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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ACR urges Trump administration to exempt VA teleradiologists from return-to-office mandate

The college's concerns relate to the National Teleradiology Program, which employs over 200 rads providing reads to 130-plus healthcare facilities. 

Medicare Advantage Part C clipboard payment

CMS boosts Medicare Advantage reimbursement as Dr. Oz takes over

CMS more than doubled the raise in payments for covered services proposed by Biden, increasing the amount from 2.23% to 5.06%. 

U.S. Department of Health and Human Services (HHS) sign.

Judge halts HHS’s $11B cuts to state healthcare programs

In issuing an injunction, a federal district court in Rhode Island ruled that states and their populations would suffer irreparable harm if the funds allocated by Congress were not granted to them.

Medicare Advantage

Medicare Advantage fails to cut radiation therapy costs, despite heavy prior authorization burden

MA cancer patients undergoing radiation therapy tallied higher spending and longer average treatment duration compared to their counterparts on traditional Medicare. 

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Medicare instructs contractors to begin covering CT colorectal cancer screening

CMS emphasized that all coinsurance and deductibles should be waived for the exam, noting that MACs have until July 1 to comply with the change. 

Rural America lost 3,300 medical practices in five years, report shows

A data analysis from the Physicians Advocacy Institute and Avalere Health found corporate buyouts are leaving patients in low-population areas with fewer options, as doctors are opting to go elsewhere.

Abbott has received approval from the U.S. Food and Drug Administration (FDA) for its TriClip transcatheter edge-to-edge repair (TEER) system designed to treat tricuspid regurgitation (TR).

CMS proposes Medicare coverage for T-TEER

CMS has proposed covering tricuspid TEER for patients who present with symptomatic tricuspid regurgitation despite optimal medical therapy. The agency still has questions about the available data, however, and is seeking public comments as it makes its final decision.

artificial intelligence AI in healthcare

Healthcare AI newswatch: Fail-fast AI skunk works, writerly doctors avoiding AI scribes, more

Is trial and error any way for a sprawling health system to roll out AI? Duke Health’s chief medical information officer believes so.