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. 

Medical malpractice gavel diagnostic error mistake stethoscope

Physician misses CT results on discharge summary, resulting in 2-year cancer diagnosis delay

"I am incredulous that I would not have done this immediately," the general practitioner wrote in a letter to the woman, according to the recently released results of an investigation. 

August 29, 2023

Another No Surprises Act win: Qualifying payment amount process was tilted in insurers’ favor, judge rules

“The ruling is a step toward an IDR process that is accessible, fair and efficient,” Jacqueline Bello, chair of the ACR Board of Chancellors, said Monday. 

August 29, 2023
Anthem

Imaging centers, Bon Secours Mercy Health sue insurer Anthem BCBS seeking $93M

The payer has allegedly engaged in “slow pay and no pay tactics," resulting in an "enormous" volume of claims being denied or downgraded.

August 29, 2023
Cigna, one of the nation’s largest health insurance providers, announced new priorities for its capital deployment, including steering an additional $450 million into Cigna Ventures.

Cigna is removing 25% of medical services from prior authorization, but none of them are in imaging

The health insurer has faced criticism over its use of PA, including a class action lawsuit alleging it denied claims for imaging and other healthcare services in bulk

August 25, 2023
mammogram mammography breast cancer

FDA temporarily halts mammography services at critical access hospital, claiming they posed ‘serious risk to human health’

Phelps Memorial Health Center has completed the necessary remedies, including notifying any women who underwent breast imaging the last two years.

August 24, 2023
Fujifilm Echelon Synergy MRI

FDA clears new AI-powered MRI system from Fujifilm

The Echelon Synergy MRI machine utilizes proprietary deep learning reconstruction technology to enhance sharpness and acquire images faster. 

August 24, 2023
scale money prices shopping transparency reimbursement dollar coins

Same hospital, same insurer, but imaging prices twice as high for commercial vs. Medicare Advantage plans

When stated in dollar terms, the median price for imaging services was $490 across commercial plans compared to $191 in MA, experts wrote in Health Affairs

August 23, 2023

Appeals court revives whistleblower suits alleging unqualified broker made radiology referral decisions

Allstate Insurance Co. first filed the complaints in 2020 against Discovery Radiology Physicians, OneSource Medical Diagnostics and four physicians, alleging insurance fraud. 

August 22, 2023

Around the web

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

SCAI and four other major healthcare organizations signed a joint letter in support of intravascular ultrasound. 

The newly approved AI models are designed to improve the detection of pulmonary embolisms and strokes in patients who undergo CT scans.

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