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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AI newswatch: OpenAI goes to the UAE, patients get cyberchondria, more

Like remoras hitching a ride on a shark, private businesses are capitalizing on President Trump’s AI-aggressive trip to the Middle East. 

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House passes reconciliation bill that includes radiologist Medicare pay hike

Physician, hospital and patient advocacy groups expressed concern about other provisions in the budget bill, including sizable cuts to the Medicaid program. 

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Senators introduce radiology-supported bill to reform prior authorization

Sens. Roger Marshall, MD, R-Kan., and Mark Warner, D-Va., are reintroducing the Improving Seniors’ Timely Access to Care Act, which previously drew widespread support. 

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CMS vows to ramp up audits of Medicare Advantage plans

The Centers for Medicare & Medicaid Services said it will increase medical coding staff from 40 to 2,000 and begin addressing its backlog of audits on Medicare Advantage plans in an effort to spot signs of fraud and abuse. 

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FDA wants new heart damage warnings added to COVID-19 vaccines

COVID-19 vaccines are associated with a very low risk of myocarditis and/or pericarditis, primarily in young adults. The long-term impact of this risk has been the subject of many studies and debates over the years. One side says that the benefits of vaccination far outweigh the risks, and the other side says that even the smallest risk of heart damage is too high.

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HHS penalizes imaging provider for allegedly violating patient privacy laws

San Jose, California-based Vision Upright MRI allegedly failed to properly assess potential cybersecurity threats and did not notify patients in a timely fashion. 

Florida Governor Ron DeSantis

Florida passes bill requiring insurers to cover supplemental breast imaging

Gov. Ron DeSantis recently signed S.B. 158 into law following its approval by the Florida legislature, while Ohio lawmakers also have proposed a similar bill. 

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Nursing homes fined $15M for staffing fraud after guilty verdict

The U.S. Department of Justice announced the judgment, which was issued against two facilities in Pennsylvania. The nursing homes fraudulently billed Medicare and Medicaid for working hours despite staff not being on the floor.