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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CMS proposed rule would boost Medicare inpatient rates by 2.6%

CMS has issued a proposed rule that would result in a net increase of 2.6% to the Medicare inpatient prospective payment system rate for fiscal year 2025, a raise that hospital trade groups say doesn’t go far enough.

April 11, 2024
physician money payments dollars

Payments to FDA advisory panel questioned

A recent investigation from KFF Health News about payments to members of an FDA panel evaluating an Abbott Laboratories cardiac device is raising eyebrows.

April 11, 2024
healthcare business deal

‘Legal looting’: Watchdog highlights markets most impacted by private equity’s growing reach in radiology, other specialties

The Private Equity Stakeholder Project’s new State Risk Index is calculated based on 16 unique indicators. 

April 10, 2024
CMS drug price negotiations

Drug price dialogues represent ‘an opportunity for CMS to clarify negotiation policies and their potential impact for the future’

CMS must ensure transparency, clarity and predictability by providing detailed guidance on comparator drug selection and the evaluation of evidence, according to a group of D.C.-based health policy researchers.

April 9, 2024

Watchdog group calls out risks associated with private equity in cardiology, other specialties

U.S. Senator Elizabeth Warren, an outspoken critic of private equity's influence, praised the group's efforts. "Together, we’re taking on this trillion-dollar, behemoth industry that’s hurting working people and sucking money out of the rest of the economy," she said. 

April 9, 2024
For almost nine years since the adoption of the Protecting Access to Medicare Act (PAMA) established the requirement for appropriate use criteria (AUC) to receive payment for advanced diagnostic imaging, the American Society of Nuclear Cardiology (ASNC) has lobbying Congressional leaders change or repeal AUC mandate. Those efforts have paid off in the 2024 Medicare Physician Fee Schedule final rule, where AUC program has been paused and all of its regulations were rescinded. Photo by Dave Fornell.

Medicare drops AUC requirement for advanced imaging, ASNC celebrates

"This was an unneeded burden, which was solely adding to the administrative hassles of medicine," said American Society of Nuclear Cardiology President Larry Phillips.

April 8, 2024
Congress dome capitol Washington

Senate Finance Committee plans hearing to discuss radiologist Medicare payment reform

The American College of Radiology praised the hearing as a potential first step to address inadequate reimbursement levels under the federal payment program. 

April 5, 2024

Radiology practice participation in payment-related survey is ‘urgently needed,’ ACR says

The American Medical Association has sent its study to thousands of members of the specialty but only received seven responses, ACR says. 

April 5, 2024