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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Steward sues former CEO over alleged pilfering that contributed to bankruptcy

Former Steward Health Care CEO Ralph de la Torre, MD, and other executives are accused in a $1.4 billion legal filing of paying themselves hundreds of millions of dollars in bonuses, despite the health system being insolvent.

FDA recalls real-time glucose monitors after 56 injuries

Receivers on active glucose monitors manufactured by Dexcom are reportedly failing to send alerts when a patient’s blood sugar levels are dangerously high or low. There have been no deaths linked to the malfunction. 

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Patients who visit providers via telemedicine undergo significantly fewer imaging exams

Researchers with the Neiman Health Policy Institute recently investigated how COVID-related care site shifts impacted diagnostic radiology, sharing their findings in JACR. 

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Medicare Physician Fee Schedule includes CPT code, $1,000 payment amount for imaging AI software

CMS is suggesting such reimbursement for coronary plaque analysis software, offered by vendors Cleerly, Elucid and HeartFlow. 

Blue Cross Blue Shield BCBS

Hospital sues insurer over use of AI to deny $2M in claims

AdventHealth Shawnee Mission is suing Blue Cross and Blue Shield of Kansas City over its AI claims audits, which have rejected some 350 incidents of patient care. The hospital claims the insurer is violating state and federal laws.

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FDA issues recall on defective cranial drills after 10 injuries

The devices are manufactured by Integra LifeSciences. Due to a manufacturing error where inadequate welding has caused bits to get stuck in patients’ skulls, this recall has been designated as the most serious type.

By Missouri State Archives - MO Attorneys General - 42 Joshua D. Hawley (2017-2019)

GOP senator introduces bill to repeal federal Medicaid cuts

Josh Hawley (R-MO) voted for the “One Big, Beautiful Bill Act,” which narrowly passed the Senate. Now he’s introducing legislation to increase funding for rural hospitals and roll back cuts to safety-net healthcare programs.

Alan Matsumoto, MD, chairman of Board for the American College of Radiology, explains Medicare cuts over the past 20 years lowered physician payments 33% and they can no longer cover expenses. The "Big Beautiful Bill" helps addressing this, but fails to make up decades of cuts to physician pay.

ACR says Medicare physician payments are unsustainable, urges congressional action

Alan Matsumoto, MD, chair of the American College of Radiology board, discusses how cuts over the past 20 years have lowered physician payments 33%. 

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