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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Florida woman sentenced in $36M physical therapy fraud

Arisleidys Fernandez Delmas of Florida pleaded guilty for billing physical therapy services that patients never received.

Jesse M. Ehrenfeld

The physician shortage is here: AMA implores Congress to address ‘urgent crisis’

“Physicians everywhere—across every state and specialty—continue to carry tremendous burdens that have us frustrated, burned out, abandoning hope," said AMA President Jesse Ehrenfeld. 

rural healthcare

Is Medicare Advantage kryptonite to rural hospitals?

PLUS: 8 noteworthy developments in rural American healthcare

Ken Rosenfield, MD, Mass General Hospital, explains the impact wider CMS reimbursement for carotid artery stenting will have on patient stroke care and interventional cardiology. CAS

Q&A: Ken Rosenfield explains the impact of new reimbursement coverage for carotid stenting 

Ken Rosenfield, MD, helped spearhead the recent Medicare policy change that made carotid stenting procedures available to more patients.

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Physicians fight to end ban on doc-owned hospitals while AHA advocates for status quo

A proposal to end the moratorium on new POHs was among several policies discussed at a House Energy & Commerce Committee hearing Oct. 19. 

CMS changes coverage policy for carotid stenting to make it more widely available

A group of interventional cardiologists, neurologists and vascular surgeons successfully petitioned Medicare to change its coverage determination for carotid stenting procedures.

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Costco sued over sharing health data with Meta

Costco is accused of using the Meta Pixel tracker to share sensitive information about its customers with the social media giant.

Lab owner confesses to $359M fraud involving COVID tests

A married couple operating a lab in California admit to billing Medicare for unnecessary rapid COVID tests.

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Around the web

Cardiovascular Business
FDA says years-long tirzepatide shortage is resolved, will give limited leeway to compounders

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

AI in Healthcare
From Capitol Hill to a hospital near you? 5 federal recommendations for healthcare AI policy

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Cardiovascular Business
Merck spends up to $2B to license new weight loss drug with potential heart benefits

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.