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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Sexual harassment lawsuit includes claim that hospital cancelled veterans’ imaging exams

The James A. Haley Veterans’ Hospital in Tampa, Florida, is being investigated for allegedly canceling hundreds of imaging exams without following safety regulations and then attempting to cover it up.

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Trump administration halts ACA risk adjustment payments, potentially upending insurance markets

On July 7, CMS announced it will stop making risk adjustment payments, which were designed as part of the Affordable Care Act (ACA) to help insurers that accept more high-cost patients avoid major losses.

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Trump implements tariffs on Chinese imports—including AI, medical imaging equipment

On July 6, the U.S. and China began what many are calling a trade war by implementing billions of dollars in tariffs on each other's imported goods, including medical imaging equipment and artificial intelligence (AI).

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CMS delays deadline for opting into bundled-payment initiative

CMS bumped back the due date for providers to opt into the Bundled Payments for Care Improvement (BPCI) Advanced model—moving the final date to Aug. 8 from Aug. 1. The move comes in amid growing concerns from those in the industry that claims data were not provided in a timely fashion.

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ACR Commission on Breast Imaging objects to text included in Breast Cancer Screening PDQ

The American College of Radiology (ACR) Commission on Breast Imaging has sent a letter to the Physician Data Query (PDQ) Editorial Board objecting to specific language included in the recently updated Breast Cancer Screening PDQ.

CMS approves Oklahoma proposal for value-based Medicaid agreements with drug manufacturers

CMS has issued an approval to Oklahoma to negotiate value-based supplemental rebate agreements directly with drug manufacturers, which could produce extra rebates for state, should clinical outcomes not be achieved.

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ACR calls out ‘overly biased’ argument made by CMS in IPPS proposed rule

The American College of Radiology (ACR) has submitted written comments to CMS about the Inpatient Prospective Payment System (IPPS) proposed rule for Calendar Year 2019.

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CMS policy to reduce hospital-acquired infections has minimal impact on reimbursement

New research published in Infection Control & Hospital Epidemiology suggests the 2008 CMS’ policy, Hospital Inpatient Prospective Payment System (IPPS), which penalizes hospitals for hospital-associated conditions (HAC) present at the time of the patients’ admission to the hospital has had a minimal impact on hospital reimbursement.