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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Billing woes: If something seems off, be proactive and investigate

The biggest problem we have as practice administrators or physicians is that we see management reports illustrating the end result and process failures contributing to revenue declines are not evident. As long as we, as an industry, insist on the lowest price, we will continue to get what we pay for in terms of over-automation and failures of process controls.

No need to panic over talk of cutting essential health benefits, including low-cost preventative screening

While the Affordable Care Act (ACA)’s essential health benefits are now on the chopping block to entice the more conservative members of the House into supporting the American Health Care Act, losing the requirement that insurers cover preventative cancer screening isn’t a foregone conclusion.

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MedPAC recommendations get it wrong on imaging, says MITA

The Medical Imaging & Technology Alliance (MITA) said the Medicare Payment Advisory Commission’s (MedPAC) March 2017 report to Congress misrepresents the growth in imaging utilization, a criticism consistently levied by imaging advocates against MedPAC over the past decade.

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EU pulls gadolinium contrast agents over deposition concerns

The medical regulatory body of the European Union (EU) recommended four gadolinium contrast agents be pulled from the market because of concerns about gadolinium deposition in the brain. The European Medicines Agency (EMA) suspended the marketing authorizations for the four agents after a review by its risk assessment committee.

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What the ACA replacement means for radiology

The ACA replacement bill appears to leave intact pieces of the Affordable Care Act (ACA) beneficial to radiologists, namely the expansion of preventative cancer screening. While it’s an encouraging sign, the tri-part repeal-and-replace process means radiologists should keep their ears to the ground, according to Chris Sherin, Director of Congressional Affairs at the American College of Radiology (ACR).

West Virginia bill takes aim at board of imaging, radiation experts

Radiology officials during a legislative session in West Virginia discussed a bill that takes a shot at doing away with the West Virginia Medical Imaging and Radiation Therapy Technology Board of Examiners.

Colon cancer coalition urges lawmakers to cover virtual colonoscopy

A coalition of colorectal cancer societies and advocacy groups urged Congress to pass legislation covering CT colonography under Medicare, the latest development in a decades-long effort to increase colorectal cancer screening rates. The CT Colonography Screening for Colorectal Cancer Act (House Resolution 1298) was introduced in early March by Rep. Brad Wenstrup, R-Ohio, and Danny Davis, D-Illinois.

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Five states pushing for mandated DBT coverage

At least five states have introduced legislation requiring insurers to cover Digital Breast Tomosynthesis, also known as 3D mammography. The economic and clinical benefits of DBT are well-established, but the passage of the bills may come down the legislative climate of the individual states, according to Eugenia Brandt, Director of State Affairs for the American College of Radiology.

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.