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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Former Georgia insurance commissioner sentenced to prison for $3M fraud scheme

John Oxendine has been sentenced to three and a half years in prison for his involvement in a conspiracy to file claims for bogus lab tests.

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Medicare to allow remote monitoring of diagnostic imaging exams for at least 1 more year

"The failure of CMS to make virtual supervision permanent is certainly disappointing,” attorney and radiology policy expert Tom Greeson wrote Thursday.  

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CMS proposes issuing separate payment for diagnostic radiopharmaceuticals in 2025

For years, the agency has packaged payment for nuclear imaging agents with the procedure, but this has created a barrier for those who require pricier new drugs. 

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Insurers accused of $50B fraud connected to Medicare Advantage plans

According to a report, from 2019 and 2021, Medicare Advantage plans put taxpayers on the hook for dubious care services.

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CMS proposes 2.8% pay cut for providers in 2025

The average payment rate to physicians is suggested to be reduced by 2.93% in 2025 under the proposed fee schedule change, the agency noted. 

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Doctors sound alarm over ‘dangerous’ payment cuts in proposed Medicare Physician Fee Schedule

According to the new proposal, the 2025 conversion factor would be $32.36, down approximately 2.8% from 2024. SCAI, MGMA and other groups have already stepped forward with warnings that these cuts could do significant damage to patient care. 

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More than $20,000 worth of monitors stolen from radiology practice

A police investigation revealed that the thief posted the stolen items for sale on eBay.

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Medicare physician fee schedule cuts conversion factor in 2025 with ‘dangerous implications’ for patient care

UPDATED: The Radiology Business Management Association slammed the proposal Wednesday, contending it will have a "direct and detrimental impact on patient access."

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