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. 

Prior authorization documentation in the Konica Minolta Exa PACS. The AMA wants to make insurance p[roviders liable for patient harm caused by prior authorization delays or denials. Photo by Dave Fornell

AMA wants insurers to be accountable when prior authorization harms patients

The American Medical Association (AMA) House of Delegates this week approved two policies aimed at increasing insurer accountability and transparency amid an explosion of prior authorization requirements.

June 12, 2024
Recall

FDA announces recall of Medline endotracheal tubes after three injuries

The Medline Sub-G endotracheal tubes with subglottic suction are defective and known to tear, potentially leading to serious injury or death.

June 11, 2024
The American Medical Association (AMA) House of Delegates today elected Bobby Mukkamala, MD, an otolaryngologist from Flint, Michigan, as president-elect of the AMA for the 2025-2026 term. Mukkamala will be inaugurated as AMA president in June 2025. Photo courtesy of the AMA

AMA elects new president heavily involved in Flint water contamination response

The American Medical Association (AMA) House of Delegates elected a new president and numerous other positions.

June 11, 2024
Covid Test

CityMD agrees to $12M settlement over alleged COVID claims fraud

The company cooperated with a DoJ investigation into COVID-19 tests being erroneously billed to the federal government.

June 10, 2024
physician tracking patient data and reporting on outcomes

Q&A: Cardiologist Karen Joynt Maddox on why new healthcare policies are not improving outcomes

Healthcare's ongoing shift toward value-based care is a good thing, Joynt Maddox explained, but its implementation has been far from ideal. She also discussed population health, the pandemic, health disparities and the rising influence of private equity investments.

June 10, 2024
Drawing inspiration from the World War II “Why We Fight” campaign that rallied support for the U.S. war effort, American Medical Association (AMA) President Jesse M. Ehrenfeld, MD, MPH, drew comparisons with the uphill battles physicians are facing today with dwindling reimbursements, physicians shortages, burnout and administrative fights against prior authorization burdens and attempts to preserve access to telehealth. #AMA #AMAHOD24 #AMAHOD2024 #HOD #HOD24 #HOD2024

AMA president calls for physicians to take war-time footing in fight over reimbursement, care quality

Drawing inspiration from the World War II “Why We Fight” campaign that rallied support for the U.S. war effort, AMA President Jesse  Ehrenfeld, MD, spoke on the uphill battles physicians are facing today.

June 10, 2024
healthcare money economics dollar stethoscope acquire merger

California bill: Private equity firms must seek AG approval for healthcare buyouts

California Assembly bill AB-3129 requires private equity investors to send an application to the state attorney general 90 days before they purchase a hospital or provider group.

June 7, 2024
COVID-19 vaccines help reduce the serious coronavirus infections and hospitalizations. Multiple studies have shown that the risk from very rare vaccine side effects are far outweighed by the much greater risk of hospitalization and death due to COVID infections.

FDA panel recommends new COVID-19 booster

Booster uptake rates remain low. To date, only 22.5% of Americans received an annual COVID-19 shot from 2023.

June 6, 2024

Around the web

Cardiovascular Associates of America, backed by Webster Equity Partners, currently includes practices in eight different states. Its partner cardiologists now have preferred access to multiple cloud-based services provided by Athenahealth. 

The American Society of Nuclear Cardiology (ASNC) supports an AMA policy that condemns the use AI to make prior authorization decisions rather than a doctor or clinician.

The past five years have been boom times for AI startups courting venture investors in healthcare, and the good times just keep rolling.

Trimed Popup
Trimed Popup