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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Justice Department charges Arkansas man in $100M COVID scam

An Arkansas man who owned or managed several diagnostic testing laboratories has been indicted on healthcare fraud charges in connection with $100 million in false billings.

 

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Many nationally recognized cancer centers are not complying with price transparency rules

The lack of cooperation may be hindering efforts to rein in cancer costs and improve affordability, oncology experts explained recently.

UnitedHealthcare UHC UnitedHealth

UnitedHealthcare sues hospital staffing firm TeamHealth, alleging $100M in fraudulent claims

The insurance giant alleged that 62% of claims involving the highest-paying ED codes didn't match medical records, according to documents filed Wednesday.

Department of Justice DOJ

DOJ alleges Kaiser Permanente defrauded Medicare of $1 billion

Kaiser maintains it has done nothing wrong and said it plans to "strongly" defend against lawsuits alleging otherwise.

FDA hopes new guidance will prove ‘one of the most significant public health nutrition interventions in a generation’

Aimed at food manufacturers, chain restaurants and food service operators, the document offers target sodium levels for some 163 categories of processed, prepared and packaged foods.

Telemedicine has improved access to healthcare

Healthcare access has improved thanks to advances and higher adoption of telemedicine.

 

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AMA releases 2022 updates to medical coding

The American Medical Association has released its 2022 updates to the Current Procedural Terminology (CPT) code set.

 

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Healthcare orgs given extra time to comply with price transparency

The Biden administration has given healthcare organizations extra time to comply with a price transparency rule.

 

Around the web

The American College of Cardiology has sent a letter to HHS Secretary Robert F. Kennedy Jr. that outlines some of the organization’s central priorities and concerns. 

One product is being pulled from the market, and the other is receiving updated instructions for use.

If the Trump administration continues taking a laissez-faire stance toward AI—including AI used in healthcare—why not let the states go it alone on regulating the technology?