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. 

Thumbnail

CMS’s aim to cut documentation will be a payment cut

When CMS proposed several changes to the Physician Fee Schedule and Quality Payment Program in July, it was under the guise that the agency was knocking off burdensome documentation requirements for physicians. However, the agency’s own proposal states documentation time won’t actually be reduced by much—but the changes will likely come with a payment rate cut.

Thumbnail

MITA shows support of Medicare Diagnostic Radiopharmaceutical Payment Equity Act of 2018

The Medical Imaging & Technology Alliance (MITA) has issued a statement in support of the recently introduced Medicare Diagnostic Radiopharmaceutical Payment Equity Act of 2018 (HR 6948).

Thumbnail

ACR updates Appropriateness Criteria, launches new online tool for feedback

The American College of Radiology (ACR) has released three new and nine revised topics to the ACR Appropriateness Criteria.

FDA raids California offices of e-cigarette maker

The Food and Drug Administration conducted a surprise inspection at the offices of Juul Labs—a large e-cigarette maker—last week and walked away with more than a thousand pages of documents related to the company’s marketing and sales practices, The New York Times reported.

Thumbnail

Humana and Heritage launch MA partnership

Humana is collaborating with Heritage Provider Network, a large physician-led value-based care organization, on a value-based agreement to offer coordinated, patient-centered care to Humana’s Medicare Advantage members in Southern and Central California.

Thumbnail

Trump says he’ll ‘always fight’ for people with pre-existing conditions; DOJ’s stance says otherwise

As the U.S. Department of Justice works to help nullify the Affordable Care Act, recent comments by President Donald Trump directly contradict his administration’s stance.

Thumbnail

Trump administration hoping to roll back regulations on radiation levels

The Trump administration’s efforts to roll back regulations that limit radiation levels could take a significant step forward this week.

Thumbnail

MA provider shells out $270M for False Claims Act settlement

Medicare Advantage (MA) provider HealthCare Partners Holdings has agreed to pay $270 million to resolve its False Claims Act liability after providing inaccurate information that caused MA plans to receive inflated Medicare payments, the Department of Justice announced this week.