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. 

Congress dome capitol Washington

Lawmakers likely to delay Medicare doc fix until after election

Scheduling conflicts and “lingering disagreements” are delaying potential changes to the MPFS, along with a radiologist-supported bill to modify the No Surprises Act. 

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Biden administration urges Supreme Court to uphold ACA mandate requiring cost-free cancer screenings

A recent "mixed bag" ruling from the Fifth Circuit Court of Appeals threw the mandate into question, potentially jeopardizing imaging services for millions of Americans. 

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State Supreme Court ruling holds hospitals accountable for mistakes made by independently contracted radiologists

Washington becomes one of a select few where attorneys can also go after a hospital that hired outside physicians, joining South Carolina, Michigan, Maryland and Iowa

District of Columbia DC congress capitol hill

American College of Radiology issues ‘call to action’ on key federal funding issue

ACR noted that Congress is returning from its August recess, with one of the “most critical” considerations pertaining to government funding for fiscal 2025. 

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Lawmakers introduce radiologist-supported bill to punish payers that fail to pony up under NSA

Rep. Greg Murphy, MD, R-N.C., unveiled the No Surprises Enforcement Act on Sept. 13, joined by Reps. Raul Ruiz, MD, D-Calif., and John Joyce, MD, R-Penn. 

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Physician burnout has become ‘widespread,’ Radiology Partners warns Medicare program

Continued declines in reimbursement and mounting administrative burdens are combining to weigh down members of the specialty, RP wrote in recent comments. 

CTC colonography colon cancer colonoscopy

ACR concerned pay cap on CT-based colon cancer screening could make service ‘untenable’

Medicare wants to limit the technical component for the exam to the HOPPS rate, which would represent an 81% reduction to the MPFS amount of $459.92. 

artificial intelligence regulation legislation

Coalition repping over 1M radiologists and other clinicians urges Congress to fix ‘systemic’ payment flaws

“Congress must act before the end of 2024 to provide clinicians with the financial stability needed to ensure beneficiaries continue to have access to high-quality care,” the groups wrote. 

Around the web

After reviewing years of data from its clinic, one institution discovered that issues with implant data integrity frequently put patients at risk. 

Prior to the final proposal’s release, the American College of Radiology reached out to CMS to offer its recommendations on payment rates for five out of the six the new codes.

“Before these CPT codes there was no real acknowledgment of the additional burden borne by the providers who accepted these patients."

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