxpayer funds to fuel the commander-in-chief’s bid for a second term.

New CPT code to help radiology practices report additional costs stemming from COVID care

Approved for immediate use beginning Sept. 8, code 99072 covers any additional supplies, materials or clinical staff time used during the pandemic.

Policy & Regulations

Dexcom issues new recall for CGM apps due to safety risk—users urged to update immediately

Why all heart patients should be vaccinated against the flu, COVID-19, RSV

Medicare has denied $16M worth of radiology artificial intelligence claims

Members of Congress propose tapping foreign-born physicians to relieve radiology workforce shortages

Medicare opts not to make CT radiation-related quality measure mandatory in 2027