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. 

Missouri state house capitol Jefferson City

Missouri law change boosts breast cancer screening rates among Medicaid population

“The results of our study deserve notice by other states considering similar legislation," says lead author Amy K. Patel, MD, chair of the ACR Advocacy Network. 

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10M people will lose their health coverage by 2034, CBO predicts

In analyzing the impact of the One Big, Beautiful Bill Act, the nonpartisan Congressional Budget Office says Medicaid cuts and new work requirements will cause many Americans to lose their benefits. 

cardiologist Jason H. Rogers, MD, a professor at UC Davis Medical Center in Sacramento, California

Q&A: What Medicare covering TriClip means for heart patients with leaky tricuspid valves

The tricuspid valve has been at the center of several key policy shifts in recent years. In fact, Medicare now covers both T-TEER and TTVR when performed with FDA-approved devices. We spoke to interventional cardiologist Jason H. Rogers, MD, to learn more about how this momentum has impacted patient care. 

Humana

Humana commits to eliminating prior authorization for certain CT, MR imaging exams

The Louisville, Kentucky-based insurer plans to eliminate approximately one-third of prior authorizations for outpatient services by Jan. 1. 

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Physicians increasingly exiting the Medicare program

Radiology and other specialties have expressed concern in recent years that inadequate payment rates could push practices to close or stop accepting the federal payment plan for seniors. 

Dignity Health facing lawsuits over alleged failure to notify families of patient deaths

A California health system and a local morgue are facing accusations of gross negligence after the bodies of missing persons were discovered—some with identification still on them. The state Department of Public Health is investigating the incidents.

Humana

Humana files second lawsuit challenging Medicare Advantage star ratings

The insurer is challenging three phone calls made by the Centers for Medicare & Medicaid Services that led to a docked rating for some of Humana’s plans. A previous challenge, which broadly contested the agency’s star rating criteria, was dismissed.

long covid lung CT

Experts publish new consensus guidelines on use of CT in patients with long COVID

The statement is intended to standardize terminology, indications for CT use, acquisition parameters and reporting guidelines for patients with long COVID.