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.

EFF sues CMS over deployment of Medicare prior authorization AI
The Electronic Frontier Foundation, a nonprofit digital civil rights advocacy group, said it filed a Freedom of Information Act request seeking more information about the “WISeR” pilot program, which effectively adds a prior-authorization process to traditional Medicare in six states. To date, it’s received no response.
FDA suspends medical spa's mammography operations amid 'serious concerns' about quality
Anyone who underwent mammograms at the clinic since late 2023 is urged to take action, as the exam quality likely did not meet clinical standards.
FDA clears new AI model for pulmonary hypertension
The advanced algorithm, which previously received the FDA's breakthrough device designation, detects signs of pulmonary hypertension in standard 12-lead electrocardiograms.
DOJ accuses New York health system of engaging in anticompetitive business practices
In a complaint filed in federal court, the U.S. Department of Justice claims NewYork-Presbyterian Hospital uses its power of “scale, breadth and configuration” to control payer contracts, making it difficult for insurers to develop low-cost plans. The health system denies any wrongdoing.
Breast cancer screening rates saw a 10% drop among several groups of women over the last 2 decades
Decreased screening rates among different subgroups highlight the ongoing need for outreach strategies that target vulnerable populations, experts contend.

Anthem Elebance blue cross blue shield bcbs

Anthem expanding policy that punishes hospitals who use out-of-network radiologists

Meanwhile, docs have helped defeat the controversial policy's implementation in Indiana with the passage of Senate Bill 189.

Medicare Advantage fraud allegations against Aetna settled for nearly $118M

The U.S. Department of Justice said the insurer upcoded patient diagnoses to boost risk-adjusted payments it received from the Centers for Medicare & Medicaid Services. The company did not admit to wrongdoing, despite agreeing to the payout.

Toro Neurovascular Toro 88 Superbore Catheter

FDA clears new large-bore catheter for challenging stroke cases

The newly cleared device was built to provide support, trackability and stability during the treatment of time-sensitive stroke patients.

High costs may be keeping working-age heart patients from seeking care

When working-age adults develop cardiovascular disease, it often ends up eating up a significant amount of their income. Are insurance companies doing enough to help these patients?

FDA issues emergency alert after reports of 5 serious injuries connected to exploding cryoprobes

The devices are manufactured by Erbe USA. They’re used to deliver pressurized cold therapy to tumors, blood clots, and more. A manufacturing defect can cause a rupture, exposing anyone in the vicinity to a dangerous blast and deafening sound.

TriZetto confirms year-long hack of its network exposed records on 3.4M people

The company confirmed the number of victims in filings with the federal government and the state of Maine. The data breach was discovered in October 2025, but it began in November 2024. Hackers were siphoning protected health information for roughly a year.

Anders Gilberg, senior vice president, government affairs at Medical Group Management Association (MGMA), explains numerous changes in federal healthcare policy since the start of 2026, including extending telehealth, rural health payments, possible solutions to prior authorization burden in Medicare Advantage.

MGMA outlines healthcare policy progress in Congress for 2026

The Medical Group Management Association explains some positive federal healthcare policy movement since the start of 2026, including extending telehealth and rural health payments, and possible solutions to the prior authorization burden in Medicare Advantage.

Trump White House RFK Make America Health Again

Public trust in US health agencies falls under Trump—confidence in AHA still quite high

The public has more confidence in the American Heart Association than it does in the FDA, CMS or any other federal health agencies.

Policy & Regulations

EFF sues CMS over deployment of Medicare prior authorization AI

FDA suspends medical spa's mammography operations amid 'serious concerns' about quality

FDA clears new AI model for pulmonary hypertension

DOJ accuses New York health system of engaging in anticompetitive business practices

Breast cancer screening rates saw a 10% drop among several groups of women over the last 2 decades