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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Out-of-network billing rises, leaving patients with surprise expenses

Out-of-network billing in emergency departments has risen over the last few years, often leaving patients with surprise expenses even when they have insurance coverage and receive care from an in-network hospital.

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Eli Lilly’s half-price insulin hard to obtain

After drug manufacturer Eli Lilly introduced a half-priced insulin product to the U.S. market, patients are having trouble getting the medication, the Financial Times reported.

Are Trump’s PAMA legislation delays causing unnecessary imaging?

Congress passed the Protecting Access to Medicare Act (PAMA) in 2014 with the intent of reducing expensive, unnecessary imaging orders. Five years later, the legislation is set to enter a testing period, with CMS still undecided on when penalties will begin. A new investigation published by NPR asks if the delays have had an impact on patients.

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CDS legislation is on the way—did Trump administration’s delays impact patient care?

The Protecting Access to Medicare Act of 2014 (PAMA) finally goes into effect on Jan. 1, 2020, meaning advanced imaging orders must be placed using clinical decision support for Medicare to provide a full reimbursement.

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HHS directs $400M to battle opioid abuse epidemic

HHS has awarded $400 million through the Health Resources and Services Administration (HRSA) to fund community health centers, rural organizations and academic institutions to develop and expand services to combat the opioid abuse crisis.

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Pricey cancer treatment will be covered by Medicare

CMS has decided to cover an expensive and new therapy that uses a patient’s own genetically modified immune cells to treat cancer.

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Patients want price transparency in healthcare, but don’t really shop around

Pricing transparency is key for patients having a positive billing experience with their healthcare provider, according to a new survey, but patients aren’t always asking for price estimates or taking the time to shop around for lower-cost services.

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ACR, RSNA collaborate on ‘landmark’ medical 3D printing registry

The American College of Radiology (ACR) and Radiological Society of North America (RSNA) are teaming up to create a medical 3D printing clinical data registry to demonstrate the growing value of the printing technology.