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. 

fork in the road

Radiology’s crossroads just became a fork in the road: RBMA leaders discuss the Medicare Physician Fee Schedule and what comes next

In this Radiology Business opinion piece, Linda Wilgus and Kit Crancer explore what the proposed 2026 MPFS means for the specialty and how practices can influence its final form.

doctor's open hand waiting for a payment

Lawmakers seek to penalize payers that refuse to reimburse radiology claims under NSA

Lawmakers on Wednesday introduced the No Surprises Act Enforcement Act, which would increase penalties for failing to comply with payment deadlines under the landmark legislation. 

Missouri state house capitol Jefferson City

Missouri law change boosts breast cancer screening rates among Medicaid population

“The results of our study deserve notice by other states considering similar legislation," says lead author Amy K. Patel, MD, chair of the ACR Advocacy Network. 

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10M people will lose their health coverage by 2034, CBO predicts

In analyzing the impact of the One Big, Beautiful Bill Act, the nonpartisan Congressional Budget Office says Medicaid cuts and new work requirements will cause many Americans to lose their benefits. 

cardiologist Jason H. Rogers, MD, a professor at UC Davis Medical Center in Sacramento, California

Q&A: What Medicare covering TriClip means for heart patients with leaky tricuspid valves

The tricuspid valve has been at the center of several key policy shifts in recent years. In fact, Medicare now covers both T-TEER and TTVR when performed with FDA-approved devices. We spoke to interventional cardiologist Jason H. Rogers, MD, to learn more about how this momentum has impacted patient care. 

Humana

Humana commits to eliminating prior authorization for certain CT, MR imaging exams

The Louisville, Kentucky-based insurer plans to eliminate approximately one-third of prior authorizations for outpatient services by Jan. 1. 

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Physicians increasingly exiting the Medicare program

Radiology and other specialties have expressed concern in recent years that inadequate payment rates could push practices to close or stop accepting the federal payment plan for seniors. 

Dignity Health facing lawsuits over alleged failure to notify families of patient deaths

A California health system and a local morgue are facing accusations of gross negligence after the bodies of missing persons were discovered—some with identification still on them. The state Department of Public Health is investigating the incidents.