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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Chicago physician indicted in $9.5M healthcare fraud conspiracy

Benjamin T. Toh, of Chicago faces up to 10 years in prison and a $250,000 fine.

coronavirus COVID-19 vaccine vaccination

Biden’s winter preparedness plan includes more free COVID-19 tests

The Biden administration plans to make more free, at-home COVID-19 tests available to Americans as part of its newly announced winter preparedness plan.

Congress dome capitol Washington

AMA, state associations urge Congress to avoid Medicare payment cuts

The American Medical Association is asking Congress to step in before new Medicare payment cuts go into effect in 2023.

insurance payer payment insurer

CMS proposes ACA expansion on behavioral health, special enrollment

 The revisions impact insurers operating on the Affordable Care Act marketplace.

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Millions will lose Medicaid coverage when COVID-19 PHE ends

The PHE has been in effect since the early days of the pandemic, and it has been reaffirmed every 90 days since. CMS has indicated it will give healthcare stakeholders at least 60 days’ notice before winding down the PHE.

Congress focused on mental health, Medicare price negotiations as 2023 approaches

With the midterms in the rearview, the lameduck Congress is focused on a handful of healthcare priorities heading into 2023, including mental health and implementing recent Medicare price negotiations afforded in the Inflation Reduction Act.

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AI-powered platform for heart failure detection gains FDA clearance

According to data submitted to the FDA, the platform has been linked to an accuracy of 90%, sensitivity of 87.8% and specificity of 83%.

VIDEO: Impact of the 2023 Medicare cuts on radiology

Ed Gaines, JD, vice president of regulatory affairs and industry liaison, Zotec Partners, discussed the impact of the 2023 Medicare Fee Schedule on radiology at RSNA 2022 in Chicago last week. RSNA and several other medical societies say the cuts are not sustainable.

Around the web

The FTC alleges that pharmacy benefit managers have set up a system where they get rich, while patients are forced to pay rising insulin costs. The agency also called out drug manufacturers such as Eli Lilly, Sanofi and Novo Nordisk, saying their own actions have raised serious concerns.

In the post-COVID era, wages for permanent RNs are rising, and wages for travelers are decreasing. A new report tracked these trends and more. 

Two medical device companies have announced a transaction that could shake up the U.S. electrophysiology market. 

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