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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UnitedHealthcare commits to covering 1st diagnostic breast imaging exam

Beginning on Jan. 1, the country's largest private insurer will cover the initial follow-up breast exam for beneficiaries with certain plans. 

National Institutes of Health NIH

NIH violated federal law in withholding $8B grant funding, watchdog says

The Government Accountability Office wrote in a new report that the National Institutes of Health violated the Impoundment Control Act, which bars delays in allocating funds approved by Congress, when it pulled funds for research grants linked to “equity-related” initiatives.

Karen Joynt Maddox discusses macroeconomic factors pressuring traditional models of cardiac care.

How economic forces are reshaping the future of cardiac care

Karen Joynt Maddox, MD, MPH, explained the many ways cardiology's business models are starting to evolve. She also touched on a number of other topics, including AI and the power of prevention.

American College of Radiology (ACR) Board Chair Alan Matsumoto, MD, FSIR says ACR has concerns about scope creep of non-physicians in radiology.

ACR has concerns about nonphysician scope creep in radiology

Efforts to expand the scope of practice for these lesser-trained clinicians are increasing as the growing shortage of physicians becomes more pronounced, especially in rural areas.

AI Action Plan from Trump

Healthcare AI today: Action plan arguments, ways to monetize GenAI in healthcare, more

Or maybe the White House’s AI Action Plan will spur a mix of positive opportunities, negative challenges—and neutral adjustments.

imaging radiology money scans compensation pay dollar

Medical imaging a heavy contributor to Medicare waste, study finds

The payment program spent $484 million on 15 different low-value imaging services, a figure that balloons to $584 million when factoring for out-of-pocket costs.  

stock market IPO

Imaging AI vendor earns nationwide UnitedHealthcare coverage, sets $1.3B value ahead of IPO

California-based Heartflow, which offers an AI software that assesses coronary CT angiography scans, hopes to raise over $200 million through the stock offering. 

Medicare money bills dollars

New number-crunching shows Medicare could save itself more than $2.5B a year by just saying ‘No’ to 5 low-value services

No single CMS strategy has proven an inarguable success at delivering significant cost savings while optimizing patient outcomes and minimizing clinical risks. Two researchers think they’ve found a way.