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.

Conspiracy to defraud Amtrak’s health plan of $11M sees 12 convictions
The U.S. Department of Justice announced four more guilty pleas on Thursday, bringing the total to 12. The scheme involved providers paying kickbacks to patients, all employees of Amtrak, in exchange for billing their insurance for unnecessary medical care. The incidents happened between 2019 and 2022.
California health system sued over 2024 breach on health IT vendor TriZetto
The cyberattack was not discovered until October 2025, and a headcount of the victims is still being conducted. In the meantime, a patient of Sacramento-based One Community Health argues in a lawsuit that the nonprofit health system failed to secure his data, as required by law. The complaint is seeking class action status.
State partnership dramatically improves follow-up adherence after interventional procedures
The goal was to turn imaging surveillance into a routine part of post-surgical care, rather than an optional step.
Radiology business leaders urge Congress to replace ‘burdensome’ Medicare payment program
Last month, the Republican and Democratic Doctors Caucuses sent an informal request to medical societies, seeking ways to reform Medicare’s push toward value-based care.
Pediatric patients exposed to more imaging radiation at nonchildren’s hospitals
General hospitals seem to be deviating more so from radiation regimens than their pediatric counterparts, based on an analysis of nearly 5.5 million medical claims.

Amtrak eastbound Southwest Chief about to pass under Route 66

Conspiracy to defraud Amtrak’s health plan of $11M sees 12 convictions

The U.S. Department of Justice announced four more guilty pleas on Thursday, bringing the total to 12. The scheme involved providers paying kickbacks to patients, all employees of Amtrak, in exchange for billing their insurance for unnecessary medical care. The incidents happened between 2019 and 2022.

California health system sued over 2024 breach on health IT vendor TriZetto

The cyberattack was not discovered until October 2025, and a headcount of the victims is still being conducted. In the meantime, a patient of Sacramento-based One Community Health argues in a lawsuit that the nonprofit health system failed to secure his data, as required by law. The complaint is seeking class action status.

State partnership dramatically improves follow-up adherence after interventional procedures

The goal was to turn imaging surveillance into a routine part of post-surgical care, rather than an optional step.

Radiology business leaders urge Congress to replace ‘burdensome’ Medicare payment program

Last month, the Republican and Democratic Doctors Caucuses sent an informal request to medical societies, seeking ways to reform Medicare’s push toward value-based care.

U.S. News & World Report children’s hospitals cardiology heart surgery

Pediatric patients exposed to more imaging radiation at nonchildren’s hospitals

General hospitals seem to be deviating more so from radiation regimens than their pediatric counterparts, based on an analysis of nearly 5.5 million medical claims.

congressional hearing on artificial intelligence

UnitedHealth promises to return ACA profits to members as CEO addresses Congress

UnitedHealth Group CEO Stephen Hemsley is expected to make the announcement in front of Congress, where he will also offer other policy solutions. The company said it’s still working out details on how to best distribute its profits to customers.

Kennedy vax suit revised & sharpened | Hospital discharges examined | Nursing units awarded | And more high-level briefs

The American Academy of Pediatrics and co-plaintiffs are tightening the screws in their lawsuit against HHS Secretary Robert F. Kennedy Jr. and other healthcare leaders in the Trump administration.

artificial intelligence AI predictive analytics

FDA clears first-of-its-kind comprehensive AI triage solution from Aidoc

The solution combines 11 newly cleared indications and three previously cleared indications into a single workflow.