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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Should radiologists participate in MIPS as part of a virtual group?

When the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) passed, CMS established two ways for physicians to be rewarded for providing high-value care through a Quality Payment Program (QPP): the Merit-Based Incentive Payment System (MIPS) and advanced alternative payment models. Since the beginning, physicians have been able to participate in MIPS as an individual or as a group—but now they can also participate as a virtual group.

FDA approves first-ever blood test to evaluate concussions

The FDA authorized U.S. marketing of the first blood test with the ability to evaluate concussion, or mild traumatic brain injury (mTBI), in adults, the agency announced in a statement Wednesday.

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FDA: Direct communication of mammogram results isn’t a suggestion—it’s the law

In addition to routine follow-up phone calls, clinicians are obligated to provide women with a written summary of mammography reports once their results become available, the FDA wrote in its most recent update on the Mammography Quality Standards Act (MQSA).

Georgia hospitals file lawsuit over Anthem policies on imaging, ER payments

When Anthem started pushing outpatient MR and CT scans not considered medically necessary to freestanding imaging facilities in 2017, it upset both radiologists and imaging societies. A hospital group out of Georgia is now suing Blue Cross Blue Shield of Georgia and Anthem, its parent company, over that very decision and a separate policy related to payments for care provided in the emergency room.

Expanded Medicaid coverage in Kentucky improved the quality of breast cancer care

Kentucky expanded Medicaid coverage in 2014, taking its cue from the Affordable Care Act and including individuals and families with incomes up to 33 percent above the federal poverty line. The state’s uninsured rate dropped from 19 percent to 7 percent as a result. According to a study in the Journal of the American College of Surgeons, the move also improved the quality of breast cancer care.

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USPSTF recommends against ovarian cancer screenings

The harms associated with screening for ovarian cancer outweigh its documented benefits, the U.S. Preventive Services Task Force (USPSTF) announced today in its first recommendation on the subject since 2012.

Michigan's concussion law now requires coaches to take online awareness training

The Michigan Department of Health and Human Services (MDHHS) announced Monday that Michigan’s Sports Concussion Law has been updated and now requires coaches and other adults taking part in youth sports to complete concussion awareness training online every three years.

Gov. Cuomo commits $37.7M to improving access to breast cancer screening in New York

New York Gov. Andrew Cuomo announced today that, as part of his ongoing “Get Screened, No Excuses" initiative, $37.7 million in funding is going toward improving access to breast cancer screening throughout the state.

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.