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. 

William T. Thorwarth ACR American College of Radiology

Is Medicare’s appropriate-use criteria program doomed? ACR chief discusses what went wrong and how it can get back on track

Radiology Business recently sat down with William T. Thorwarth Jr., MD, to discuss the future of value-based care in the specialty and how Congress can help remedy the program of what ails it. 

February 2, 2024
Money court lawsuit judge ruling scales of justice

Hospital pays $801,000 to settle allegations radiology practices billed for ‘shoddy’ imaging services

Physicians allegedly submitted false claims to Medicare and Medicaid for scans they either never reviewed or failed to assess in a timely fashion. 

February 1, 2024
Melissa Chen, MD, Clinical Neuroradiologist, Associate Professor, University of Texas MD Anderson Cancer Center, said challenges ton radiology include the limitations of the relative value units (RVUs) used to pay radiologists, the need for balancing workloads despite disincentives to reading some studies, and the need to find new workflow efficiencies with AI to offset the radiologist shortage. #RSNA

Radiology at tipping point with limitations of RVUs and the growing shortage of radiologists

Melissa Chen, MD, MD Anderson Cancer Center, outlines some of the challenges practices are facing and possible solutions.

January 31, 2024
Network peer to peer P2P learning web communication interoperability

Insurers claim No Surprises Act is not narrowing networks; radiologists disagree

AHIP and the Blue Cross Blue Shield Association recently polled 21 U.S. health insurance providers about their experiences with the landmark legislation.

January 31, 2024
MRI

State’s largest insurer lifts prior authorization requirement for MRI, steers patients to single provider

Blue Cross and Blue Shield of Vermont recently announced the new partnership with Open MRI, noting that it provides exams four times cheaper than other facilities. 

January 29, 2024
dollar money finance debt decrease

S&P plans to reclassify Radiology Partners’ debt as ‘distressed’

The agency downgraded certain notes to “CC,” indicating the obligations are “highly vulnerable” to nonpayment, with default “expected to be a virtual certainty.”

January 29, 2024
helium compressed gas MRI

Feds move forward with sale of helium reserve, stoking fears of reduced MRI access

Imaging advocacy groups including AdvaMed recently implored the U.S. General Services Administration to postpone the deal. 

January 29, 2024
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CMS seeks to improve transparency among Medicare Advantage plans

Such insurers are slated to collect more than $7 trillion over the next decade, with MA now accounting for over 50% of all Medicare enrollment. 

January 29, 2024

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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