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. 

money maze payment reimbursement

‘A big deal’: CMS pilot puts onus on ordering providers to support necessity of radiology services

The Centers for Medicare and Medicaid Services first announced the change in late October, which is set to take effect on Dec. 1. 

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Gamma Healthcare halts imaging, lab services after CMS yanks testing certifications

President Jerrod Murphy said he was "blindsided" by the decision from federal regulators, in a report published recently.

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AI with location data may fine-tune flu forecasting

The researchers say their AI technique produces an 11% boost in accuracy over that supplied by other contemporary flu forecasting systems.

election 2020

Charges dropped after radiologist senator briefly faces arrest warrant over campaign yard signs

Authorities initially cited Sen. Mike Maroney for violating a little-known law requiring individuals to specify their academic degree on such materials. 

Price shopping transparency

CMS finalizes rule requiring insurers to disclose negotiated rates for radiology, other ‘shoppable’ services

The initial list covers 500 such offerings running from CT scans of the head and brain, down to foot and ankle x-rays. 

Physicians historically turn out to vote—or sit it out—in curious patterns

Physicians who lived in three of the most populous states and were eligible to vote from 2006 to 2018 did so at a rate 14 percentage points lower than the population as a whole.

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Judges baffled over hospitals’ hesitance to share upfront imaging prices: ‘Why is that not doable?’

The American Hospital Association is arguing that it is unlawful for the feds to compel its members to publish negotiated rates reached with insurers.

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Surveyed physicians up for hybrid healthcare, down on Medicare for All

U.S. physicians favor the idea of a two-tiered healthcare system, one in which a single-payer option peacefully coexists with private coverage. Their least favorite model? Single-payer Medicare for All.